抄録
We encountered a 15-year-old male with grade-III bilateral simultaneous spontaneous pneumothorax (pulmonary collapse rate: 65% in the right lung and 80% in the left lung) accompanied by retention of pleural effusion in the left pulmonary cavity (approximately 1, 200ml), who developed transient cardiac arrest.
The patient was 166cm in height and 45kg in weight. Slight deformation was observed in the thorax, and impetigo was present on both shoulders and back. Laboratory tests revealed an increased leukocytecount, increased GOT, OPT, ALP, LDH, γ-GTP, LAP, and CPK, decreased ChE, strongly-positive CRP, markedly increased IgE, strongly-positive HBs antigen level, positive HBe antigen, and slightly-increased mycoplasma antibody titer.
Primary cause of the bilateral simultaneous pneumothorax was simultaneous destruction of bilateral bullae. The bilateral simultaneous spontaneous pneumothorax resulting from rupture of bilateral lung abscesses due to Staphylococcus as the causative microorganism in a young patient with no cardiopulmonary complications, was considered to be an indication for one-stage bilateral simultaneous surgery. The patient was successfully treated by partial pulmonary resection including abscesses, by longitudinal sternotomy.
