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[Asymptomatic bilateral spontaneous pneumothorax]

M Kadokura1, S Yamamoto, M Nonaka

  • 1Department of Surgery, Showa University School of Medicine, Tokyo, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery
|March 1, 1994
PubMed
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Bilateral spontaneous pneumothorax can occur without symptoms. Careful follow-up is crucial for patients treated for one-sided pneumothorax to detect contralateral recurrence.

Area of Science:

  • Thoracic Surgery
  • Pulmonology
  • Medical Case Reports

Background:

  • Spontaneous pneumothorax, the presence of air in the pleural space, can be bilateral.
  • While often symptomatic, cases of asymptomatic spontaneous pneumothorax exist.

Observation:

  • Two cases of young males presenting with asymptomatic spontaneous pneumothorax are detailed.
  • One patient experienced contralateral pneumothorax three weeks after initial treatment, managed with a one-stage bilateral surgery.
  • Another patient developed contralateral spontaneous pneumothorax one year after initial treatment, requiring partial lung resection.

Findings:

  • Among 261 pneumothorax patients, 28 had bilateral cases.
  • The majority of bilateral pneumothorax patients presented with symptoms like chest pain, dyspnea, and cough.

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  • Notably, two patients with bilateral pneumothorax were asymptomatic upon admission.

    • Implications:

    • Asymptomatic presentation of spontaneous pneumothorax, particularly bilateral cases, warrants careful consideration.
    • Patients treated for unilateral spontaneous pneumothorax require vigilant long-term follow-up for potential contralateral recurrence.
    • This highlights the importance of thorough diagnostic evaluation and monitoring in managing spontaneous pneumothorax.