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Bilateral spontaneous pneumothorax—the case for prompt chest radiography
  1. S C Wilkie1,
  2. L J Hislop1,
  3. S Miller2
  1. 1Department of Accident and Emergency Medicine, Royal Alexandra Hospital, Paisley PA2 9PN
  2. 2Department of Anaesthetics and Intensive Care, Royal Alexandra Hospital
  1. Correspondence to: Dr Hislop, Consultant in Accident and Emergency Medicine(stewart_wilkie{at}

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Simultaneous bilateral spontaneous pneumothorax is a rare condition occurring in up to 1.9% of cases of spontaneous pneumothorax.1 Risk factors include male sex, smoking, height and underlying lung conditions. An increase in the incidence is seen in AIDS patients with underlying pneumocystis carinii infection.2 In contrast with a large unilateral pneumothorax, simultaneous bilateral spontaneous pneumothorax presents difficulties in diagnosis from clinical signs alone and definitive diagnosis requires chest radiography.

A 39 year old man self presented to the accident and …

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  • Conflicts of interest: none.