Simultaneous Bilateral Spontaneous Pneumothorax in an Adult Patient With Pulmonary Langerhans Cell Histiocytosis: A Case Report

被引：0

作者：

Karamouzos, Vasileios ^{[1
]}

Prokakis, Christos ^{[1
]}

Kosmopoulou, Fotini ^{[1
]}

Karanikolas, Evangelos ^{[2
]}

Kalogeropoulou, Christina ^{[1
]}

Aretha, Diamanto ^{[1
]}

Panagiotopoulos, Nikolaos ^{[3
]}

Koletsis, Efstratios ^{[1
]}

Velissaris, Dimitrios ^{[1
]}

机构：

[1] Univ Hosp Patras, Rion, Greece

[2] Univ Athens, Athens, Greece

[3] Univ Coll London Hosp, London, England

来源：

JOURNAL OF INVESTIGATIVE MEDICINE HIGH IMPACT CASE REPORTS | 2018年 / 6卷

关键词：

lung diseases; interstitial; pulmonary; Langerhans cell; histiocytosis; pneumothorax; bilateral;

D O I：

10.1177/2324709618792945

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We report a case of a young female with known history of pulmonary Langerhans cell histiocytosis who was initially presented in the emergency department of a university hospital with respiratory distress. Clinical assessment and diagnostic workup revealed left hemithorax subcutaneous emphysema, bilateral pneumothorax, and atelectasis in both lower lung lobes. The patient was treated with bilateral staged thoracoscopic bullectomy and mechanical abrasion of the parietal pleura combined with chemical pleurodesis with talc. A new occurrence of right-sided pneumothorax was noticed 3 days after surgery, which was treated with chest tube insertion and chemical pleurodesis. The aforementioned surgical approach resulted in complete lung expansion and the patient's full recovery. A review of pulmonary Langerhans cell histiocytosis and treatment options in cases of pneumothorax due to lung histiocytosis is also presented in this report.

引用

页数：5

共 27 条

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