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Spontaneous pneumothorax in a patient with an azygos lobe.
  1. R T Sadikot,
  2. M E Cowen,
  3. A G Arnold
  1. Medical Chest Unit, Castle Hill Hospital, Cottingham, North Humberside, UK.


    The association between a spontaneous pneumothorax and an azygos lobe is surprisingly rare. A case is reported in which surgical management was difficult; it is suggested that thoracotomy is preferable to video-assisted thoracoscopic surgery in this situation. It is possible that the presence of an azygos lobe might protect against the subsequent development of a spontaneous pneumothorax, and the possible mechanism of this is discussed.

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