[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Other Articles
July 30, 1938


Author Affiliations


From the Henry Phipps Institute and Graduate Hospital, University of Pennsylvania School of Medicine.

JAMA. 1938;111(5):408-410. doi:10.1001/jama.1938.02790310030009

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


Spontaneous pneumothorax may complicate pneumothorax therapy for pulmonary tuberculosis at any time during the course of treatment. It is always a serious and may be a fatal complication. It invariably requires emergency treatment.

Although many writers recognize perforation of the lung at the base of an adhesion as one of the ways in which a spontaneous pneumothorax may develop during pneumothorax treatment, a survey of recent literature fails to disclose mention of pneumonolysis as a specific form of surgical intervention to cure this particular type of spontaneous pneumothorax. There is no reference to it in Alexander's book "The Collapse Therapy of Pulmonary Tuberculosis" or in Matson's writings.

Since November 1936, spontaneous pneumothorax has developed in three patients under my care following a therapeutic refill, which, as will be shown, was the result of a tear in the visceral pleura at the base of an adhesion, with the adhesion remaining attached

First Page Preview View Large
First page PDF preview
First page PDF preview