Hatzigeorgiadis Anestis, Boulas Konstantinos A, Barettas Nikolaos, Blouhos Konstantinos
Department of General Surgery, General Hospital of Drama, Drama, Greece.
Department of General Surgery, General Hospital of Drama, Drama, Greece
J Surg Case Rep. 2014 Aug 1;2014(8):rju076. doi: 10.1093/jscr/rju076.
Bilateral primary spontaneous pneumothorax (BPSP) is a rare condition, accounting for ∼1.6% of spontaneous pneumothoraces. Patients with primary spontaneous pneumothorax have typically low body weight. BPSP in overweight/obese patients is an exceptionally rare event. The present report describes a case of an otherwise-healthy 20-year-old male patient with BMI 29.8 kg/m(2) presented to our hospital owing to low-intensity chest pain and shortness of breath 7 days after the onset of symptoms. Plain chest X-ray revealed the presence of bilateral pneumothorax. Chest tubes were inserted on both sides. During hospitalization, a computed tomography demonstrated multiple blebs on the surface of the upper lobes of both lungs. Hereupon, the patient referred to a tertiary center and underwent elective single-stage minimally invasive bilateral video-assisted thoracoscopic surgery. The present case report shows that BPSP in overweight/obese patients is an existing condition.
双侧原发性自发性气胸（BPSP）是一种罕见疾病，约占自发性气胸的1.6%。原发性自发性气胸患者通常体重较低。超重/肥胖患者发生BPSP是极为罕见的情况。本报告描述了一例原本健康的20岁男性患者，其体重指数（BMI）为29.8kg/m²，因症状发作7天后出现轻度胸痛和呼吸急促前来我院就诊。胸部X线平片显示双侧气胸。双侧均插入了胸管。住院期间，计算机断层扫描显示双肺上叶表面有多个肺大疱。于是，该患者转诊至三级中心并接受了择期单阶段微创双侧电视辅助胸腔镜手术。本病例报告表明超重/肥胖患者中存在BPSP这种情况。
