A deep azygoesophageal recess may increase the risk of secondary spontaneous pneumothorax

We report a case of secondary spontaneous pneumothorax in which the causative bulla was successfully managed by thoracoscopic surgery. A 64-year-old male was admitted presenting with a right pneumothorax. Chest computed tomography revealed a bulla located in the azygoesophageal recess. Thoracoscopic surgery confirmed an unusual bulla extending along the thoracic spine with a fistula at the tip. We describe the intriguing features of this unique bulla and speculate on its aetiology for the first time.

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Spontaneous Pneumothorax following Herniation of an Emphysematous Bulla into the Mediastinum

Terada

Furuhata

2018

Nihon Rinsho Geka Gakkai Zasshi (J Jpn Surg Assoc)

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A deep azygoesophageal recess may increase the risk of secondary spontaneous pneumothorax

Abstract: A deep AER was more frequently associated with SSP than with PSP. A deep AER may contributes to bulla formation and rupture in SSP patients.

Cited by 4 publications

References 24 publications

Air-trapping bulla in the azygoesophageal recess as a “sentinel bulla” causing secondary spontaneous pneumothorax: A case report

Air-trapping bulla in the azygoesophageal recess as a “sentinel bulla” causing secondary spontaneous pneumothorax: A case report

An unusual bulla in azygoesophageal recess in a patient with secondary spontaneous pneumothorax

Spontaneous Pneumothorax following Herniation of an Emphysematous Bulla into the Mediastinum

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