Idiopathic Exudative Hydropneumothorax and Spontaneous Pneumomediastinum in a Young Iranian Man: A Case Report

Document Type : Case Report


1 Fellowship in pulmonology, Chronic Respiratory Diseases Research Center, Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2 Anesthesiologist, Department of Anesthesiology, Lorestan University of Medical Sciences, Khoram abad, Iran

3 Pulmonologist, Chronic Respiratory Diseases Research Center, Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

4 Anesthesiologist, Fellowship in intensive Care, Lung Transplantation Research Center, National Research Institute of Tuberculose and Lung Disease, Masih Daneshvari Hospital, Shahid Beheshti of Medical Sciences, Tehran, Iran


Hydropneumothorax denotes concurrent presence of pneumothorax and hydrothorax in the pleural space, which can be a fatal situation. In this study, we presented the case of a 35-year-old male with history of progressive pleuritic chest pain 30 days before admission with idiopathic hydropneumothorax and spontaneous pneumomediastinum


  1. Chen PH, Lin XZ. Images in clinical medicine. Hydropneumothorax. N Engl J Med. 2010; 362:e9.
  2. Laberge JM, Kerlan RK, Ponrartana S. Large asymptomatic hydropneumothorax after thora-centesis. J Vasc Interv Radiol. 2004; 15:1047-9.
  3. Caceres M, Ali SZ, Braud R, Weiman D, Garrett HE Jr. Spontaneous pneumomediastinum: a comparative study and review of the literature. Ann Thorac Surg. 2008; 86:962-6.
  4. Bakhos CT, Pupovac SS, Ata A, Fantauzzi JP, Fabian T. Spontaneous pneumomediastinum: an extensive workup is not required. J Am Coll Surg. 2014; 219:713-7.
  5. Macia I, Moya J, Ramos R, Morera R, Escobar I, Saumench J, et al. Spontaneous pneumomediastinum: 41 cases. Eur J Cardiothorac Surg. 2007; 31:1110-4.
  6. Muir JF, Cuvelier A, Molano C, Benhamou D. Diagnosis of pleurisy in an emergency setting. Rev Prat. 2007; 57:479-88.
  7. Yamaguchi T, Katoh O, Hiura K, Kuroki S, Aoki Y, Yamada H. A pancreatico-bronchial fistula with right hydropneumothorax. Nihon Kyobu Shikkan Gakkai Zasshi. 1989; 27:620-4.
  8. Hudes ET, Bradley JW, Brebner J. Hydro-pneumothorax an unusual complication of lung lavage. Can Anaesth Soc J. 1986; 33:662-5.
  9. Konobu T, Saitoh Y, Umemoto M, Hino Y, Ohmiya H, Imamura H. Re-expansion pulmonary edema after emergency thoracotomy for spontaneous hemo-pneumothorax: a case report. Kyobu Geka. 1997; 50:796-9.
  10. Tschopp JM, Rami-Porta R, Noppen M, Astoul P. Management of spontaneous pneumothorax: state of the art. Eur Respir J. 2006; 28:637-50.
  11. Chen JS, Hsu HH, Huang PM, Kuo SW, Lin MW, Chang CC, et al. Thoracoscopic pleurodesis for primary spontaneous pneumothorax with high recurrence risk: a prospective randomized trial. Ann Surg. 2012; 255:440-5.