Analysis of the patients with simultaneous bilateral spontaneous pneumothorax

Akcam, M D Tevfik Ilker; Kavurmacı, Mehtap; Ergonul, M D Ayse Gul; Aydın, Sercan; Turhan, Murat; Çakan, Murat; Cagirici, M D Ufuk

doi:10.1111/crj.12652

Cited by 18 publications

(20 citation statements)

References 16 publications

(43 reference statements)

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“…La incidencia es de 18-28 casos por 100,000 varones y 1.2-6 casos por 100,000 mujeres (9). Por otro lado, la prevalencia de NE bilateral se estima entre 1 a 1.3 % de los casos (10). Con base en la mejor evidencia disponible, no conocemos un registro sistematizado de casos con NE bilateral que permita contrastar el presente caso, no obstante, entre los factores de riesgo para NE bilateral se incluyen personas de talla alta y delgadas, historia de tabaquismo, enfermedades pulmonares crónicas o quísticas difusas, entre otros (11).…”

Section: Discussionunclassified

“…La tasa de recurrencia ipsilateral es de alrededor del 70-75 % en 2 y 3 años. Se ha informado que algunos casos con LAM pulmonar tienen 2 ó 3 eventos de NE antes de diagnosticarse (10). Por otro lado, la presentación de un NE bilateral como expresión inicial en pacientes con LAM ocurre sólo en un 4% y conlleva una elevada tasa de mortalidad asociada a fallo respiratorio con requerimiento de ventilación mecánica invasiva (VMI) como ocurrió en el presente caso (12).…”

Section: Discussionunclassified

“…Con base en el tiempo de evolución, existen reportes de casos con LAM pulmonar y NE recurrente que han tenido retrasos en el diagnóstico hasta por 4 años como ocurrió con el presente caso (1,10). También se ha identificado que cuando un caso con LAM se expresa inicialmente como NE, tiene anormalidades estructurales en el parénquima pulmonar (quistes heterogéneos), sin embargo, conserva la función pulmonar y las manifestaciones clínicas son progresivas.…”

Section: Discussionunclassified

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Linfangioleiomiomatosis. No olvidar la importancia del neumotórax como expresión clínica inicial

et al. 2020

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La linfangioleiomiomatosis (LAM) pulmonar es una enfermedad quística difusa de baja prevalencia que afecta a las mujeres entre la 3ª y 5ª décadas de vida. Dentro de las manifestaciones clínicas más comunes se encuentra la disnea progresiva, neumotórax espontáneo (NE) recurrente y el quilotórax. El diagnóstico de LAM se realiza en raras ocasiones durante el abordaje diagnóstico de un NE recurrente, debido a su baja frecuencia de presentación como expresión inicial de la enfermedad.Presentamos el caso de una mujer de la 5ª década de vida con antecedente de dos eventos de NE y disnea progresiva de 4 años de evolución que fue sometida a múltiples intervenciones quirúrgicas (colocación de sondas pleurales) como manejo del NE recurrente, no obstante, sin una conclusión etiológica. Fue referida a nuestro hospital con el diagnóstico de fístula broncopleural. En el abordaje inicial, una tomografía axial computarizada de alta resolución (TACAR) de tórax evidenció múltiples imágenes quísticas heterogéneas en el parénquima pulmonar y confirmó la presencia de neumotórax bilateral. El análisis histopatológico del tejido pulmonar obtenido mediante cirugía video-asistida del tórax (VATS) confirmó el diagnóstico de LAM pulmonar.

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Section: Discussionunclassified

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Linfangioleiomiomatosis. No olvidar la importancia del neumotórax como expresión clínica inicial

et al. 2020

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“…Pneumothorax is a common medical condition defined by a presence of air or gas in the cavity in the pleural cavity. The incidence of spontaneous pneumothorax, the term used to call pneumothorax that arises by itself in the absence of trauma, was reported to be 1.2 to 28 cases per 100,000 [1]. Patients with spontaneous pneumothorax can present as either primary or secondary.…”

Section: Introductionmentioning

confidence: 99%

“…Prompt management is needed to exclude tension pneumothorax and relieve the dyspnea. Unlike other types of pneumothorax, surgical intervention is indicated in SBPSP as it leads to better overall outcome compared to tube thoracostomy [1]. In this article, we report a case of a young male with SBPSP who was found to have bilateral lung blebs and eventually underwent bilateral blebs resection and bilateral pleurectomy.…”

Section: Introductionmentioning

confidence: 99%

Simultaneous Bilateral Primary Spontaneous Pneumothorax: A Case Report and a Review of the Literature

Kewcharoen

Morris

Kanitsoraphan

et al. 2019

Case Reports in Pulmonology

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Background. Simultaneous bilateral primary spontaneous pneumothorax (SBPSP) is an extremely rare and potentially fatal condition. Patients usually have no relevant medical conditions. Some cases, however, may have certain risk factors such as smoking, being young, and male gender. We reported a case of a healthy young male who presented with BPSP. Case Presentation. A 21-year-old man with a past medical history of well-controlled intermittent asthma presented with acute worsening shortness of breath overnight. Chest X-ray performed showed bilateral large pneumothorax with significantly compressed mediastinum. Chest tubes were placed bilaterally with immediate clinical improvement. However, the chest tubes continued to have an air leak without full lungs expansion. Computed tomography scan without contrast of the chest revealed subpleural blebs in both upper lobes. The patient underwent bilateral video-assisted thoracoscopic surgery (VATS) with apical bleb resection, bilateral pleurectomy, and bilateral doxycycline pleurodesis. Biopsy of the apical blebs and parietal pleura of both lungs were negative for any atypical cells suspicious for malignancy or Langerhans cell histiocytosis. The patient had been doing well six months following surgery with no recurrence of pneumothorax. Conclusion. SBPSP is a rare and urgent condition that requires prompt intervention. In a young patient without any underlying disease, surgical intervention, such as VATS, is relatively safe and can be considered early.

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Bilateral refractory pneumothorax treated by pleurodesis and bronchial occlusion in a COVID‐19 patient

Tanaka

Takayama

Kitou

et al. 2022

Clinical Case Reports

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Coronavirus disease 2019 (COVID-19) has become a worldwide outbreak, and it can cause various symptoms and complications. However, pneumothorax secondary to COVID-19 is relatively uncommon. We herein report a 60-year-old man with bilateral refractory pneumothorax with severe COVID-19. In patients with poor general health and who are difficult to undergo surgery for pneumothorax post-COVID-19, internal treatments such as chest drainage, bronchial occlusion, and pleurodesis are essential to relieving refractory pneumothorax. It also indicates that autologous blood patch pleurodesis is a useful method in terms of efficacy and side effects.

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Analysis of the patients with simultaneous bilateral spontaneous pneumothorax

Abstract: These results suggest that simultaneous and bilateral occurrence of SPP is an indicator of an advanced lung pathology with a poor prognosis.

Cited by 18 publications

References 16 publications

Linfangioleiomiomatosis. No olvidar la importancia del neumotórax como expresión clínica inicial

Linfangioleiomiomatosis. No olvidar la importancia del neumotórax como expresión clínica inicial

Simultaneous Bilateral Primary Spontaneous Pneumothorax: A Case Report and a Review of the Literature

Bilateral refractory pneumothorax treated by pleurodesis and bronchial occlusion in a COVID‐19 patient

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