Primary Spontaneous Pneumothorax In A Young Male Patient Mimicking Dextrocardia
Journal Title: Biomedical Journal of Scientific & Technical Research (BJSTR) - Year 2017, Vol 1, Issue 4
Abstract
Dextrocardia is a rare clinical condition and usually accompanies with additional cardiac anomalies and ciliary dyskinesia syndromes. Intrathoracic space occupying pathologies can cause pseudodextrocardia. Herein we present a patient with pseudodextrocardia secondary to pneumothorax.Dextrocardia defines rightly positioned heart and its incidence ranges between 1/8,000 – 1/25,000. Patients with dextrocardia are classified into situs solitus, situs inversus and situs ambiguous according to the positioning of the visceral organs. Dextrocardia usually presents with additional cardiac anomalies especially in patients with situs solitus [1]. Pseudodextrocardia is a clinical condition that heart is dextroposed secondary to intrathoracic space occupying pathologies. There are two cases with pseudodextrocrdia in the literature one of which is due to bronchectasia and the other one ise due to diaphragmatic hernia [2,3]. Herein we present a young male patient with pseudodextrocardia due to spontaneous pneumothorax.A 19 years old male patient without any known diseases and drug use was referred to our department from another hospital due to the suspicion of dextrocardia. It is learnt that he had admitted to that hospital with the complaints of stinging type chest pain and dyspnea lasting since two weeks before. It was realised that his heart sounds could be heard best at his right hemithorax and his heart was positioned rightly at chest x-ray. His medical history revealed no diseases and substance use except smoking. His vital signs were all in normal range. His heart sounds was really could be heard best at the right hemithorax and his lung sounds couldn’t be heard at left hemithorax. Hyperresonance at the left hemithorax was also detected by percussion. His complete blood count, kidney and liver function tests were normal. Chest x-ray was performed and pneumothorax at the left side with rightly positioned heart was established (Figure 1). The patient was urgently consultated with Thoracic Surgery Department and thoracostomy tube was placed. After his left lung expansion, his complaints resolved and heart image came to the normal position (Figure 1). He was discharged after thoracostomy tube was displaced and referred to Pulmonology Department to evaluate either there is any underlying lung disease
Authors and Affiliations
Metin Okşul, Yusuf Ziya Şener, Burcu Ancın, Kenan Övünç
Keywords
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- EP ID EP569487
- DOI 10.26717/BJSTR.2017.01.000344
- Views 181
- Downloads 0
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