Bulla in the lung

Erne, Barbara; Graff, Mareike; Klemm, Wolfram; Danzl, Johann G.; Leschber, Gunda

doi:10.1016/s0140-6736(12)60690-4

Cited by 5 publications

(8 citation statements)

References 4 publications

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“…Las bullas o ampollas pulmonares se definen como espacios aéreos mayores de 1 cm de diámetro en forma de globo, que carecen de pared epitelial, formadas a partir de tejido pulmonar estructuralmente dañado tras la destrucción, la dilatación y la confluencia de espacios aéreos distales a los bronquiolos terminales debido a una variedad de etiologías (1). La enfermedad pulmonar bullosa hace referencia a la presencia de bullas en un pulmón sin alteraciones, se presenta en el 20 % de los casos; mientras que el enfisema ampolloso que puede verse en el parénquima pulmonar enfisematoso es una enfermedad localizada en el 80 % de los casos (2).…”

Section: Introductionunclassified

Enfermedad bullosa como complicación pulmonar en la convalecencia de COVID-19

Blanco¹,

Blanco²,

Blanco³

et al. 2021

rev. colomb. neumol.

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La infección por SARS-CoV-2 comenzó en Wuhan, China, a principios del año 2019 y se ha extendido rápidamente por todo el mundo, convirtiéndose en pandemia de acuerdo con la Organización Mundial de la Salud (OMS) el 11 de marzo de 2020. Esta enfermedad ha presentado múltiples manifestaciones que varían desde un resfriado común hasta un síndrome de dificultad respiratoria aguda (SDRA) grave con complicaciones en pacientes críticos o durante la fase aguda. Hasta la fecha, las complicaciones pulmonares tardías y las secuelas no son del todo conocidas, sin embargo, se han asociado a la gravedad de la enfermedad. Se presenta el primer caso en Colombia de una enfermedad bullosa gigante ocurrido en una paciente femenina de 32 años durante la convalecencia de la infección por COVID-19, que requirió resección quirúrgica. Se hace necesario resaltar la importancia del seguimiento de la población que se ha contagiado de este virus y mantener un alto grado de sospecha clínica en la búsqueda de complicaciones en individuos que se han recuperado de la infección, con el fin de aprender cada día más sobre el comportamiento, las complicaciones y las secuelas de esta enfermedad en aras de dar un manejo óptimo y oportuno.

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Section: Introductionunclassified

Enfermedad bullosa como complicación pulmonar en la convalecencia de COVID-19

Blanco¹,

Blanco²,

Blanco³

et al. 2021

rev. colomb. neumol.

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“…For these reasons, a surgical resection or bullectomy is traditionally recommended when possible. 5,11 In our case, the patient refused to undergo a surgical procedure because of the rapid improvement of his pleuritic pain after receiving medical therapy. This was also in consideration to the gradual enlargement and infected condition of his GPB, which may have suggested a need for surgical resection.…”

Section: Discussionmentioning

confidence: 83%

“…4 Although some factors of the progressive air-trapping based on a check-valve mechanism have been proposed in congenital pulmonary and vascular malformations, GPB is known as a long-term side effect of cigarette smoking in the majority of cases. 4,5 The natural clinical course of GPB is not predictable, although spontaneous regression of GPB can occur on rare occasions. It is usually marked by a gradual increase in size and the development of respiratory symptoms resulting from pulmonary impairment or compression of the adjacent lung.…”

Section: Discussionmentioning

confidence: 99%

“…2,4 According to these characteristics of GPB, it is clinically accepted that patients with GPB will greatly benefit from a surgical intervention: bullectomy. 5,6 However, few case reports have been reported to show the complete resolution of GPB after the inflammatory process, such as an infected bulla or peribullous pneumonia, without any additional interventional procedure or surgery. 7 Herein, we present a rare case of a complete resolution of GPB after the inflammatory process without the administration of any further interventional procedure or surgical resection.Giant pulmonary bulla (GPB) is a rare manifestation of emphysema and usually enlarges gradually over time, occasionally resulting in complications.…”

mentioning

confidence: 99%

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Complete resolution of the giant pulmonary bulla: a case of inflammatory autobullectomy

Park

Shi

Wang

et al. 2018

KMJ

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Giant pulmonary bulla (GPB), first described by Burke in 1937, is a rare clinical and radiological manifestation which usually occurs in the upper lobes of the lung. 1-3 GPB commonly increases in size over time and develops into respiratory symptoms commonly caused by a pneumothorax or by the compression of the adjacent lung. 2,4 According to these characteristics of GPB, it is clinically accepted that patients with GPB will greatly benefit from a surgical intervention: bullectomy. 5,6 However, few case reports have been reported to show the complete resolution of GPB after the inflammatory process, such as an infected bulla or peribullous pneumonia, without any additional interventional procedure or surgery. 7 Herein, we present a rare case of a complete resolution of GPB after the inflammatory process without the administration of any further interventional procedure or surgical resection.Giant pulmonary bulla (GPB) is a rare manifestation of emphysema and usually enlarges gradually over time, occasionally resulting in complications. Hence, more often than not, the surgical intervention of a Bullectomy is the standard method of treatment for GPB. However, there are case reports that show the complete resolution of GPB after its inflammation process even without surgical intervention. A 51-year-old man was admitted to our clinic due to pleuritic pain. After a chest X-ray and CT scan, a new air-fluid level within the GPB was revealed in the right upper lobe of his lung. His clinical status had improved promptly with intravenous antibiotics. A one-year follow-up study showed the GPB was completely resolved.

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“…Higher mortality rates and negation of the effects of bullectomy at 5 years were found only in patients with diffuse emphysema. If surgery is not performed, close surveillance is recommended given the association with lung cancer [24] . However, there remains no consensus on the ideal timing for surgery, or follow up of these patients.…”

Section: Discussionmentioning

confidence: 99%

A breath from Houdini – A case of giant bullous emphysema

Tay

2015

Respiratory Medicine Case Reports

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We describe a case of a young man presenting with exertional dyspnea. His chest radiograph showed hyperlucency in his left lung, and he was subsequently diagnosed to have giant bullous emphysema. An approach to lesions of decreased attenuation on computed tomography of the chest, with a focus on cystic lung diseases is discussed. This is followed by a literature review of the clinical presentation, natural history, radiology and management of giant bullous emphysema. Although this is an uncommon condition, a clinician has to be cognizant of the fact that it may mimic other common respiratory diseases. This review highlights the importance of these caveats as misguided treatment options may lead to devastating consequences.

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Bulla in the lung

Cited by 5 publications

References 4 publications

Enfermedad bullosa como complicación pulmonar en la convalecencia de COVID-19

Enfermedad bullosa como complicación pulmonar en la convalecencia de COVID-19

Complete resolution of the giant pulmonary bulla: a case of inflammatory autobullectomy

A breath from Houdini – A case of giant bullous emphysema

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