Peran Pemeriksaan Radiologi pada Penanganan Kegawatdaruratan Pneumothorax Sekunder pada Pneumonia COVID-19

Authors

  • Jessieca Liusen RS Santa Maria, Pekanbaru, Riau, Indonesia

DOI:

https://doi.org/10.55175/cdk.v49i4.224

Keywords:

Chest tube, COVID-19, pencitraan radiologi, pneumothorax

Abstract

Pneumothorax pada COVID-19 memerlukan penanganan segera untuk mencegah mortalitas dan morbiditas. Pencitraan radiologi foto polos thorax dan CT (computed tomography) scan thorax merupakan modalitas imaging yang sering digunakan untuk deteksi dini COVID-19 beserta pneumothorax. Pemasangan chest tube menjadi pilihan untuk penanganan pneumothorax pada COVID-19. Pleurodesis dan bulektomi merupakan alternatif tindakan pembedahan definitif pada pneumothorax refrakter atau persisten.

Pneumothorax in COVID-19 patient needed to be immediately managed. Plain thorax radiographs and CT scan thorax were the main imaging modalities for diagnosis. Chest tube insertion is the gold standard for management. Pleurodesis or bullectomy are an alternative surgery method to relieve recurrent pneumothorax or persistent pneumothorax.

Downloads

Download data is not yet available.

References

Flower L, Carter JP, Lopez JR, Henry AM. Tension pneumothorax in a patient with COVID-19. BMJ Case Rep. 2020;13:1-4

Vahidirad A, Jangjoo A, Ghelichli M, Nia AA, Zandbaf T. Tension pneumothorax in a patient with COVID-19 infection. Radiology Case Report 2021;16:358-60.

Zantah M, Castillo ED, Townsend R, Dikengil F, Criner GJ. Pneumothorax in COVID-19 disease-incidence and clinical characteristics. Respiratory Res. 2020;21:236.

Shahzad MU, Han J, Ramtoola MI, Lamprou V, Gupta U. Spontaneous tension pneumothorax as a complication of COVID-19. Hindawi Case Rep in Medicine 2021;4126861:1-4. https://doi.org/10.1155/2021/4126861

Zhou C, Gao C, Xie Y, Xu M. COVID-19 with spontaneous pneumomediastinum. Lancet Infect Dis. 2020;20:510

Wang J, Su X, Zhang T, Zheng C. Spontaneous pneumomediastinum: A probable unusual complication of coronavirus disease 2019 (COVID-19) pneumonia. Korean J Radiol. 2020;21:627–8.

Sun R, Liu H, Wang X. Mediastinal emphysema, giant bulla, and pneumothorax developed during the course of COVID-19 pneumonia. Korean J Radiol. 2020;21:541.

Aiolfi A, Biraghi T, Montisci A, Bonitta G, Micheletto G, Donatelli F, et al. Management of persistent pneumothorax with thoracoscopy and blebs resection in COVID-19 patients. Ann Thorac Surg. 2020;110(5):413-5. https:// doi.org/10.1016/j.athoracsur.2020.04.011.

Liu K, Zeng Y,Xie P, Ye X, Xu G, Liu J, et al. COVID-19 with cystic features on computed tomography: A case report. Medicine. 2020;99:20175.

Spiro JE, Sisovic S, Ockert B, Bocker W, Siebenburger G. Secondary tension pneumothorax in a COVID-19 pneumonia patient: A case report. Infection. 2020;48: 941-4

Yasukawa K, Vamadevan A, Rollins R. Bullae formation and tension pneumothorax in a patient with COVID-19. Am J Trop Med Hyg. 2020;103(3):943-4

Mohamed A. Tension pneumothorax complicating COVID-19 pneumonia. Clin Case Rep. 2021;9:1-2

Martinelli AW, Ingle T, Newman J, Nadeem I, Jackson K, Lane ND, et al. COVID-19 and pneumothorax: A multicenter retrospective case series. European Resp J. 2020;56(5):202-69

Noppen M. Spontaneous pneumothorax: Epidemiology, pathophysiology, and cause. Eur Respir Rev. 2010;19:217-9

Xu B, Xing Y, Peng J, Zheng Z, Tang W, Sun Y, et al. Chest CT for detecting COVID-19: A systematic review and meta-analysis of diagnostic accuracy. Eur Radiol. 2020;15:1-8

Kohli A, Hande PC, Chugh S. Role of chest radiography in the management of COVID-19 pneumonia: An overview and correlation with pathophysiologic changes. Indian J Radiol Imaging. 2021;31(Suppl 1):70-9.

Silva DS, Schuh SJ, Dalcin PTR. Postero-anterior chest x-ray for the diagnosis of pneumothorax: method, usage, and resolution. Medical Imaging 2010;3:29-34.

Downloads

Published

01-04-2022

How to Cite

Liusen, J. (2022). Peran Pemeriksaan Radiologi pada Penanganan Kegawatdaruratan Pneumothorax Sekunder pada Pneumonia COVID-19. Cermin Dunia Kedokteran, 49(4), 223–225. https://doi.org/10.55175/cdk.v49i4.224