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- W2386505581 abstract "Pneumothorax is a gaseous effusion between the parietal and visceral pleura. Spontaneous pneumothorax is exceptionally bilateral hence the peculiarity of this study. The study reports the case of a 47-years old patient having 35 pack year smoking history, suffering from chronic bronchitis since 8 years, admitted to the emergency department with diffuse thoracic pain, polypnea, intercostal and substernal indrawing and cyanosis of the extremities. The most problable diagnosis were: COPD exacerbation, pulmonary embolism or pneumothorax. Pleuropulmonary examination showed bilateral pleural effusion syndrome. Chest X-ray showed bilateral avascular lucency accentuated on the left side. CT of the chest showed bilateral pneumothorax accentuated on the left side associated with multi-bullous lung. The patient underwent pleural drainage of the left lung (the most collapsed one) set to gentle suction (-20 cm H2O), exsufflation on the contralateral side and symptomatic treatment with intravenous corticosteroids (Solumedrol) associated with nebulized salbutamol, antibiotic coverage and strict bed rest. Evolution was marked by the re-expansion of the 2 lungs to the chest wall." @default.
- W2386505581 created "2016-06-24" @default.
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- W2386505581 date "2016-01-01" @default.
- W2386505581 modified "2023-09-25" @default.
- W2386505581 title "Pneumothorax spontané simultanément bilatéral" @default.
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- W2386505581 doi "https://doi.org/10.11604/pamj.2016.24.57.8729" @default.
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