{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T12:43:29Z","timestamp":1785415409091,"version":"3.56.0"},"reference-count":8,"publisher":"Department of Medicine, Warren Alpert Medical School at Brown University","issue":"2","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Acupuncture is a popular form of traditional Chinese medicine used for management of pain, stress, and other chronic conditions. In recent years, it has been increasingly incorporated as an adjunctive therapy in Western medicine for acute and chronic pain control. While it is usually safe when performed by trained practitioners, complications including bleeding, infection, and injury to surrounding structures near acupoints can occur. We herein report a case of a patient who developed bilateral small apical pneumothoraces following acupuncture at thoracic acupoints, which was managed conservatively with supplemental oxygen therapy.<\/jats:p>","DOI":"10.56305\/001c.158639","type":"journal-article","created":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T16:51:33Z","timestamp":1775062293000},"source":"Crossref","is-referenced-by-count":0,"title":["From Qi Flow to Air Leak: Bilateral Apical Pneumothoraces After Acupuncture"],"prefix":"10.56305","volume":"5","author":[{"given":"Yin Teng","family":"Koh","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/025yypj46","id-type":"ROR","asserted-by":"publisher"}],"name":"National University Cancer Institute, Singapore","department":["Department of Radiation-Oncology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wilson","family":"Goh","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04fp9fm22","id-type":"ROR","asserted-by":"publisher"}],"name":"National University Hospital","department":["Division of Infectious Diseases"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isaac","family":"Ng","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04fp9fm22","id-type":"ROR","asserted-by":"publisher"}],"name":"National University Hospital","department":["Department of Rheumatology and Allergy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Desmond","family":"Teo","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/029hept94","id-type":"ROR","asserted-by":"publisher"}],"name":"Alexandra Hospital","department":["Integrated Medicine Programme"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"35509","published-online":{"date-parts":[[2026,4,1]]},"reference":[{"key":"ref1","first-page":"6","article-title":"Acupuncture for the relief of chronic pain: A synthesis of systematic reviews","volume":"56","author":"C. A. Paley","year":"2020","journal-title":"Medicina (Lithuania)"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"485","DOI":"10.1136\/bmj.323.7311.485","article-title":"Adverse events following acupuncture: Prospective survey of 32 000 consultations with doctors and physiotherapists","volume":"323","author":"A. White","year":"2001","journal-title":"Br Med J"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"120","DOI":"10.1186\/s12906-024-04421-5","article-title":"The reporting quality of acupuncture-related traumatic adverse events: a systematic review of case studies in Korea","volume":"24","author":"S. A. Kim","year":"2024","journal-title":"BMC Complement Med Ther"},{"key":"ref4","first-page":"1071","article-title":"Pneumothorax after acupuncture","volume":"61","author":"F. Huisma","year":"2015","journal-title":"Can Fam Physician"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"1100","DOI":"10.3390\/medicina59061100","article-title":"Iatrogenic Pneumothorax during Acupuncture: Case Report","volume":"59","author":"W. S. Chiu","year":"2023","journal-title":"Medicina (Lithuania)"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"915C","DOI":"10.2471\/BLT.10.076737","article-title":"Acupuncture-related adverse events: a systematic review of the Chinese literature","volume":"88","author":"J. Zhang","year":"2010","journal-title":"Bull World Health Organ"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"59","DOI":"10.7556\/jaoa.2019.009","article-title":"Dry needling-induced pneumothorax","volume":"119","author":"N. Patel","year":"2019","journal-title":"Journal of the American Osteopathic Association"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"355","DOI":"10.1016\/j.jams.2018.06.004","article-title":"Using Ultrasonography Measurements to Determine the Depth of the GB 21 Acupoint to Prevent Pneumothorax","volume":"11","author":"H. N. Chen","year":"2018","journal-title":"JAMS Journal of Acupuncture and Meridian Studies"}],"container-title":["Journal of Brown Hospital Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/bhm.scholasticahq.com\/article\/158639-from-qi-flow-to-air-leak-bilateral-apical-pneumothoraces-after-acupuncture","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T16:51:34Z","timestamp":1775062294000},"score":1,"resource":{"primary":{"URL":"https:\/\/bhm.scholasticahq.com\/article\/158639-from-qi-flow-to-air-leak-bilateral-apical-pneumothoraces-after-acupuncture"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,1]]},"references-count":8,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.56305\/001c.158639","relation":{},"ISSN":["2994-5593"],"issn-type":[{"value":"2994-5593","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,1]]}}}