Air-Leak Syndrome with Spontaneous Tension Pneumothorax and Pneumomediastinum Caused by Bleomycin-Induced Organizing Pneumonia. Issue 1 (30th December 2022)

• Record Type: Journal Article
• Authors: Vanmarcke, Cedric; Steelandt, Thomas; Vliegen, Anne-Sophie
• Is Part Of: Journal of the Belgian Society of Radiology. Volume 106:Issue 1(2022)
• Publication Date: 2022-12-30
• Subjects: bleomycin -- organizing pneumonia -- air leak syndrome -- Masson bodies -- pneumothorax -- pneumomediastinum -- pneumatocele -- bleb; Radiology -- Periodicals; Periodicals; 616.0757
• DOI: 10.5334/jbsr.2880
• Languages: English
• ISSNs: 2514-8281

Abstract

Teaching Point: The appearance of pneumatoceles in a patient with organizing pneumonia is an early sign of leak syndrome and is a significant finding as its rupture can lead to a life-threatening tension pneumothorax. Air leak syndrome (ALS), consisting of pneumothorax, subcutaneous emphysema and pneumomediastinum, is a rare complication of organizing pneumonia (OP). We report a case of a patient with bleomycin-induced OP who develops a tension pneumothorax due to a ruptured pneumatocele caused by ALS and correlate with histopathological analysis. This is the third case in the literature with these findings and the first with a tension pneumothorax.