title: Spontaneous bilateral pneumothorax resulting from iatrogenic buffalo chest after the nuss procedure.
abstract: We describe a case of iatrogenic buffalo chest resulting in spontaneous bilateral pneumothorax in a 14-year-old boy with pectus excavatum in the late postoperative period after the Nuss procedure. The patient presented with a sudden onset of dyspnea 2 months after the Nuss procedure, and a chest roentgenogram showed a bilateral pneumothorax. We performed an emergency operation and found a communication between the chest cavities and a ruptured bulla in the left lung. This case highlights the potential development of simultaneous bilateral pneumothorax caused by a communication between the chest cavities after the Nuss procedure.
authors.affiliation: Department of Respiratory Surgery, National Hospital Organization Yokohama Medical Center, 3-60-2 Harajuku, Totsuka-ku, Yokohama 245-8575, Japan. Electronic address: yksakamoto2@yahoo.co.jp.
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Sakamoto
authors.affiliation: Department of Respiratory Surgery, National Hospital Organization Yokohama Medical Center, 3-60-2 Harajuku, Totsuka-ku, Yokohama 245-8575, Japan.
authors.forename: Kohei
authors.initials: K
authors.lastname: Ando
authors.affiliation: Department of Respiratory Surgery, National Hospital Organization Yokohama Medical Center, 3-60-2 Harajuku, Totsuka-ku, Yokohama 245-8575, Japan.
authors.forename: Daisuke
authors.initials: D
authors.lastname: Noma
mesh_terms: D000293:Adolescent; D005660:Funnel Chest / Q000601:surgery*; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D011030:Pneumothorax / Q000209:etiology*; D035423:Thoracic Cavity