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International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure
Published on: March 12, 2020
[Spontaneous, massive primary pneumothorax in both lungs]
A Alvarez Kindelán1, F J Algar Algar, A Salvatierra Velázquez
1Servicio de Cirugía Torácica, Hospital Universitario Reina Sofía, Córdoba, Spain.
Abstract:
Primary spontaneous pneumothorax in both lungs simultaneously is rare. We report the case of a 22-year-old man with no relevant medical history who came to the emergency room in critical condition after suffering simultaneous massive pneumothorax in both lungs. After a pleural drain was inserted in each hemithorax, elective surgery was prescribed because of the bilaterality and severity of the pneumothorax. Sequential video thoracoscopic surgery was performed in a single session, during which small blebs were identified at both lung vertices. The blebs were resected and pleural abrasion performed. Postoperative recovery was unremarkable. The patient was discharged four days after surgery. Five years later, the patient was asymptomatic, having experienced no recurrences.
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