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The Legend of the Buffalo Chest
Marielle M J Blacha1, Illaa Smesseim2, Ivo van der Lee3
1Department of Intensive Care, Amsterdam University Medical Centers, AMC, University of Amsterdam, Amsterdam, The Netherlands.
Chest
|July 3, 2021
Summary
The rare "buffalo chest" condition, characterized by simultaneous bilateral pneumothorax, may occur in humans due to mediastinal fenestrations. This study investigated the anecdote
Area of Science:
- Medical Science
- Anatomy
- Thoracic Surgery
Background:
- The
- The term
- This condition is known by clinicians due to an anecdote about Native Americans and bison hunting.
Purpose of the Study:
- To investigate the existence and origin of the
- To fact-check the anecdote associated with
Main Methods:
- Mixed-method research was conducted.
- A literature review was performed.
- Autopsies were conducted on eight bison.
Main Results:
- Forty-seven human cases of buffalo chest were identified.
- Evidence of interpleural communications was found in other mammal species.
- Four out of eight bison autopsies revealed interpleural communications.
Conclusions:
- The study found no literature on bison mediastinal anatomy but confirmed interpleural communications in bison.
- The anecdote's origin was traced to a 1984 personal communication.
- It is hypothesized that humans may also have interpleural fenestrations, diagnosable as pneumothorax.
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