ISSN: 2573-9565 Case Report Journal of Clinical Review & Case Reports Eyes can’t See What the Mind doesn’t know - A case of Pneumothorax Complicating Clavicle Fracture Ahmed I¹,³*, Niaz Z², Kassem W³ and Nabeel M³ *Corresponding author Iftikhar Ahmed, Consultant, Aldara Hospital and Medical Centre, ¹University of the Southampton, UK Riyadh KSA, University of Southampton, UK Yardville Compound, 2 P.O. Box 1105 - Riyadh 11431 Tel: +966 (11) 420-7845, E-mail: Mayo Hospital, Lahore Pakistan
[email protected] 3 Aldara Hospital and Medical Centre, Riyadh, KSA Submitted: 27 Dec 2017; Accepted: 03 Jan 2018; Published: 22 Jan 2018 Abstract Pneoumothorax is an infrequent but serious complication of clavicular fractures. The importance of its prompt recognition and management cannot be overstated. There have been few cases reported in medical literature (English+ Non-English) but all those patients had respiratory signs or symptoms at presentation. We hereby report a case of isolated clavicular fracture associated with pneumothorax where patient had no respiratory symptoms at the time of presentation and diagnosis was missed. This case highlights that clinical signs may be subtle initially, when attention is focused on obvious bony disruption. We advocate obtaining a routine chest x-ray in all patients with displaced clavicular fracture regardless of respiratory status. Keywords: Pneumothorax, Clavicular Fracture, Thoracocentesis the left clavicular region with painful shoulder movement. He was in no respiratory distress and his pulse, blood pressure, respirator Introduction rate and oxygen saturations were all within the normal range. His A pneumothorax refers to a collection of gas in the pleural space systemic examination was documented as unremarkable.