Simultaneous bilateral spontaneous pneumothoraces in a patient with occupational asthma
Open Access
- 2 September 2013
- journal article
- case report
- Published by BMJ in BMJ Case Reports
- Vol. 2013 (sep02 1)
- https://doi.org/10.1136/bcr-2013-200080
Abstract
Spontaneous pneumothoraces are relatively common; however, simultaneous bilateral spontaneous pneumothoraces (SBSP) have rarely been reported. This case report describes the presentation of SBSP in a 60-year-old man with occupational asthma. He was initially started on treatment for life-threatening asthma, but an early deterioration in symptoms prompted an urgent chest radiography that established the diagnosis of bilateral pneumothoraces. This was managed with bilateral needle thoracocentesis followed by stabilisation with intercostal chest drains. He was subsequently referred to the thoracic unit for minithoracotomy, bullectomy and talc pleurodesis. This case highlights the potential difficulties in diagnosing SBSP and advocates the necessity for prompt chest radiography when managing such presentations in the acute setting.Keywords
This publication has 18 references indexed in Scilit:
- Boerhaave’s syndrome and tension pneumothorax secondary to Norovirus induced forceful emesis2013
- Occurrence of a Simultaneous Bilateral Spontaneous Pneumothorax Due to a Pleuro-Pleural CommunicationThe Annals of Thoracic Surgery, 2011
- Pneumoconiose por exposição a metal duro com pneumotórax bilateral espontâneoJornal Brasileiro de Pneumologia, 2010
- Does video-assisted thoracoscopic pleurectomy result in better outcomes than open pleurectomy for primary spontaneous pneumothorax?Interactive CardioVascular and Thoracic Surgery, 2008
- Tension pneumothorax--time for a re-think?Emergency Medicine Journal, 2004
- The relationship between aluminum and spontaneous pneumothorax; treatment, prognosis, follow-up?Interactive CardioVascular and Thoracic Surgery, 2004
- BTS guidelines for the management of spontaneous pneumothoraxThorax, 2003
- Bilateral spontaneous pneumothorax--the case for prompt chest radiographyEmergency Medicine Journal, 2001
- Spontaneous PneumothoraxThe New England Journal of Medicine, 2000
- Incidence of spontaneous pneumothorax in Olmsted County, Minnesota: 1950 to 1974.Published by Elsevier BV ,1979