Simultaneous occurrence of ipsilateral primary spontaneous hemopneumothorax and contralateral pneumothorax in an adolescent.
Primary spontaneous hemopneumothorax is a rare disorder but can be life-threatening secondary to massive bleeding. The authors encountered an uncommon case of left primary spontaneous hemopneumothorax and simultaneous right pneumothorax. After initial bilateral tube thoracostomies, successful 1-stage bilateral video-assisted thoracic surgery (VATS) was performed before the condition deteriorated or complications occurred. Active oozing from a ruptured vascularized bulla was identified at the apex of the left upper lobe. One-stage bilateral VATS appears to be a reasonable method of surgical intervention, but in patients under life-threatening clinical conditions, it may still be difficult to use this strategy, and a staged operation may be considered.
Chiang
Hung-Hsing
HH
Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung 80708, Taiwan.
Lee
Jui-Ying
JY
Chou
Shah-Hwa
SH
Wang
Jaw-Yuan
JY
Chang
Yu-Tang
YT
D000293:Adolescent; D015505:Chest Tubes; D003937:Diagnosis, Differential; D006468:Hemopneumothorax / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D011030:Pneumothorax / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D011859:Radiography; D020775:Thoracic Surgery, Video-Assisted