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Spontaneous contralateral pneumothorax in a patient with low Body Mass Index

  • Case Report
  • Published:
Central European Journal of Medicine

Abstract

Spontaneous pneumothorax is most common in adolescents and young adults. Some of them develop contralateral pneumothorax. In this paper, we report the case of a patient with spontaneous contralateral pneumothorax, whose body mass index (BMI) was 18.8 kg/m2. For either chest physicians or thoracic surgeons, follow up with recognition of increased risk of the contralateral pneumothorax is important especially in patients with contralateral bullous lesions and low BMI.

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References

  1. Schramel FM, Postmus PE, Vanderschueren RG. Current aspects of spontaneous pneumothorax. Eur Respir J 1997; 10: 1372–1379

    Article  PubMed  CAS  Google Scholar 

  2. Ikeda M, Uno A, Yamane Y, et al. Median sternotomy with bilateral bullous resection for unilateral spontaneous pneumothorax, with special reference to operative indications. J Thorac Cardiovasc Surg 1988; 96: 615–620

    PubMed  CAS  Google Scholar 

  3. Gamondes JP, Wiesendanger T, Bouvier H, et al. Recurrent spontaneous pneumothorax in young subjects: treatment by one-stage bilateral apical pleurectomy through the axillary route. Presse Med 1987; 16: 423–426

    PubMed  CAS  Google Scholar 

  4. Driscoll PJ, Aronstam EM. Experiences in the management of recurrent spontaneous pneumothorax. J Thorac Cardiovasc Surg 1961;42:174–178

    PubMed  CAS  Google Scholar 

  5. Sihoe AD, Yim AP, Lee TW, Wan S, Yuen EH, Wan IY, et al. Can CT scanning be used to select patients with unilateral primary spontaneous pneumothorax for bilateral surgery? Chest 2000; 118: 380–383

    Article  PubMed  CAS  Google Scholar 

  6. Ouanes-Besbes L, Golli M, Knani J, Dachraovi F, Nciri N, EI Atrous S, et al. Prediction of recurrent spontaneous pneumothorax: CT scan findings versus management features. Respir Med 2007;101:230–236

    Article  PubMed  Google Scholar 

  7. MacDuff A, Arnold A, Harvey J; BTS Pleural Disease Guideline Group. Management of spontaneous pneumothorax: British Thoracic Society Pleural Disease Guideline 2010. Thorax 2010; 65Suppl 2:ii18–31

    Article  PubMed  Google Scholar 

  8. Guo Y, Xie C, Rodriguez RM, Light RW. Factors related to recurrence of spontaneous pneumothorax. Respirology 2005; 10: 378–384

    Article  PubMed  Google Scholar 

  9. Baumann MH, Strange C. Treatment of spontaneous pneumothorax: a more aggressive approach? Chest 1997; 112: 789–804

    Article  PubMed  CAS  Google Scholar 

  10. Baumann MH, Noppen M. Pneumothorax. Respirology 2004; 9: 157–164

    Article  PubMed  Google Scholar 

  11. Chan SS, Lam PK. Simple aspiratory as initial treatment for primary spontaneous pneumothorax: results of 91 consecutive cases. J Emerg Med 2005; 28: 133–138

    Article  PubMed  Google Scholar 

  12. Ng CS, Lee TW, Wan S, Yim AP. Video-assisted thoracic surgery in the management of spontaneous pneumothorax: the current status. Postgrad Med J 2006; 82: 179–185

    Article  PubMed  CAS  Google Scholar 

  13. Weissberg D, Refaely Y. Pneumothorax: experience with 1,199 patients. Chest 2000; 117: 1279–1285

    Article  PubMed  CAS  Google Scholar 

  14. Mitlehner W, Friedrich M, Dissmann W. Value of computer tomography in the detection of bullae and blebs in patients with primary spontaneous pneumothorax. Respiration 1992; 59: 221–227

    Article  PubMed  CAS  Google Scholar 

  15. Huang TW, Lee SC, Cheng YL, Tzao C, Hsu HH, Chang H, Chen JC. Contralateral recurrence of primary spontaneous pneumothorax. Chest 2007; 132: 1146–1150

    Article  PubMed  Google Scholar 

  16. Huang TW, Cheng YL, Tzao C, Hung C, Hsu HH, Chen JC, Lee SC, Factors related to primary bilateral spontaneous pneumothorax. Thorac Cardiovasc Surg 2007; 55: 310–312

    Article  PubMed  Google Scholar 

  17. Ayed AK, Bazerbashi S, Ben-Nakhi M, et al. Risk factors of spontaneous pneumothorax in Kuwait. Med Princ Pract 2006; 15: 338–342

    Article  PubMed  Google Scholar 

  18. Sadikot RT, Greene T, Meadows K, Arnold AG. Recurrence of primary spontaneous pneumothorax. Thorax 1997; 52: 805–809

    Article  PubMed  CAS  Google Scholar 

  19. Tschopp JM, Rami-Porta R, Noppen M, Astoul P. Management of spontaneous pneumothorax: state of the art. Eur Respir J 2006; 28: 637–650

    Article  PubMed  Google Scholar 

  20. Chou SH, Li HP, Lee JY, Chang SJ, Lee YL, Chang YT, Kao EL, Dai ZK, Huang MF. Is prophylactic treatment of contralateral blebs in patients with primary spontaneous pneumothorax indicated? J Thorac Cardiovasc Surg 2010; 139: 1241–1245

    Article  PubMed  Google Scholar 

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Correspondence to Hiroaki Satoh.

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Nakazawa, K., Ohara, G., Kagohashi, K. et al. Spontaneous contralateral pneumothorax in a patient with low Body Mass Index. cent.eur.j.med 7, 733–735 (2012). https://doi.org/10.2478/s11536-012-0076-y

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  • DOI: https://doi.org/10.2478/s11536-012-0076-y

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