Lung ultrasound: a valid help in the differential diagnosis between pneumothorax and pulmonary blebs

  • Francesca Sandionigi Emergency Department, Niguarda Ca' Granda Hospital, Milano, Italy.
  • Francesca Cortellaro Emergency Department, Niguarda Ca' Granda Hospital, Milano, Italy.
  • Elisa Forni Emergency Department, Niguarda Ca' Granda Hospital, Milano, Italy.
  • Daniele Coen | daniele.coen@ospedaleniguarda.it Emergency Department, Niguarda Ca' Granda Hospital, Milano, Italy.

Abstract

Spontaneous pneumothorax is a relatively common disease but its radiological diagnosis can be difficult because of the insufficient sensitivity of chest X-rays. This is even more so when bullous emphysema and acute pneumothorax co-exist. There is evidence that lung ultrasound is a valid instrument to detect a pneumothorax and a valid help in the differential diagnosis between pneumothorax and pulmonary blebs. We present a case which suggests the potential superiority of lung ultrasound on chest radiography in distinguishing free air (pneumothorax) from apical blebs, particularly when these are located in the posterior regions and may be easily confused with pneumothorax.

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Published
2013-06-17
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Section
Case Reports
Keywords:
lung ultrasound, pneumothorax, pulmonary bleb
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How to Cite
Sandionigi, F., Cortellaro, F., Forni, E., & Coen, D. (2013). Lung ultrasound: a valid help in the differential diagnosis between pneumothorax and pulmonary blebs. Emergency Care Journal, 9(1), e3. https://doi.org/10.4081/ecj.2013.e3