Annals of Thoracic Medicine Official publication of the Saudi Thoracic Society, affiliated to King Saud University
 
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CASE REPORT
Year : 2013  |  Volume : 8  |  Issue : 3  |  Page : 176-178

Pneumothorax, music and balloons: A case series


1 Department of Respiratory Medicine, Castle Hill Hospital, Cottingham, HU16 5JQ, United Kingdom
2 Department of Respiratory Medicine, Stafford Hospital, United Kingdom

Correspondence Address:
Shiferaw Dejene
Department of Respiratory Medicine, Castle Hill Hospital, Cottingham, HU16 5JQ
United Kingdom
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DOI: 10.4103/1817-1737.114283

PMID: 23922614

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We describe two cases of spontaneous pneumothorax in young healthy adults with no underlying structural lung disease. The onset of pneumothorax was following physical activity including playing musical instruments and blowing of balloons. There is sparse data evaluating the pathophysiology of primary spontaneous pneumothorax in relation to increased mouth pressures. These cases highlight the possible physical effect of valsalva manoeuvre on transpulmonary pressures, and the potential risk of developing pneumothorax in otherwise healthy individuals. This aspect of pneumothorax development is worthy of further exploration, to better elucidate the mechanism and enhance our understanding of this common respiratory presentation.


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