Occurrence of a simultaneous bilateral spontaneous pneumothorax due to a pleuro-pleural communication.

Eguchi, Takashi; Hamanaka, Kazutoshi; Kobayashi, Nobutaka; Saito, Gaku; Shiina, Takayuki; Kurai, Makoto; Yoshida, Kazuo · Ann Thorac Surg · 2011

case_report · Level V

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Abstract

Herein we present a case of a simultaneous bilateral spontaneous pneumothorax caused by a pleuro-pleural communication. A 70-year-old man with a history of esophagectomy presented with dyspnea. A chest roentgenogram revealed a bilateral pneumothorax and bilateral chest drainage procedures were performed. A left bullectomy was also performed 3 days later due to persistent air leakage on the left side. During surgery, a small fistula was detected in the anterior mediastinal pleura and was found to be in communication with the bilateral pleural spaces.

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