Simultaneous bilateral spontaneous pneumothorax: a rare emergency clinical condition.

Eurasian J Med

Ataturk University, Medical Faculty, Department of Thoracic Surgery, Erzurum, Turkey.

Published: April 2010

AI Article Synopsis

  • Spontaneous bilateral spontaneous pneumothorax (SBSP) is a rare but potentially life-threatening condition that accounts for only 1.3% of all spontaneous pneumothorax cases.
  • Between January 2004 and December 2009, five male patients aged 16 to 22 were diagnosed with SBSP, showing symptoms like dyspnea and chest pain, confirmed by chest X-rays.
  • All patients received varying treatments, including bilateral tube thoracostomies, pleurectomies, and one underwent tetracycline pleurodesis, with no reported recurrence of pneumothorax, signaling the importance of prompt diagnosis and intervention.

Article Abstract

Objective: Spontaneous pneumothorax is a disease that may cause serious respiratory distress and can be a life-threatening condition. A total of 1.3% of all spontaneous pneumothorax cases are simultaneous bilateral spontaneous pneumothorax (SBSP). In this study, because of its rarity, we discuss SBSP cases in light of previously reported cases.

Materials And Methods: Between January 2004 and December 2009, SBSP was detected in five patients.

Results: All patients were male, and the mean patient age was 18.6 (between 16 and 22 years of age). All patients had various degrees of dyspnea and chest pain. All diagnoses were established by chest X-rays. Two patients (40%) had primary spontaneous pneumothorax (PSP), and three (60%) had secondary spontaneous pneumothorax (SSP) (two patients had silicosis, and one had Staphylococcus aureus pneumonia). Previously, bilateral tube thoracostomies were performed on all patients. One PSP patient had a left apical pleurectomy with axillary thoracotomy; the other had a right apical pleurectomy. Tetracycline pleurodesis was performed on one of the silicosis patients. No additional surgical procedure or pleurodesis was performed on the other silicosis patient or on the pneumonia patient. No recurrence of pneumothorax was observed in any patient.

Conclusions: SBSP could be a life-threatening condition; therefore, urgent diagnosis and appropriate treatment of this condition can save patients' lives.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4261299PMC
http://dx.doi.org/10.5152/eajm.2010.02DOI Listing

Publication Analysis

Top Keywords

spontaneous pneumothorax
24
simultaneous bilateral
8
bilateral spontaneous
8
life-threatening condition
8
apical pleurectomy
8
pleurodesis performed
8
performed silicosis
8
pneumothorax
7
spontaneous
6
patients
6

Similar Publications

Validation of Risk Prediction Models for Pneumothorax and Intercostal Catheter Insertion Following CT-Guided Lung Biopsy.

J Med Imaging Radiat Oncol

December 2024

Department of Radiology, Grampians Health, Ballarat Central, Victoria, Australia.

Background: CT-guided percutaneous transthoracic needle biopsy is the primary method for diagnosing lung lesions. Widely accepted validated risk prediction models are yet to be developed. A recently published study conducted at Grampians Health Services (GHS) developed two risk prediction models for predicting pneumothorax and intercostal catheter (ICC) insertion.

View Article and Find Full Text PDF

Background: Both radiofrequency ablation (RFA) and microwave ablation (MWA) are commonly used non-surgical treatment methods for lung cancer/lung metastases (LC/LM). However, there is still debate over which one is superior. The meta-analysis was conducted to evaluate the effectiveness and safety between the two groups.

View Article and Find Full Text PDF

A thoracic kidney is a scarce type of ectopic kidney. We report the case of a 76-year-old man who developed cancer of the ureter, ipsilateral to the thoracic kidney. He presented with abdominal pain in the right upper quadrant.

View Article and Find Full Text PDF

Safety and efficacy of transbronchial cryobiopsy for elderly lung cancer patients.

BMC Pulm Med

December 2024

Department of Respiratory Medicine, Fujita Health University School of Medicine, 1-98 Dengakugakubo, Kutsukake-cho, Toyoake, 470-1192, Aichi, Japan.

Background: The increasing prevalence of lung cancer in the elderly population necessitates a closer evaluation of diagnostic and therapeutic approaches. This study aimed to compare the safety and diagnostic efficacy of transbronchial lung cryobiopsy (TBLC) between patients ≥ 80 years and younger patients.

Methods: A retrospective review was conducted of 96 patients diagnosed with peripheral lung cancer who underwent TBLC between April 2021 and October 2023.

View Article and Find Full Text PDF

Introduction: Secondary spontaneous pneumothorax (SSP) is a medical emergency where the lung collapses in the presence of underlying chronic lung disease. Current international clinical guidelines advise intercostal drain (ICD) insertion for SSP. However, in a previous small study needle aspiration (NA) has been shown to reduce length of hospital stay (LOHS) and reduce complications.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!