Factors Related to Primary Bilateral Spontaneous Pneumothorax

Huang, Tsai Wang; Cheng, Yeung-Leung; Tzao, Ching; Hung, C.-I.; Hsu, Hui‐Chi; Chen, J. C.; Lee, Shih Chun

doi:10.1055/s-2007-964902

Cited by 21 publications

(15 citation statements)

References 13 publications

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“…found that only lower BMI and smoking were significantly associated with the formation of BPSP. In their study, the proportion of bilateral blebs/bullae seen in HRCT was higher in the BPSP group than that in the PSP group (63 vs 53%, respectively), but the difference was not statistically significant ( P = 0.724) [6]. The present report describes a case of BPSP in an overweight patient showing that PSP is an existing condition in patients with BMI value higher than the normal.…”

Section: Discussionmentioning

confidence: 53%

Bilateral primary spontaneous pneumothorax in an otherwise-healthy overweight young man

Hatzigeorgiadis

Boulas

Barettas

2014

Journal of Surgical Case Reports

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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/m2 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.

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Section: Discussionmentioning

confidence: 53%

Bilateral primary spontaneous pneumothorax in an otherwise-healthy overweight young man

Hatzigeorgiadis

Boulas

Barettas

2014

Journal of Surgical Case Reports

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“…Huang et al recently reported the spontaneous bilateral and contralateral pneumothorax was significantly more frequent in patients with a lower BMI [16]. They also reported that BMI lower than BMI<18.5 kg/m 2 was indicators for patients with spontaneous pneumothorax to receive single-stage bilateral surgery [16]. In our patient, BMI was over this level of <18.5 kg/m 2 , but we must not underestimate the fact that his BMI was low nonetheless.…”

Section: Discussionmentioning

confidence: 62%

“…Sadikot et al reported that recurrence was more common in taller men and in women [18]. Huang et al recently reported the spontaneous bilateral and contralateral pneumothorax was significantly more frequent in patients with a lower BMI [16]. They also reported that BMI lower than BMI<18.5 kg/m 2 was indicators for patients with spontaneous pneumothorax to receive single-stage bilateral surgery [16].…”

Section: Discussionmentioning

confidence: 94%

“…However, no correlation between recurrences and anatomical status such as number, size and distribution of blebs/bullae was found [14]. In addition, some researchers indicated that lower body mass index (BMI) was also a risk factor for bilateral and contralateral pneumothorax [15][16][17]. Sadikot et al reported that recurrence was more common in taller men and in women [18].…”

Section: Discussionmentioning

confidence: 99%

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Spontaneous contralateral pneumothorax in a patient with low Body Mass Index

et al. 2012

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AbstractSpontaneous 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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“…[2] Independent risk factors associated with bilateral spontaneous pneumothorax are lower weight, lower body mass index, higher height/weight ratio, and a higher frequency of blebs/bullae on high-resolution computed tomography. [23] A secondary spontaneous pneumothorax is due to underlying pulmonary pathology. In this patient, collagen vascular disease including, Marfan's syndrome was considered.…”

Section: Case Reportmentioning

confidence: 99%