The case of a 21-year-old male with neglected and protacted spontaneous pne
umothorax is reported. Video-assisted thoracoscopy after 130 days showed th
e lung to be trapped solely by a thick pleurovisceral membrane, which requi
red open surgical decortication. Chronic pneumothorax is a rare complicatio
n of spontaneous pneumothorax. This is the second report on a chronic pneum
othorax solely due to a pleurovisceral membrane and the longest reported in
terval until decortication.