A legendary chest X-ray
Buffalo Chest is a rare condition involving bilateral pneumothorax (PNX), either spontaneous or, more commonly, iatrogenic, due to the presence of one or more communicating pathways between the pleural cavities. It is a critical condition that clinicians must be aware of and actively investigate, a...
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2025-07-01
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| Series: | Emergency Care Journal |
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| Online Access: | https://www.pagepressjournals.org/ecj/article/view/13973 |
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| author | Gea Nicoletti Davide Tizzani Paola Molino |
| author_facet | Gea Nicoletti Davide Tizzani Paola Molino |
| author_sort | Gea Nicoletti |
| collection | DOAJ |
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Buffalo Chest is a rare condition involving bilateral pneumothorax (PNX), either spontaneous or, more commonly, iatrogenic, due to the presence of one or more communicating pathways between the pleural cavities. It is a critical condition that clinicians must be aware of and actively investigate, as it places the patient at high risk for bilateral tension pneumothorax. The name derives from an old legend in which Native Americans were said to be able to kill a buffalo instantly with a single arrow to the chest, as it would induce bilateral tension pneumothorax. Diagnosis is based on imaging and dynamic testing. A chest X-ray typically reveals bilateral pneumothorax, while CT (Computed Tomography) allows both identification of the bilateral PNX and assessment of any communication between the two pleural spaces. However, a definitive diagnosis relies on dynamic tests demonstrating the migration of gas or contrast medium into the contralateral hemithorax after being introduced via a chest drain.
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| format | Article |
| id | doaj-art-68d93486d46342d3b22a4b832b92cb1c |
| institution | Matheson Library |
| issn | 2282-2054 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Emergency Care Journal |
| spelling | doaj-art-68d93486d46342d3b22a4b832b92cb1c2025-07-23T13:21:56ZengPAGEPress PublicationsEmergency Care Journal2282-20542025-07-0110.4081/ecj.2025.13973A legendary chest X-rayGea Nicoletti0Davide Tizzani 1Paola Molino 2Emergency Medicine Department, University of Palermo, PalermoEmergency Department, Ospedale degli Infermi, Rivoli, TorinoEmergency Department, Ospedale degli Infermi, Rivoli, Torino Buffalo Chest is a rare condition involving bilateral pneumothorax (PNX), either spontaneous or, more commonly, iatrogenic, due to the presence of one or more communicating pathways between the pleural cavities. It is a critical condition that clinicians must be aware of and actively investigate, as it places the patient at high risk for bilateral tension pneumothorax. The name derives from an old legend in which Native Americans were said to be able to kill a buffalo instantly with a single arrow to the chest, as it would induce bilateral tension pneumothorax. Diagnosis is based on imaging and dynamic testing. A chest X-ray typically reveals bilateral pneumothorax, while CT (Computed Tomography) allows both identification of the bilateral PNX and assessment of any communication between the two pleural spaces. However, a definitive diagnosis relies on dynamic tests demonstrating the migration of gas or contrast medium into the contralateral hemithorax after being introduced via a chest drain. https://www.pagepressjournals.org/ecj/article/view/13973Pneumothoraxbuffalo chest syndromespontaneous bilateral pneumothorax |
| spellingShingle | Gea Nicoletti Davide Tizzani Paola Molino A legendary chest X-ray Emergency Care Journal Pneumothorax buffalo chest syndrome spontaneous bilateral pneumothorax |
| title | A legendary chest X-ray |
| title_full | A legendary chest X-ray |
| title_fullStr | A legendary chest X-ray |
| title_full_unstemmed | A legendary chest X-ray |
| title_short | A legendary chest X-ray |
| title_sort | legendary chest x ray |
| topic | Pneumothorax buffalo chest syndrome spontaneous bilateral pneumothorax |
| url | https://www.pagepressjournals.org/ecj/article/view/13973 |
| work_keys_str_mv | AT geanicoletti alegendarychestxray AT davidetizzani alegendarychestxray AT paolamolino alegendarychestxray AT geanicoletti legendarychestxray AT davidetizzani legendarychestxray AT paolamolino legendarychestxray |