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A pneumothorax is usually caused by an injury to the chest, such as a broken ribor puncture wound. It may also occur suddenly without an injury.A pneumothorax can result from damage to the lungs caused by conditions such as chronic obstructive pulmonary disease (COPD), asthma, cystic fibrosis, and pneumonia. Spontaneous pneumothorax can also occur in people who don't have lung disease. This happens when an air-filled blister(bleb) on the lung ruptures and releases air into the pleural space.People who smoke cigarettes are much more likely to develop a pneumothorax than those who don't. Also, the more you smoke, the greater your chances are of having a pneumothorax.

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6y ago
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12y ago

If the chest cavity is damaged or the lung develops a hole in it, air will get behind the lung and it will not inflate when you attempt to breathe. Without proper medical attention it can be fatal. If it's a condition that CAN heal, it could take care of itself, but it really needs medical attention because of the extreme severity of the condition.

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13y ago
Definition

A collapsed lung, or pneumothorax, is the collection of air in the space around the lungs. This buildup of air puts pressure on the lung, so it cannot expand as much as it normally does when you take a breath.

Alternative Names

Air around the lung; Air outside the lung; Pneumothorax; Spontaneous pneumothorax

Causes, incidence, and risk factors

A collapsed lung may result from chest trauma, such as gunshot or knife wounds, rib fracture, or after certain medical procedures.

In some cases, a collapsed lung occurs without any cause. This is called a spontaneous pneumothorax. A small area in the lung that is filled with air, called a bleb, ruptures, and the air leaks into the space around the lung.

Certain activities may lead to a collapsed lung. These include Scuba diving, smoking marijuana or cigarettes, high altitude hiking, and flying.

Tall, thin people are more likely to a collapsed lung.

Lung diseases such as COPD, asthma, cystic fibrosis, tuberculosis, and whooping cough also increase your risk for a collapsed lung.

Symptoms

Almost everyone who has a collapsed lung has the following symptoms:

A larger pneumothorax will cause more severe symptoms, including:

Note: Symptoms may begin during rest or sleep.

Other symptoms that can occur with a collapsed lung include:

Signs and tests

There are decreased or no breath sounds on the affected side when heard through a stethoscope.

Tests include:

Treatment

A small pneumothorax may go away on its own. You may only need oxygen and rest. The health care provider may use a needle to pull the extra air out from around the lung so it can expand more fully. You may be allowed to go home if you live near the hospital.

If you have a large pneumothorax, a chest tube will be placed between the ribs into the space around the lungs to help drain the air and allows the lung to re-expand.

The chest tube can be left in place for several days. You must stay in the hospital while the chest tube is in place.

Some patients with a collapsed lung need extra oxygen, which helps the air around the lung be reabsorbed more quickly.

Lung surgery may be needed to treat your pneumothorax or to prevent future episodes. The area where the leak occurred may be repaired. Sometimes, a special chemical is placed into the area of the collapsed lung. This chemical causes a scar to form.

Expectations (prognosis)

If you have a collapsed lung, you are more likely to have another one in the future if you:

  • Are tall and thin
  • Continue to smoke
  • Have had two collapsed lungs in the past

How well a person does after having a collapsed lung depends on what caused it.

Complications
  • Another collapsed lung in the future
  • Shock
Calling your health care provider

Call your health care provider if you have symptoms of a collapsed lung, especially if you have had one before.

Prevention

There is no known way to prevent a collapsed lung, but you can decrease your risk by not smoking.

References

Light RW, Lee GY. Pneumothorax, Chylothorax, Hemothorax, and Fibrothorax. In: Mason RJ, Murray JF, Broaddus VC, Nadel JA, eds. Textbook of Respiratory Medicine. 4th ed. Philadelphia, Pa: Saunders Elsevier; 2005: chap 69.

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12y ago
Definition

A collapsed lung, or pneumothorax, is the collection of air in the space around the lungs. This buildup of air puts pressure on the lung, so it cannot expand as much as it normally does when you take a breath.

Alternative Names

Air around the lung; Air outside the lung; Pneumothorax; Spontaneous pneumothorax

Causes, incidence, and risk factors

A collapsed lung occurs when air escapes from the lung and fills up the space outside of the lung, inside the chest. It may be caused by a gunshot or knife wound to the chest, rib fracture, or certain medical procedures.

In some cases, a collapsed lung occurs without any cause. This is called a spontaneous pneumothorax. A small area in the lung that is filled with air, called a bleb, can rupture, sending air into the space around the lung.

Tall, thin people are more likely to have a collapsed lung.

Lung diseases such as COPD, asthma, cystic fibrosis, tuberculosis, and whooping cough also increase your risk for a collapsed lung.

Symptoms

Common symptoms of a collapsed lung include:

A larger pneumothorax will cause more severe symptoms, including:

Other symptoms that can occur with a collapsed lung include:

Signs and tests

There are decreased or no breath sounds on the affected side when heard through a stethoscope.

Tests include:

Treatment

A small pneumothorax may go away on its own. You may only need oxygen and rest. The health care provider may use a needle to pull the extra air out from around the lung so it can expand more fully. You may be allowed to go home if you live near the hospital.

If you have a large pneumothorax, a chest tube will be placed between the ribs into the space around the lungs to help drain the air and allows the lung to re-expand.

The chest tube can be left in place for several days. You may need to stay in the hospital. However, you may be able to go home if a small chest tube is used.

Some patients with a collapsed lung need extra oxygen.

Lung surgery may be needed to treat your pneumothorax or to prevent future episodes. The area where the leak occurred may be repaired. Sometimes, a special chemical is placed into the area of the collapsed lung. This chemical causes a scar to form.

Expectations (prognosis)

If you have a collapsed lung, you are more likely to have another one in the future if you:

  • Are tall and thin
  • Continue to smoke
  • Have had two collapsed lungs in the past

How well a person does after having a collapsed lung depends on what caused it.

Complications
  • Another collapsed lung in the future
  • Shock
Calling your health care provider

Call your health care provider if you have symptoms of a collapsed lung, especially if you have had one before.

Prevention

There is no known way to prevent a collapsed lung, but you can decrease your risk by not smoking.

References

Light RW, Lee GY. Pneumothorax, Chylothorax, Hemothorax, and Fibrothorax. In: Mason RJ, Murray JF, Broaddus VC, Nadel JA, eds. Textbook of Respiratory Medicine. 4th ed. Philadelphia, Pa: Saunders Elsevier; 2005: chap 69.

Reviewed By

Review Date: 09/15/2011

Andrew Schriber, MD, FCCP, Specialist in Pulmonary, Critical Care, and Sleep Medicine, Virtua Memorial Hospital, Mount Holly, New Jersey. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

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9y ago

A collapsed lung can occur after any injury. Chronic lung disease can also contribute to your lungs collapsing, as well as procedures that are preformed on the lungs.

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13y ago

Some time due to destruction of pleural fluid which prevent friction during respiration.

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12y ago

A collapsed lung occurs when air builds up between the chest wall and the lung, making breathing painful because the lung will not be able to expand.

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6y ago

A collapsed lung is a serious condition.

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15y ago

Smoking Tobacco

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6y ago

Poison gas and Asthma attacks

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