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J Korean Soc Emerg Med > Volume 25(3); 2014 > Article
Journal of The Korean Society of Emergency Medicine 2014;25(3): 327-330.
A Case of Simultaneous Bilateral Spontaneous Pneumothorax Combined with Hemopneumothorax
Ji Hyun Lee, So Young Lee, Gyn Moo Kim, Gyeong Wu Lee, Chi Hoon Bae, Tae Chang Jang
1Department of Medicine, Catholic Uinversity of Daegu School of Medicine, Daegu, Korea.
2Department of Emergency Medicine, Catholic Uinversity of Daegu School of Medicine, Daegu, Korea. emzzang@cu.ac.kr
3Department of Thoracic and Cardiovascular Surgery, Catholic Uinversity of Daegu School of Medicine, Daegu, Korea.
ABSTRACT
Bilateral pneumothorax is very rare in primary spontaneous pneumothorax patients. This condition can cause chest pain, dyspnea, and even lead to tension pneumothorax. Spontaneous hemopneumothorax can be lethal due to massive bleeding and hypovolemic shock. This condition requires precise decision making and emergency management. We report on a case of simultaneous bilateral spontaneous pneumothorax combined with hemopneumothorax in a healthy 21-year-old male patient with chest discomfort. In the emergency department, closed thoracostomy was performed for decompression of hemopneumothorax, with drainage of 850 mL of blood. Then bilateral video-assisted thoracoscopic surgery was performed successfully.
Key words: Pneumothorax, Primary spontaneous, Hemopneumothorax
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