Left upper lobe collapse with Left Sided Pneumothorax (Ex-vacuo): Unusual presentation of Allergic Bronchopulmonary Aspergillosis.

Surender Kashyap; Abinav Dagar; Sumit Bharti; Priya Sharma

Volume : IX, Issue : I, January - 2020

Left upper lobe collapse with Left Sided Pneumothorax (Ex-vacuo): Unusual presentation of Allergic Bronchopulmonary Aspergillosis.

Surender Kashyap, Abinav Dagar, Sumit Bharti, Priya Sharma

Abstract :

Lobar or segmental collapse and secondary spontaneous pneumothorax are two unusual presentations of allergic onchopulmonary aspergillosis (ABPA). Lobar or segmental collapse is found in acute and exacerbation phases of ABPA due to �mucoid impaction� into damaged onchi, and secondary spontaneous pneumothorax is due to rupture of sub‑pleural fio‑cystic spaces of pulmonary parenchyma, mainly in the fiotic stage of ABPA. Clinical presentation of these two in the background of poorly controlled asthma in compliant individuals creates confusion in the diagnosis, and ABPA should be searched for. Here, we report a rare case of left upper lobe collapse and left sided pneumothorax occurring simultaneously in an 18‑year‑old Asthmatic Male with ABPA.