Should we wait for the bubble to explode?

Bilateral spontaneous pneumothorax is a rare clinical event, comprising approximately 1% of all cases of spontaneous pneumothorax (1,2). Early diagnosis and immediate chest drainage are mandatory to avoid life-threatening respiratory failure (2). The multidisciplinary team (MDT) approach for bilateral tension pneumothorax may be helpful to provide more reasonable approaches, which from experts will improve patient prognosis (3).