Introduction: Hydropneumothorax is an abnormal presence of air and fluid in pleural space.

Aim: To Study signs and symptoms, causes & treatment modalities for hydropneumothorax.

Materials & Method: Patients admitted from 2017 to 2018 studied with detailed history, lab investigation & treatment given recorded. Intercostal tube inserted & patients were followed for 3 months.

Result: 80 Patients were studied T.B. was cause in 75% patients then bacterial infection in 11.25% & COPD in 12.5 , malignancy in 1.25% patients. All patients required ICD tube insertion with approximately 15-20 days.

Conclusion: Most patients presented with signs of cardiorespiratory distress and pleural fluid analysis is most important in finding diagnosis. T.B. is most common cause & ICD with long duration with antimicrobial chemotherapy is the management.

Keywords: Tuberculosis, intercostals drainage, hydropneumothorax (B.P.F.)

1. Clinical profile etiology and management of hydropneumothorax : An Indian Experience – Vasunethra Kasargod, Nilkanth Tukaram Awadfrom http://www.lungIndia.com//
2. Crofton & Douglas respiratory disease, Anthony Seaton, Douglas Seaton – A Gordon Leitch ,5^th
3. Emerson C.P.Pneumothorax a historical clinical & experimental study – Johns Hopkins Hosp.Rep.1903 11:1
4. Itard JMG Dissertation Sul Le pneumothoraxoules congestion gazeuses qui deferment Dans la Potrine thesis Paris 1803.
5. Light RW. Pleural diseases. Philadelphia USA Lippicott Williams and Wlilkins 2007 456
6. Manual on Tuberculosis HIV and lung diseases A Practical Approach editor V.K. Arora Jaypee first edition 2009.
7. Morrison P. Nerves DD Evaluation of ADA in diagnosis of pulmonary T.B. A Brazilian meta analysis. (Bros Pneumo 2008; 34; 217-24)
8. Textbook of pulmonary medicine Jaypee Jyotsna M Joshi first edition 2009
9. Text book of pulmonary and extra pulmonary T.B. 4^th Edition S. Satyashri Pg. 90
10. Tuberculosis editor S.K. Sharma Jaypee brothers Delhi-2001 pg.112.

Dr Anjali P. Ghare

Associate Professor, M.D. Tuberculosis & Respiratory Diseases

Department of Respiratory Medicine Narayan Medical College Sasaram, Jamuhar. (India)