DOI: 10.36347/sjmcr.2016.v04i04.011

Pages: 216-219

Recurrent pneumothorax has been reported in patients with Marfan syndrome and is more common in such patients. We report a case of a child who had 2 episodes of spontaneous pneumothorax. Patient was treated by intercostal drainage tube on each episode. After 2nd episode, patient was investigated by CT thorax. No evidence of bullae/emphysema was found. After 3 weeks he again presented with 3rd episode of spontaneous pneumothorax. Thoracoscopy was done, no bullous/emphysematous lesion found, incidental finding of eventration of left dome of diaphragm was found which was corrected by plication. Pleurodesis was done on post-op day 5 to prevent recurrence of spontaneous pneumothorax. Patient had uneventful recovery and was discharged and is on regular follow-up.This case is rare as association of Marfan syndrome with eventration of diaphragm has not been reported in pediatric patient while recurrent spontaneous pneumothorax is a known complication in this syndrome.