Bilateral primary spontaneous pneumothorax in an otherwise-healthy overweight young man

Bilateral primary spontaneous pneumothorax (BPSP) is a rare condition, accounting for ∼1.6% of spontaneous pneumothoraces. Patients with primary spontaneous pneumothorax have typically low body weight. BPSP in overweight/obese patients is an exceptionally rare event. The present report describes a case of an otherwise-healthy 20-year-old male patient with BMI 29.8 kg/m2 presented to our hospital owing to low-intensity chest pain and shortness of breath 7 days after the onset of symptoms. Plain chest X-ray revealed the presence of bilateral pneumothorax. Chest tubes were inserted on both sides. During hospitalization, a computed tomography demonstrated multiple blebs on the surface of the upper lobes of both lungs. Hereupon, the patient referred to a tertiary center and underwent elective single-stage minimally invasive bilateral video-assisted thoracoscopic surgery. The present case report shows that BPSP in overweight/obese patients is an existing condition.