European Journal of Internal Medicine
Volume 19, Issue 1 , Pages 63-64, January 2008

Recurrent hydropneumothorax as a presenting feature of malignant mesothelioma

Department of Respiratory Medicine, Knight Centre for Cystic Fibrosis, Frimley Park Hospital NHS Foundation Trust, Camberley, Surrey GU16 7UJ, UK

Received 23 November 2006; received in revised form 7 March 2007; accepted 9 March 2007. published online 28 July 2007.

Abstract 

A 73-year-old former smoker with previous occupational exposure to asbestos presented with a pneumothorax that was initially managed by simple aspiration. Despite this, it re-accumulated and a bronchopleural fistula was suspected. A video-assisted thoracoscopic procedure was performed and revealed an abnormally thickened pleura that turned out to be a mesothelioma. All persistent pneumothoraces should be investigated.

Keywords: Pneumothorax, Treatment, Mesothelioma, Malignancy

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PII: S0953-6205(07)00176-8

doi:10.1016/j.ejim.2007.03.010

European Journal of Internal Medicine
Volume 19, Issue 1 , Pages 63-64, January 2008