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Spontaneous simultaneous bilateral primary pneumothorax in a young patient
Neumotórax bilateral primario espontáneo simultáneo en paciente joven
Israel Rodríguez Alvarado, M. Teresa Gómez Hernández
, Marcelo F. Jiménez López
Corresponding author
Departamento de Cirugía Torácica, Hospital Universitario de Salamanca, Salamanca, Spain
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Teresa Gómez Hernández, Marcelo F. Jiménez López" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Israel" "apellidos" => "Rodríguez Alvarado" ] 1 => array:4 [ "nombre" => "M." "apellidos" => "Teresa Gómez Hernández" "email" => array:1 [ 0 => "mteresa.gomez.hernandez@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 2 => array:2 [ "nombre" => "Marcelo F." "apellidos" => "Jiménez López" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Departamento de Cirugía Torácica, Hospital Universitario de Salamanca, Salamanca, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Neumotórax bilateral primario espontáneo simultáneo en paciente joven" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1017 "Ancho" => 905 "Tamanyo" => 68491 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest X-ray in maximum inspiration, showing complete left pneumothorax and partial right pneumothorax.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We report the case of a 19-year-old man with no significant medical history who attended the emergency room with a history of several hours of dyspnea and chest pain. Physical examination revealed bilateral reduced breath sounds, and chest X-ray showed bilateral pneumothorax (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). The patient was treated with chest drains and scheduled for urgent surgical intervention. Preoperative evaluation revealed partial factor VII deficiency, which was corrected prior to surgery. Consecutive bilateral video-assisted thoracoscopy was performed which showed apical bullae consistent with emphysema. Atypical segmentectomy and mechanical pleurodesis were performed. The patient was discharged on postoperative day 5, after requiring replacement of a chest tube for right pneumothorax due to untimely withdrawal of the surgical drain.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The incidence of spontaneous simultaneous bilateral primary pneumothorax is around 1%.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Clinical presentation can range from dyspnea to severe respiratory failure, so early diagnosis and treatment with pleural drainage is required to prevent life-threatening events such as tension pneumothorax. Around 65% of cases are associated with underlying lung disease, although this entity has also recently been described in patients with low body mass index and subpleural bullae.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Rodríguez Alvarado I, et al. Neumotórax bilateral primario espontáneo simultáneo en paciente joven. Arch Bronconeumol. 2020;56:250.</p>" ] ] "multimedia" => array:1 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1017 "Ancho" => 905 "Tamanyo" => 68491 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest X-ray in maximum inspiration, showing complete left pneumothorax and partial right pneumothorax.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Simultaneous bilateral spontaneous pneumothorax report of 12 cases and review of the literature" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "A. Sayar" 1 => "A. Turna" 2 => "M. Metin" 3 => "N. Küçükyağci" 4 => "O. Solak" 5 => "A. Gürses" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1080/00015458.2004.11679617" "Revista" => array:6 [ "tituloSerie" => "Acta Chir Belg" "fecha" => "2004" "volumen" => "104" "paginaInicial" => "572" "paginaFinal" => "576" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15571026" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Simultaneous bilateral primary spontaneous pneumothorax" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "S.C. Lee" 1 => "Y.L. Cheng" 2 => "C.W. Huang" 3 => "C. Tzao" 4 => "H.H. Hsu" 5 => "H. Chang" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/j.1440-1843.2007.01168.x" "Revista" => array:6 [ "tituloSerie" => "Respirology" "fecha" => "2008" "volumen" => "13" "paginaInicial" => "145" "paginaFinal" => "148" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18197926" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005600000004/v1_202004040736/S1579212920300185/v1_202004040736/en/main.assets" "Apartado" => array:4 [ "identificador" => "21342" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Clinical Image" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15792129/0000005600000004/v1_202004040736/S1579212920300185/v1_202004040736/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212920300185?idApp=UINPBA00003Z" ]
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