A 31-year-old woman with known lymphangioleiomyomatosis presents with a second right pneumothorax. She is stable after drain insertion and the lung

Question

A 31-year-old woman with known lymphangioleiomyomatosis presents with a second right pneumothorax. She is stable after drain insertion and the lung has re-expanded. What is the most appropriate management to reduce recurrence?

Accepted Answer

Early pleurodesis through a specialist pleural team

Answer

Repeated aspiration whenever symptoms recur

Answer

Prophylactic contralateral thoracic surgical intervention

Answer

Observation after drain removal with interval imaging

Answer

Long-term indwelling pleural catheter placement

LAM-associated pneumothorax — SCE Respiratory MCQ

A 31-year-old woman with known lymphangioleiomyomatosis presents with a second right pneumothorax. She is stable after drain insertion and the lung has re-expanded. What is the most appropriate management to reduce recurrence?