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J Thorac Dis. 2013 Feb;5(1):87-9. doi: 10.3978/j.issn.2072-1439.2012.11.09.

Simultaneous bilateral spontaneous pneumothorax with congenital pleuro-pleural communication.

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  • 1Department of Surgery, Ofuna Chuo Hospital, Kanagawa, Japan; ; Department of Chest Surgery, Toho University Omori Medical Center, Tokyo, Japan;


A single pleural space can lead to serious simultaneous bilateral pneumothorax in cases of congenital or acquired pleuro-pleural communication. Here we report a 35-year-old man with bilateral pneumothorax. Chest computed tomography scans revealed a small air space between the esophagus and aorta, suggesting pleuro-pleural communication. Bilateral thoracoscopic bullectomy was performed. Repeated inspection revealed a 2-cm-long pleural window between the aorta and esophagus, which was closed with a collagen patch. Although congenital pleuro-pleural communication has been regarded as rare, as many as nine patients have been reported (if suspected cases are included). The lower middle mediastinum should be carefully inspected.


Bilateral pneumothorax; buffalo chest; pleuro-pleural communication; single pleural space

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