Spontaneous bilateral pneumothorax in a patient with metastatic synovial sarcoma while under chemotherapy

We report a case of synovial sarcoma of the lower limbs with pulmonary metastasis in a 24-year-old male patient who developed progressive spontaneous bilateral pneumothorax while he was on chemotherapy. Chest tubes inserted and achieved recovery in the left side whereas the right side became worse. Right lung decortication was carried out and the biopsy confirmed the diagnosis of synovial sarcoma metastasis. Thereafter, the patient was kept on chemotherapy of IV ifosfamide + etoposide D1-5, and after 2 cycles he traveled back to his country to continue treatment there.