array:24 [
  "pii" => "S1579212920300185"
  "issn" => "15792129"
  "doi" => "10.1016/j.arbr.2019.03.027"
  "estado" => "S300"
  "fechaPublicacion" => "2020-04-01"
  "aid" => "2155"
  "copyright" => "SEPAR"
  "copyrightAnyo" => "2019"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Arch Bronconeumol. 2020;56:250"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:1 [
    "total" => 0
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0300289619302297"
      "issn" => "03002896"
      "doi" => "10.1016/j.arbres.2019.03.027"
      "estado" => "S300"
      "fechaPublicacion" => "2020-04-01"
      "aid" => "2155"
      "copyright" => "SEPAR"
      "documento" => "article"
      "crossmark" => 1
      "subdocumento" => "sco"
      "cita" => "Arch Bronconeumol. 2020;56:250"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 16
        "formatos" => array:2 [
          "HTML" => 10
          "PDF" => 6
        ]
      ]
      "es" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Imagen Cl&#237;nica</span>"
        "titulo" => "Neumot&#243;rax bilateral primario espont&#225;neo simult&#225;neo en paciente joven"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:1 [
            "paginaInicial" => "250"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Spontaneous Simultaneous Bilateral Primary Pneumothorax in a Young Patient"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:7 [
            "identificador" => "fig0005"
            "etiqueta" => "Figura 1"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr1.jpeg"
                "Alto" => 1017
                "Ancho" => 905
                "Tamanyo" => 68491
              ]
            ]
            "descripcion" => array:1 [
              "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Radiograf&#237;a de t&#243;rax en inspiraci&#243;n m&#225;xima&#44; que muestra neumot&#243;rax completo izquierdo y neumot&#243;rax parcial derecho&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Israel Rodr&#237;guez Alvarado, M&#46; Teresa G&#243;mez Hern&#225;ndez, Marcelo F&#46; Jim&#233;nez L&#243;pez"
            "autores" => array:3 [
              0 => array:2 [
                "nombre" => "Israel"
                "apellidos" => "Rodr&#237;guez Alvarado"
              ]
              1 => array:2 [
                "nombre" => "M&#46; Teresa"
                "apellidos" => "G&#243;mez Hern&#225;ndez"
              ]
              2 => array:2 [
                "nombre" => "Marcelo F&#46;"
                "apellidos" => "Jim&#233;nez L&#243;pez"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S1579212920300185"
          "doi" => "10.1016/j.arbr.2019.03.027"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => false
            "ES2" => false
            "LATM" => false
          ]
          "gratuito" => false
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212920300185?idApp=UINPBA00003Z"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289619302297?idApp=UINPBA00003Z"
      "url" => "/03002896/0000005600000004/v3_202007180720/S0300289619302297/v3_202007180720/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S1579212920300690"
    "issn" => "15792129"
    "doi" => "10.1016/j.arbr.2020.03.008"
    "estado" => "S300"
    "fechaPublicacion" => "2020-04-01"
    "aid" => "2156"
    "copyright" => "SEPAR"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Arch Bronconeumol. 2020;56:251"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>"
      "titulo" => "Endobronchial Diffuse Large B-cell Lymphoma"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "251"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Localizaci&#243;n endobronquial del linfoma difuso de c&#233;lulas grandes tipo B"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Fig&#46; 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 849
              "Ancho" => 905
              "Tamanyo" => 108092
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Computed tomography showing an intrabronchial lesion extending from the right main bronchus to the lower bronchus &#40;arrows&#41;&#46; &#40;B&#41; Bronchoscopic examination showing a protruding lesion with an irregular surface and necrosis&#44; detected in the endobronchial region of the right main bronchus&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Masahiro Yamasaki, Yu Matsumoto, Noboru Hattori"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Masahiro"
              "apellidos" => "Yamasaki"
            ]
            1 => array:2 [
              "nombre" => "Yu"
              "apellidos" => "Matsumoto"
            ]
            2 => array:2 [
              "nombre" => "Noboru"
              "apellidos" => "Hattori"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S0300289619302303"
        "doi" => "10.1016/j.arbres.2019.04.007"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "en"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289619302303?idApp=UINPBA00003Z"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212920300690?idApp=UINPBA00003Z"
    "url" => "/15792129/0000005600000004/v1_202004040736/S1579212920300690/v1_202004040736/en/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S1579212920300689"
    "issn" => "15792129"
    "doi" => "10.1016/j.arbr.2019.03.032"
    "estado" => "S300"
    "fechaPublicacion" => "2020-04-01"
    "aid" => "2150"
    "copyright" => "SEPAR"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Arch Bronconeumol. 2020;56:249"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>"
      "titulo" => "Moon Sign Due to Hydatid Cyst in Chest-X-ray"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "249"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Signo de la media luna debido a un quiste hidat&#237;dico en la radiograf&#237;a de t&#243;rax"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Fig&#46; 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 849
              "Ancho" => 905
              "Tamanyo" => 108092
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Moon sign is seen on the posteroanterior chest X-ray &#40;arrow&#41;&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Yener Aydin, Atilla Eroglu, Ali Bilal Ulas"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Yener"
              "apellidos" => "Aydin"
            ]
            1 => array:2 [
              "nombre" => "Atilla"
              "apellidos" => "Eroglu"
            ]
            2 => array:2 [
              "nombre" => "Ali Bilal"
              "apellidos" => "Ulas"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212920300689?idApp=UINPBA00003Z"
    "url" => "/15792129/0000005600000004/v1_202004040736/S1579212920300689/v1_202004040736/en/main.assets"
  ]
  "en" => array:14 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>"
    "titulo" => "Spontaneous simultaneous bilateral primary pneumothorax in a young patient"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:1 [
        "paginaInicial" => "250"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Israel Rodr&#237;guez Alvarado, M&#46; Teresa G&#243;mez Hern&#225;ndez, Marcelo F&#46; Jim&#233;nez L&#243;pez"
        "autores" => array:3 [
          0 => array:2 [
            "nombre" => "Israel"
            "apellidos" => "Rodr&#237;guez Alvarado"
          ]
          1 => array:4 [
            "nombre" => "M&#46;"
            "apellidos" => "Teresa G&#243;mez Hern&#225;ndez"
            "email" => array:1 [
              0 => "mteresa.gomez.hernandez@gmail.com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "&#42;"
                "identificador" => "cor0005"
              ]
            ]
          ]
          2 => array:2 [
            "nombre" => "Marcelo F&#46;"
            "apellidos" => "Jim&#233;nez L&#243;pez"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Departamento de Cirug&#237;a Tor&#225;cica&#44; Hospital Universitario de Salamanca&#44; Salamanca&#44; Spain"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Neumot&#243;rax bilateral primario espont&#225;neo simult&#225;neo en paciente joven"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:8 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 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&#46; "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest X-ray in maximum inspiration&#44; showing complete left pneumothorax and partial right pneumothorax&#46;</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&#46; Physical examination revealed bilateral reduced breath sounds&#44; and chest X-ray showed bilateral pneumothorax &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; The patient was treated with chest drains and scheduled for urgent surgical intervention&#46; Preoperative evaluation revealed partial factor VII deficiency&#44; which was corrected prior to surgery&#46; Consecutive bilateral video-assisted thoracoscopy was performed which showed apical bullae consistent with emphysema&#46; Atypical segmentectomy and mechanical pleurodesis were performed&#46; The patient was discharged on postoperative day 5&#44; after requiring replacement of a chest tube for right pneumothorax due to untimely withdrawal of the surgical drain&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The incidence of spontaneous simultaneous bilateral primary pneumothorax is around 1&#37;&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Clinical presentation can range from dyspnea to severe respiratory failure&#44; so early diagnosis and treatment with pleural drainage is required to prevent life-threatening events such as tension pneumothorax&#46; Around 65&#37; of cases are associated with underlying lung disease&#44; although this entity has also recently been described in patients with low body mass index and subpleural bullae&#46;<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" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Rodr&#237;guez Alvarado I&#44; et al&#46; Neumot&#243;rax bilateral primario espont&#225;neo simult&#225;neo en paciente joven&#46; Arch Bronconeumol&#46; 2020&#59;56&#58;250&#46;</p>"
      ]
    ]
    "multimedia" => array:1 [
      0 => array:8 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 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&#46; "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest X-ray in maximum inspiration&#44; showing complete left pneumothorax and partial right pneumothorax&#46;</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&#46; Sayar"
                            1 => "A&#46; Turna"
                            2 => "M&#46; Metin"
                            3 => "N&#46; K&#252;&#231;&#252;kya&#287;ci"
                            4 => "O&#46; Solak"
                            5 => "A&#46; G&#252;rses"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "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&#46;C&#46; Lee"
                            1 => "Y&#46;L&#46; Cheng"
                            2 => "C&#46;W&#46; Huang"
                            3 => "C&#46; Tzao"
                            4 => "H&#46;H&#46; Hsu"
                            5 => "H&#46; 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"
]
Share
Journal Information
Vol. 56. Issue 4.
Pages 250 (April 2020)
Clinical Image
Full text access
Spontaneous simultaneous bilateral primary pneumothorax in a young patient
Neumotórax bilateral primario espontáneo simultáneo en paciente joven
Visits
1985
Israel Rodríguez Alvarado, M. Teresa Gómez Hernández
Corresponding author
, Marcelo F. Jiménez López
Departamento de Cirugía Torácica, Hospital Universitario de Salamanca, Salamanca, Spain
This item has received
Article information
Full Text
Bibliography
Download PDF
Statistics
Figures (1)
Full Text

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 (Fig. 1). 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.

Fig. 1.

Chest X-ray in maximum inspiration, showing complete left pneumothorax and partial right pneumothorax.

(0.07MB).

The incidence of spontaneous simultaneous bilateral primary pneumothorax is around 1%.1 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.2

References
[1]
A. Sayar, A. Turna, M. Metin, N. Küçükyağci, O. Solak, A. Gürses.
Simultaneous bilateral spontaneous pneumothorax report of 12 cases and review of the literature.
Acta Chir Belg, 104 (2004), pp. 572-576
[2]
S.C. Lee, Y.L. Cheng, C.W. Huang, C. Tzao, H.H. Hsu, H. Chang.
Simultaneous bilateral primary spontaneous pneumothorax.
Respirology, 13 (2008), pp. 145-148

Please cite this article as: Rodríguez Alvarado I, et al. Neumotórax bilateral primario espontáneo simultáneo en paciente joven. Arch Bronconeumol. 2020;56:250.

Copyright © 2019. SEPAR
Archivos de Bronconeumología
Article options
Tools

Are you a health professional able to prescribe or dispense drugs?