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A CASE OF SPONTANEOUS PNEUMOTHORAX IN PREGNANCY AND IT?S OUTCOME PRESENTING AUTHOR: Dr. LILLY DARUVURI Postgraduate CO-AUTHOR 1: Dr. K. VANDANA, MD Professor & HOD(OBGY) CO-AUTHOR 2: Dr. B. NEEHARIKA, MD, Dept of pulmonology INTRODUCTION: Primary spontaneous pneumothorax (PSP) during pregnancy is a rare condition with serious risks to the mother& fetus, so rapid recognition& treatment are essential. Since few cases has been described, symptoms of dyspnea and chest pain can be easily misdiagnosed. AIM: To describe a case of a pregnant patient with PSP, managed with chest tube drainage and the outcome of the pregnancy. METHODS: A 20Y old G2P1L1, prev NVD with 8th month GA, un-booked case of ASRAM, non-smoker,referred from Private hospital I/v/o Chest X-ray showing pneumothorax& collapse of Right lung.Patient had C/o Shortness of breath for 1week with no prior H/o respiratory pathology/trauma..On general examination,general condition is fair,vitals are stable. At the time of admission,RS: Rt BS decreased infra scapular, infra-axillary areas. No fetal distress. Given the absence of pulmonary re-expansion,patient was referred to Pulmonology& ICD insertion at 35w3d GA I/v/o Right-side pneumothorax. RESULTS: ICD insertion at 35w3d GA, kept on Broad spectrum antibiotics. Primary emergency LSCS + B/L Tubal ligation done i/v/o fetal distress at 36w6d GA Post -op day 3: CT Chest- patchy consolidation right lower lobe with ICD insitu, -- BS ANTIBIOTICS were given. ICD was removed 3 weeks postpartum without any complications. CONCLUSION: Primary Spontaneous pneumothorax during pregnancy should be part of differential diagnosis& recognised early to prevent severe complications.