IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-9-1-23643 Original Research Paper Left upper lobe collapse with Left Sided Pneumothorax (Ex-vacuo): Unusual presentation of Allergic Bronchopulmonary Aspergillosis. Kashyap Dr. Sumit Bharti Dr. January 2020 9 1 01 02 ABSTRACT

Lobar or segmental collapse and secondary spontaneous pneumothorax are two unusual presentations of allergic bronchopulmonary aspergillosis (ABPA). Lobar or segmental collapse is found in acute and exacerbation phases of ABPA due to “mucoid impaction” into damaged bronchi, and secondary spontaneous pneumothorax is due to rupture of sub‑pleural fibro‑cystic spaces of pulmonary parenchyma, mainly in the fibrotic 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.