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The Daily Insight

What causes lobar collapse

Author

Victoria Simmons

Published Apr 28, 2026

Lobar collapse is relatively common and occurs following obstruction of a bronchus. Gas is resorbed from the lung parenchyma distal to the obstruction resulting in the collapse of the lung, with volume reduction and negative mass effect.

How is lobar collapse treated?

Nebulized bronchodilators and humidity may help liquefy secretions and promote their easy removal. In the case of lobar atelectasis, vigorous chest physiotherapy frequently helps re-expand the collapsed lung. When these efforts are not successful within 24 hours, flexible fiberoptic bronchoscopy could be performed.

What is the most common cause of lobar atelectasis?

Lobar atelectasis occurs in a variety of medical conditions, such as a critical illness, a postoperative complication, a trauma, or lung cancer. The main etiology of lobar atelectasis is bronchial obstruction by mucus plugs from buildup of copious purulent secretions due to defective clearance mechanisms.

Can a collapsed lung heal itself?

If you have signs or symptoms of a collapsed lung, such as chest pain or trouble breathing, get medical care right away. Your lung may be able to heal on its own, or you may need treatment to save your life.

How long can you last with a collapsed lung?

Recovery from a collapsed lung generally takes about one to two weeks. Most people can return to full activity upon clearance by the doctor.

Can atelectasis go away?

Treatment of atelectasis depends on the cause. Mild atelectasis may go away without treatment. Sometimes, medications are used to loosen and thin mucus. If the condition is due to a blockage, surgery or other treatments may be needed.

What is a collapsed lobe in lung?

Atelectasis (at-uh-LEK-tuh-sis) is a complete or partial collapse of the entire lung or area (lobe) of the lung. It occurs when the tiny air sacs (alveoli) within the lung become deflated or possibly filled with alveolar fluid. Atelectasis is one of the most common breathing (respiratory) complications after surgery.

Should I worry about atelectasis?

In an adult, atelectasis in a small area of the lung is usually not life threatening. The rest of the lung can make up for the collapsed area, bringing in enough oxygen for the body to function.

Is atelectasis serious?

Large areas of atelectasis may be life threatening, often in a baby or small child, or in someone who has another lung disease or illness. The collapsed lung usually reinflates slowly if the airway blockage has been removed. Scarring or damage may remain. The outlook depends on the underlying disease.

Is a collapsed lung fatal?

Symptoms usually include sudden chest pain and shortness of breath. On some occasions, a collapsed lung can be a life-threatening event. Treatment for a pneumothorax usually involves inserting a needle or chest tube between the ribs to remove the excess air. However, a small pneumothorax may heal on its own.

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What causes lung to collapse?

Collapsed lung can be caused by an injury to the lung. Injuries can include a gunshot or knife wound to the chest, rib fracture, or certain medical procedures. In some cases, a collapsed lung is caused by air blisters (blebs) that break open, sending air into the space around the lung.

How do hospitals treat a collapsed lung?

Your doctor treats a collapsed lung by basically getting rid of the pressure outside the lung so it can inflate again. In cases so minor that no symptoms show up, the lung may expand again on its own. Some people may need to temporarily breathe oxygen from a container to help.

What are the 3 types of atelectasis?

There are three major types of atelectasis: adhesive, compressive, and obstructive.

How do you fix atelectasis?

Atelectasis treatment can include breathing or coughing exercises, inhaled medicines, breathing devices, or surgery. Atelectasis usually gets better with time or treatment. However, if it is undiagnosed or untreated, serious complications can occur, including fluid buildup, pneumonia, and respiratory failure.

Does atelectasis show up on xray?

An x-ray may be helpful in the diagnosis of atelectasis. Findings on an x-ray suggestive of atelectasis include displacement of fissures, rib crowding, elevation of ipsilateral diaphragm, volume loss on ipsilateral hemithorax, hilar displacement and compensatory hyperlucency of the remaining lobes.

What happens if a collapsed lung does not inflate?

The blood delivers the oxygen to organs and tissues throughout your body. When air sacs become deflated because of atelectasis, they cannot inflate properly or take in enough air and oxygen. If enough of the lung is affected, your blood may not receive enough oxygen, which can cause health problems.

Can you breathe with a collapsed lung?

Pneumothorax, also called a collapsed lung, is when air gets between one of your lungs and the wall of your chest. The pressure causes the lung to give way, at least partly. When this happens, you can inhale, but your lung can’t expand as much as it should.

How long can someone survive with one lung?

Many people with one lung can live to a normal life expectancy, but patients are unable to perform vigorous activities and may still experience shortness of breath. Your chances for recovery from heart and lung transplants today are improved greatly since the first transplant operations done in the 70s and 80s.

Can a collapsed lung cause permanent damage?

After treatment, a collapsed lung usually begins working the way it should again. But atelectasis can cause permanent damage in some cases.

What surgery is done for a collapsed lung?

Surgery for pneumothorax In cases where a chest tube doesn’t work, your doctor might need to do lung surgery to close off the air leak. We call this surgery “thoracoscopy” or VATS (Video-assisted Thoracic Surgery).

Can you see collapsed lung on xray?

Chest X-rays can detect cancer, infection or air collecting in the space around a lung, which can cause the lung to collapse. They can also show chronic lung conditions, such as emphysema or cystic fibrosis, as well as complications related to these conditions.

Which type of atelectasis is the most common?

Obstructive atelectasis is the most common type and results from reabsorption of gas from the alveoli when communication between the alveoli and the trachea is obstructed. The obstruction can occur at the level of the larger or smaller bronchus.

What can cause atelectasis?

Atelectasis, the collapse of part or all of a lung, is caused by a blockage of the air passages (bronchus or bronchioles) or by pressure on the lung. Risk factors for atelectasis include anesthesia, prolonged bed rest with few changes in position, shallow breathing and underlying lung disease.

Can atelectasis cause back pain?

Symptoms of Atelectasis and Pneumothorax Sudden, sharp pain in the chest or radiating to the shoulder or back.

What lung sounds do you hear with atelectasis?

  • atelectasis,
  • congestive heart failure (CHF), or.
  • pulmonary fibrosis.

Do you need surgery for a collapsed lung?

Some people with a collapsed lung need extra oxygen. Lung surgery may be needed to treat collapsed lung or to prevent future episodes. The area where the leak occurred may be repaired. Sometimes, a special chemical is placed into the area of the collapsed lung.

What does a collapsed lung sound like?

Crackles are heard when collapsed or stiff alveoli snap open, as in pulmonary fibrosis. Wheezes are commonly associated with asthma and diminished breath sounds with neuromuscular disease. Breath sounds will be decreased or absent over the area of a pneumothorax.

How long does a chest tube stay in for a collapsed lung?

With a pneumothorax, healthcare providers will look at an X-ray to make sure all of the air has been removed, and the lung has expanded completely. Following lung cancer surgery, the tube will be left in place until only minimal drainage remains, often a period of three to four days.

How do you treat a partially collapsed lung?

  1. Get plenty of rest and sleep. …
  2. Hold a pillow against your chest when you cough or take deep breaths. …
  3. Take pain medicines exactly as directed.
  4. If your doctor prescribed antibiotics, take them as directed.

Can a lung collapse twice?

Most patients who have had a pneumothorax will have more than one episode. These are called recurring pneumothoraces, and a few patients have had more than ten different episodes. Both lungs are equally likely to be affected, and doctors have reported cases where both lungs have collapsed at the same time.

Can you go home with a collapsed lung?

A small pneumothorax may go away on its own over time. You may only need oxygen treatment and rest. The provider may use a needle to allow the air to escape from around the lung so it can expand more fully. You may be allowed to go home if you live near the hospital.