DOI: 10.36347/sjmcr.2020.v08i08.009

Pages: 778-780

Pneumothorax is an emergency therapeutic diagnostic whose bilaterality represents a severity character. The Spontaneous bilateral pneumothorax is rare but remains potentially fatal. According to Casablanca Hospital Center pneumology department, we have reported seven cases during the last six years representing 3% of total spontaneous pneumothorax patients and predominated by women gender at 31.2 years average age. Bilateral pneumothorax was primitive for one case. For the remaining six cases, it was a secondary of an asthma attack, COPD, miliary tuberculosis, cystic lung and revealed a carcinoid tumor and secondary to diffuse interstitial pneumonitis in the fibrosis stage. Facing such emergency situation, fast handling ware adopted using bilateral thoracic drain for three patients and unilateral one for three other patients. Where a bilateral pleural detachment was less than 2cm, a rest and an oxygen therapy with close monitoring was recommended. Surgery was advocated to avoid recurrency but was done for two patients. Three patients died while the other patients have progressed well.