Bilateral spontaneous pneumothorax – wrong therapies


Authors: J. Vodička 1;  V. Špidlen 1;  M. Kravec 1;  J. Ferda 2;  P. Mukenšnabl 3
Authors‘ workplace: Univerzita Karlova v Praze, Lékařská fakulta a FN Plzeň, Chirurgická klinika 1;  Univerzita Karlova v Praze, Lékařská fakulta a FN Plzeň, Radiodiagnostická klinika 2;  Univerzita Karlova v Praze, Lékařská fakulta a FN Plzeň, Šiklův patologicko-anatomický ústav 3
Published in: Čas. Lék. čes. 2009; 148: 323-325
Category: Case Report

Overview

In spite of being a relatively rare disorder, synchronous bilateral spontaneous pneumothorax requires proper attention because of its consequences that essentially constitute an acute life-threatening chest cavity event. Standard of care is stabilization of the patient’s condition with emergency drainage of both pleural cavities that should be followed by early surgical revision, preferably using mini-invasive approach involving intervention of the lung, or pleura. The case report uses the example of a 19-year-old patient to alert to possible errors in the process of therapy of this disorder, presenting, at the same time, the correct alternative of the process.

Key words:
synchronous bilateral spontaneous pneumothorax, pleural cavity drainage, videothoracoscopy.


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