Abstract
Coronavirus disease 2019 has been a pandemic outbreak since December 2019. It was notified in Wuhan, China in in December 2019, has rapidly swept around the world, causing a great threat to global health. COVID-19 result in systemic inflammation and lead to multiorgan dysfunction and complications. These complications involved pulmonary and cardiovascular system that result in in significant morbidity and mortality. A rare pulmonary complication of COVID-19 is the development of a spontaneous pneumothorax that detected less commonly in affected patients. Her, we treated a case of COVID 19 with a large spontaneous pneumothorax in middle-aged man with chest decompression by intercostal tube, the pneumothorax resolved and the patient discharged home with good outcome.