Metachronous recurrent pediatric primary spontaneous pneumothorax: A case presentation and literature review.

Autor:	Baram A; Department of Surgery, College of Medicine, University of Sulaimani, Department of Thoracic and Cardiovascular Surgery, Sulaimani Shar Hospital, 46001, Al Sulaymaniyah, Kurdistan Region, Iraq. Electronic address: aram.baramm@gmail.com., Othman YN; Shar Hosptal, Sulaimani DOH/KRG-IRAQ, Iraq. Electronic address: yad.osman@gmail.com., Muhammed RG; Shar Hospital-Sulaimani/KRG-IRAQ, Iraq. Electronic address: rzgar.haji.ghareeb@gmail.com., Majeed ZS; Shar Hospital-Sulaimani/KRG-IRAQ, Iraq. Electronic address: zryanmejio@gmail.com., Rashid DF; Shar Hospital-Sulaimani/KRG-IRAQ, Iraq. Electronic address: dezhynsolae@gmail.com., Falah F; Shar Hospital-Sulaimani/KRG-IRAQ, Iraq. Electronic address: dr.fitoonfalah@yahoo.com., Sherzad H; Shar Hospital-Sulaimani/KRG-IRAQ, Iraq. Electronic address: hiwasherzad@aol.com., Mahmood ZK; Slemani Breast Center, Slemani DOH/KRG- IRAQ, Iraq. Electronic address: zhyan8913@yahoo.com., Hama RG; Department of Medicine, College of Medicine, University of Sulaimani, Slemani/ KRG, Iraq. Electronic address: rebwar1974@yahoo.com.
Jazyk:	angličtina
Zdroj:	International journal of surgery case reports [Int J Surg Case Rep] 2020; Vol. 76, pp. 139-143. Date of Electronic Publication: 2020 Sep 24.
DOI:	10.1016/j.ijscr.2020.09.141
Abstrakt:	Introduction: Pediatric primary spontaneous pneumothorax (PSP) is defined as the presence of air in the pleural cavity without underlying lung disease or thoracic trauma. Metachronous recurrence of PSP whether ipsilateral or contralateral is rare. Apical bullae and sub-pleural blebs are found in the majority of PSP patients. As in adults, surgery is indicated in cases with prolonged air leak. Video-assisted thoracoscopic surgery (VATS) is increasingly performed in children and has been reported to be both safe and effective. Presentation of the Case: An 11-years-old girl had bilateral attacks of PSP, the second attack happened one after the first one and this later was associated with her menarche. Chest CT scan detected bilateral apical blebs. Discussion: Contralateral recurrence in pediatric PSP is a low probability. The decision for surgery in the pediatric age group is a matter of controversy as there are no strict pediatric guidelines for management of PSP. Currently, VATS is superior to open surgery. Pediatric Catamenial pneumothorax is not well described in the literature. Conclusions: Contralateral recurrence of PSP in children is rarer. No guidelines exist for the management of these cases. The association of pediatric PSP with menarche is not well described in the current literature. (Copyright © 2020 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze:	MEDLINE
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