Abstract:

One of the most encountered pathological findings among thorax traumas is rib fracture and pneumothorax, haemothorax or haemopneumothorax caused by rib fracture. Recurrence of pneumothorax is not common after traumatic pneumothorax. Tube thoracostomy was performed to a 29-year-old male patient, after traffic accident, because of rib fracture and bilateral haemopneumothorax. After lung expansion patient was discharged, however he applied to our clinic 2 times because of late onset recurrent pneumothorax and tube thoracostomy was performed again. There was no evidence of bullous lung disease on computed tomography and any trauma or heavy lifting on his anamnesis. Spinose part of left sixth fractured rib may cause to recurrent pneumothorax were determined on computed tomography scan. At the 75. day of his trauma, spinose part of left sixth fractured rib was determined to injure lung parenchyma and knit into the thoracic cavity. The spinose part of the fractured rib, injuring the lung, was resected and external stabilization was achieved with a titanium plaque. We haven’t seen any pathology about lungs on his 3 months follow up. In conclusion, it should be remembered that fractures in the ribs may be associated with late on set recurrent pneumothorax can be established without presence of risk factors like bullous lung

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