Defective barcode sign – A newer sonographic sign in hydropneumothorax

Abstract

Effusive pneumothorax can be hemopneumothorax, pyopneumothorax, or hydropneumothorax depending on the type of fluid compartment within the pleural cavity. Hydropneumothorax is the abnormal collection of air and serous fluid within the pleural cavity. Here, we report a case of a 34-year-old male who presented to the emergency department with cough and breathlessness. We did bedside point-of-care ultrasound-assisted clinical evaluation as the patient was vitally unstable, which showed “hydro point” and “defective barcode sign,” which suggested hydropneumothorax. We present these clinical evaluation details, imaging/sonographic findings, and patient management in this case report.

Detecting Hemopneumothorax With Lung Sonography: A Case Report

“…This occurs due to a respirophasic motion and it demonstrates the coexistence of air and fluid in the pleural space. 10…”

“…This occurs due to a respirophasic motion and it demonstrates the coexistence of air and fluid in the pleural space. 10 Prompt diagnosis and management of hemopneumothorax is essential to prevent life-threatening complications. In this case, the patient underwent emergency surgery with emergency placement of a right pleural drainage tube.…”