Bilateral spontaneous pneumothorax – wrong therapies
Authors:
J. Vodička 1; V. Špidlen 1; M. Kravec 1; J. Ferda 2; P. Mukenšnabl 3
Authors‘ workplace:
Univerzita Karlova v Praze, Lékařská fakulta a FN Plzeň, Chirurgická klinika
1; Univerzita Karlova v Praze, Lékařská fakulta a FN Plzeň, Radiodiagnostická klinika
2; Univerzita Karlova v Praze, Lékařská fakulta a FN Plzeň, Šiklův patologicko-anatomický ústav
3
Published in:
Čas. Lék. čes. 2009; 148: 323-325
Category:
Case Report
Overview
In spite of being a relatively rare disorder, synchronous bilateral spontaneous pneumothorax requires proper attention because of its consequences that essentially constitute an acute life-threatening chest cavity event. Standard of care is stabilization of the patient’s condition with emergency drainage of both pleural cavities that should be followed by early surgical revision, preferably using mini-invasive approach involving intervention of the lung, or pleura. The case report uses the example of a 19-year-old patient to alert to possible errors in the process of therapy of this disorder, presenting, at the same time, the correct alternative of the process.
Key words:
synchronous bilateral spontaneous pneumothorax, pleural cavity drainage, videothoracoscopy.
Sources
1. Rybka J, et al. Kritické stavy vnitřního lékařství ve všeobecné praxi. Praha: Avicenum 1992; 392 s.
2. Way LW, et al. Současná chirurgická diagnostika a léčba. Praha: Grada Publishing 1998; 1660 s.
3. Horák P, Pospíšil R, Polouček P, Ježková L. Oboustranný spontánní pneumotorax – kazuistika. Rozhl Chir 2008; 87: 622–623.
4. Sayar A, Turna A, Metin M, Kucukyagci N, Solak O, Gurses, A. Simultaneous bilateral spontaneous pneumothorax report of 12 cases and review of the literature. Acta Chir Belg 2004; 104: 572–576.
5. Sunam G, Gok M, Ceran S, Solak, H. Bilateral pneumothorax: a retrospective analysis of 40 patients. Surg Today 2004; 34: 817–821.
6. Vodička J, et al. Spontánní pneumotorax. Praha: Maxdorf 2007; 264 s.
7. Loubani M, Lynch V. Video assisted thoracoscopic bullectomy and acromycin pleurodesis: an effective treatment for spontaneous pneumothorax. Respir Med 2000; 94: 888–890.
8. Weissberg D, Refaely Y. Pneumothorax: experience with 1,199 patients. Chest 2000; 117: 1279–1285.
9. Wong KS, Liu HP, Yeow KM. Spontaneous pneumothorax in children. Acta Paediatr Taiwan 2000; 41: 263–265.
10. Černý J, et al. Špeciálna chirurgia 3. Chirurgia hrudníka. Martin: Osveta 1993; 380 s.
11. Lang-Lazdunski L, de Kerangal X, Pons F, Jancovici R. Primary spontaneous pneumothorax: one–stage treatment by bilateral videothoracoscopy. Ann Thorac Surg 2000; 70: 412–417.
12. Watanabe S, Sakasegawa K, Kariatsumari K, Suehiro S, Kudama T, Shimokawa S, Sakata R. Bilateral video-assisted thoracoscopic surgery in the supine position for primary spontaneous pneumothorax. Thorac Cardiovasc Surg 2004; 52: 42–44.
13. Ayed AK. Bilateral video-assisted thoracoscopic surgery for bilateral spontaneous pneumothorax. Chest 2002; 122: 2234–2237.
14. Maruyama R, Anai H. Video-assisted thoracoscopic surgery for bilateral spontaneous pneumothorax in supine position: the use of a pillow beneath the back for intercostal space widening. Thorac Cardiovasc Surg 2000; 48: 370–371.
15. Rindoš R, Hamžík J, Láska M, Vrastyák J. Spontánny pneumotorax – súčasný pohlad na liečbu. Rozhl Chir 1994; 73: 335–338.
16. Türüt H, Gulhan E, Gezer S, Tastepe I. Diffuse Cystic Disease of the Lung Associated with Simultaneous Bilateral Spontaneous Pneumothorax: An Unknown Component of Caroli Disease? Respiration 2008; 75: 466–468.
Labels
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental HygienistArticle was published in
Journal of Czech Physicians
Most read in this issue
- Bilateral spontaneous pneumothorax – wrong therapies
- Human genome sequencing – next generation technology or will the routine sequencing of human genome be possible?
- Eosinophils in the gastrointestinal tract
- On human ageing and longevity – 2. internal determinants