title: Video-assisted thoracoscopic surgery for simultaneous bilateral spontaneous pneumothorax coexistent with diaphragmatic disorder.
abstract: A 57-year-old woman was admitted to JR Sapporo General Hospital with the complaint of dyspnea and palpitation following photogastroscopy. A chest roentgenogram revealed a simultaneous bilateral spontaneous pneumothorax. Video-assisted thoracoscopy demonstrated multiple holes and nodules at the top of the right diaphragm and a ruptured bulla in the left lower lobe. These abnormalities were successfully repaired in a single stage procedure using video-assisted thoracoscopy. This procedure is beneficial in the treatment of this rare condition.
authors.affiliation: Division of Thoracic and Cardiovascular Surgery, JR Sapporo General Hospital.
authors.forename: T
authors.initials: T
authors.lastname: Koshino
authors.forename: N
authors.initials: N
authors.lastname: Inoue
authors.forename: T
authors.initials: T
authors.lastname: Abe
mesh_terms: D003964:Diaphragm / Q000002:abnormalities* / Q000601:surgery; D004724:Endoscopy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D017075:Laser Coagulation; D008875:Middle Aged; D009135:Muscular Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D011030:Pneumothorax / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D055502:Secondary Prevention; D019616:Thoracic Surgical Procedures / Q000379:methods*; D013906:Thoracoscopy; D014057:Tomography, X-Ray Computed; D014741:Video Recording