Encycted secondary spontaneous pneumothorax successfully manage by simple neddle aspiration

Introduction : We reported a case of encycted secondary spontaneous pneumothorax (SSP) in a 80-years old malewith post TB fibroses with emphysema managed with simple needle aspiration. Case presentation: The patientpresented with increased shortness of breath with right sided chest pain for 6 hours, on examination of chest, absentbreath sound with hyper resonance was found right mid and lower chest. Others area was vesicular breath soundwith prolonged expiration as well as expiratory wheeze. Chest x ray shows hyper translucent lung field with devoidof bronchovascular marking with collapse lung margin on the Right side. Inhomogenous opacity with fibrotic bandin the Right apical zone & trachea is shifted to right and others features of Emphysema/COPD also present (Fig -1)suggestive of right sided encysted pneumothorax with Post TB fibrosis with emphysema.We aspirate 1100ml of airby simple needle aspiration & give conservative treatment of COPD and patient SOB reduce ,other clinical parameterwas improved .Chest x ray show pneumothorax was resolved and lung was expanded. Conclusion: simple needleaspiration in the management of secondary spontaneous encysted pneumothorax successfully expand the lung . Recentguideline says with secondary pneumothorax require intercostal tube drainage (ICTD). simple needle aspiration is acheap , can be easily constructed, suitable for resource-limited settings, can be easily inserted without supervision andhigher skills, less risk of chest tube related-complications and shorter length of hospital stay.