The authors report a case of bilateral pneumothorax observed in a 25-year-old woman affected by tuberous sclerosis with pulmonary involvement. The singular epidemiological, histopathological, physiopathological, diagnostic and therapeutic aspects of the rare pulmonary localisation of this heredofamilial disease are discussed. Finally, they suggest performing a pleurodesis with a videothoracoscopic method. Such a procedure makes it possible to prevent dangerous pneumothorax recurrences and, in cases where the diagnosis is doubtful, to perform targeted pulmonary biopsies.
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