Dr Satyam Agarwal, Dr Babulal Bansiwal, Dr Anil Saxena, Dr Suman Khangarot


Background.Simultaneous primary bilateral spontaneous pneumothorax  is an extremely rare and fatal condition. Patients usually have no relevant medical conditions. However,few cases may have risk factors  as smoking, being young, and male gender. We reported a case of a healthy  male who presented with BPSP. Case Presentation. A 40-year-old man presented with acute worsening shortness of breath overnight. Chest X-ray performed showed bilateral large pneumothorax with significantly compressed mediastinum. Chest tubes were placed bilaterally with immediate clinical improvement. However, the chest tubes continued to have an air leak without full lungs expansion on left side suggesting BPF. The patient underwent instillation of autologous blood patch twice.The patient had been doing well with no recurrence of pneumothorax. Conclusion. Bilateral spontaneous Pneumothorax is a rare clinical condition ,Due to its life-threatening nature, early diagnosis and appropriate treatment in SBSP case can save patient’s life.



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