title: [An extremely rare cause of bilateral tension pneumothorax].
abstract: METHODS
  A middle-aged man presented with the diagnosis of typical spontaneous pneumothorax in the left chest. His management was initiated as usual with a chest drain and he had an uneventful recovery with good expansion of the affected lung up until the third postoperative day. But due to a fatal accident, the patient connected the oxygene supply tube into his thoracic drain. This high pressure caused a left, and a consequent bilateral pneumothorax with massive subcutanous emphysema, being the cause of a preterminal status. Cardio-pulmonary resuscitation was unsuccesfull and the patient died. Intentional suicide was excluded by forensic investigations.
  
  
  CONCLUSIONS
  According to our knowledge, no similar case with this mechanism of tension pnemuthorax has been published in the literature so far. The pathophysiology is similar to lung damage due to high-pressure ventillation with consecutive tension pneumothorax.
authors: Pécsi Tudományegyetem, Altalános Orvostudományi Kar, Klinikai Központ Sebészeti Klinika, Pécs. agoston.ember@kk.pte.hu
authors: Agoston
authors: A
authors: Ember
authors: Balázs
authors: B
authors: Ittzés
authors: Veronika
authors: V
authors: Heckmann
authors: Andrea
authors: A
authors: Jegesy
authors: Terézia
authors: T
authors: László
authors: Tamás
authors: T
authors: Molnár F
mesh_terms: D000059:Accidents; D016887:Cardiopulmonary Resuscitation; D015505:Chest Tubes / Q000009:adverse effects; D004867:Equipment Design; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D010100:Oxygen / Q000008:administration & dosage / Q000009:adverse effects*; D011030:Pneumothorax / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D011656:Pulmonary Emphysema / Q000209:etiology* / Q000628:therapy; D012131:Respiratory Insufficiency / Q000209:etiology* / Q000628:therapy
chemical_list: D010100:Oxygen