Life-threatening primary simultaneous bilateral spontaneous tension pneumothorax, successfully managed with single-stage bilateral video-assisted thoracoscopic surgery

doi:10.5606/tgkdc.dergisi.2016.11827

YongHun Kim¹, JunSik Yu¹, JinYong Kim², SangMin Park², WooSurng Lee³

¹Departments of General Surgery, Konkuk University, School of Medicine, Konkuk University Chungju Hospital, Chungju-si, Chungbuk, South Korea
²Departments of Emergency Medicine, Konkuk University, School of Medicine, Konkuk University Chungju Hospital, Chungju-si, Chungbuk, South Korea
³Departments of Thoracic and Cardiovascular Surgery, Konkuk University, School of Medicine, Konkuk University Chungju Hospital, Chungju-si, Chungbuk, South Korea

DOI : 10.5606/tgkdc.dergisi.2016.11827

Primary spontaneous pneumothorax is a common disease in clinical practice and occurs most often in slender young males. Clinical presentation of primary spontaneous pneumothorax can be variable, there may be no symptoms, or mild chest pain, dyspnea or tension pneumothorax may be present. Primary spontaneous pneumothorax is rarely life-threatening; however, if this condition develops as the bilateral tension type, the patient may deteriorate abruptly, significant respiratory distress may develop, and this condition may become life-threatening. In this article, we report a 16-year-old male patient with simultaneous bilateral spontaneous tension pneumothorax and with no definite underlying lung disease. Patient presented with loss of consciousness, cyanosis, and hemodynamically unstable state, and was successfully treated with immediate closed thoracostomy drainage along with simultaneous singlestage bilateral video-assisted thoracoscopic surgery.

Keywords : Bilateral pneumothorax; pneumothorax; tension pneumothorax; video-assisted thoracoscopic surgery

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