Korean J Thorac Cardiovasc Surg.
2011 Jun;44(3):253-256.
Life-Threatening Simultaneous Bilateral Spontaneous Tension Pneumothorax: A case report
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, Hana General Hospital, Korea. oranutan@dreamwiz.com
- 2Department of Family Medicine, Hana General Hospital, Korea.
- 3Department of Radiology, Hana General Hospital, Korea.
Abstract
- Spontaneous pneumothorax is a common clinical problem in emergency care. However, the overall incidences of primary spontaneous pneumothorax has been reported from as low as 1.4% to 7.6%. The clinical findings of simultaneous bilateral spontaneous pneumothorax can be variable. Clinical presentation is variable, ranging from mild dyspnea to tension pneumothorax. Bilateral tension pneumothorax can defined as cases where no tracheal deviation is detected in chest X-ray, and symptoms may be equal bilaterally. Herein, we present a case with simultaneous bilateral tension pneumothorax, severely deteriorated (i.e. with loss of consciousness, cyanosis, and hemodynamically unstable), that was successfully treated with immediate large-size needle decompression.
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