Related Experiment Video
Updated: Jul 6, 2026

Point-of-Care Lung Ultrasound in Adults: Image Acquisition
Published on: March 3, 2023
Simultaneous bilateral spontaneous pneumothorax with pleural window communicating with bilateral pleural spaces
Shunsuke Yamada1, Kazuho Yoshino, Hiroshi Inoue
1Department of Thoracic Surgery, Tokai University Hachioji Hospital, Hachioji, Tokyo, Japan. yamada.shunsuke@hachioji-hosp.tokai.ac.jp
Abstract:
A pleural window communicating between bilateral pleural cavities is a serious condition in patients with pneumothorax, allowing air to leak from the affected lung into the contralateral pleural cavity and resulting in bilateral spontaneous pneumothorax. We treated a patient with a history of right-sided bullectomy for simultaneous bilateral spontaneous pneumothorax that subsequently recurred. A pleural window (1 cm long) was detected in the mid-mediastinum, and direct suture closure with localized pleural abrasion using argon beam coagulation on the circumference of the lesion was performed at video-assisted thoracoscopic surgery.
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