Simultaneous Bilateral Primary Spontaneous Pneumothorax: A Case Report and a Review of the Literature

Table 1

Accepted indications for surgical intervention [4].

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Accepted indications for surgical advice should be as follows:

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Second ipsilateral pneumothorax

First contralateral pneumothorax

Synchronous bilateral spontaneous pneumothorax

Persistent air leak (despite 5–7 days of chest tube drainage) or failure of lung re-expansion

Spontaneous haemothorax

Professions at risk (eg, pilots, divers)

Pregnancy

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