17 December 2007
Idiopathic, bilateral tension pneumothorax: case report in a child
Unase Buyukkocak, Nur Doganci, Serdar Han, Salih SomuncuCase Rep Clin Pract Rev 2007; 8:371-375 :: ID: 628125
Abstract
Background: Bilateral spontaneous pneumothorax is rare case and is occurred as barometric trauma after mechanical ventilation or secondary to trauma, asthma and infection conditions generally in children.
Case Report: We present a female child (8 year-old) with mental motor retardation, and sialorrhea scheduled for magnetic resonance imaging (MRI) to diagnose puberty praecox. After ketamine premedication she received midazolam 1 mg, ketamine 25 m and atropine 0.25 mg intravenously. Before MRI attempt increase of sialorrhea and decrease of saturation were observed. She was entubated endotracheally when she became cyanotic and transferred to ICU. Because lung expansion was not enough the patient was re-intubated with larger size endotracheal tube. Crepitation, subcutaneous emphysema and bilateral hyper-resonance to percussion were occurred. Breathe sounds were absent bilaterally and convulsion was observed, then the patient was ventilated mechanically with ventilator. PA Chest-X Ray
showed bilateral pneumothorax. Bilateral chest tubes were inserted immediately and lungs were re-expanded. After 90 minutes, respiratory and hemodynamic parameters were stable and the patient was extubated. The day later, chest X-Ray confirmed that both lungs remained expanded and chest tubes were removed. On the third day of hospitalization, she discharged well from the hospital.
Conclusions: Early diagnosis based on clinical and radiological fi ndings and required surgical interventions lead to good health status and prevent complications in case of mortal disease like bilateral pneumothorax. Besides, it will be better if the patient receives at least the same level of monitoring and care (monitored anesthesia care) in the MRI suite as in the operating room.
Keywords: Pneumothorax, Barotrauma, re-expansion, monitored anesthesia care
70
In Press
14 Mar 2024 : Case report
Management of Nontraumatic Spontaneous Renal Hemorrhage (Wünderlich Syndrome) through Robotic-Assisted Lapa...Am J Case Rep In Press; DOI: 10.12659/AJCR.942826
14 Mar 2024 : Case report
Simultaneous Occurrence of Collagen Type III Glomerulopathy and Immunoglobulin A Nephropathy: A Rare Case R...Am J Case Rep In Press; DOI: 10.12659/AJCR.942770
16 Mar 2024 : Case report
Castleman Disease Presenting in the Neck: A Report of 3 Cases and a Literature ReviewAm J Case Rep In Press; DOI: 10.12659/AJCR.943214
16 Mar 2024 : Case report
Early Diagnosis and Successful Empirical Treatment of L1-L2 Spondylodiscitis in a 21-Month-Old Girl: A Case...Am J Case Rep In Press; DOI: 10.12659/AJCR.943010
Most Viewed Current Articles
07 Mar 2024 : Case report
Neurocysticercosis Presenting as Migraine in the United StatesDOI :10.12659/AJCR.943133
Am J Case Rep 2024; 25:e943133
10 Jan 2022 : Case report
A Report on the First 7 Sequential Patients Treated Within the C-Reactive Protein Apheresis in COVID (CACOV...DOI :10.12659/AJCR.935263
Am J Case Rep 2022; 23:e935263
19 Jul 2022 : Case report
Atlantoaxial Subluxation Secondary to SARS-CoV-2 Infection: A Rare Orthopedic Complication from COVID-19DOI :10.12659/AJCR.936128
Am J Case Rep 2022; 23:e936128
23 Feb 2022 : Case report
Penile Necrosis Associated with Local Intravenous Injection of CocaineDOI :10.12659/AJCR.935250
Am J Case Rep 2022; 23:e935250