Giant bulla mimicking pneumothorax

Waseem, Muhammad; Jones, Jodi; Brutus, Sargine; Munyak, John; Kapoor, Ramnath; Gernsheimer, Joel

doi:10.1016/j.jemermed.2005.04.004

Cited by 25 publications

(14 citation statements)

References 19 publications

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“…Although errors of omission are generally more common than errors of commission, the latter may prevail in emergent situations. The present case adds to that of Shah and collagues 1 as well as to those of others 4 who have described pulmonary bullae mimicking a pneumothorax. Diagnoses that are based on pattern recognition are often compelling, but their inherent vulnerability to cognitive bias needs to be appreciated.…”

Section: Commission Biassupporting

confidence: 82%

Misdiagnosis of pulmonary bulla

Campbell

Croskerry

2007

CJEM

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Section: Commission Biassupporting

confidence: 82%

Misdiagnosis of pulmonary bulla

Campbell

Croskerry

2007

CJEM

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“…Waitches et al have stated that "double-wall sign" is an important indicator in identifying pneumothorax in these cases (11). On the other hand, complex radiological view may indeed lead to a false diagnosis of pneumothorax (3,4). For this reason, many authors recommend that, before they plan chest tube thoracostomy with a diagnosis of pneumothorax based on conventional radiographic findings, one should assess thorax CT results in patients with detected or suspected large bullous lesions and acute respiratory distress (4,5,11).…”

Section: Discussionmentioning

confidence: 99%

“…In subsequent publications, this phenomenon has mostly been described in young and middle-aged men as a single giant bulla or multiple bullae related pathology developing on the adjacent normal lung tissues under pressure (3)(4)(5)(6)(7)(8)(9). Some authors have used the term "vanishing lung" to refer to the radiographic appearance in which lung tissue is completely destructed due to progression of emphysema (1, 2, 10, 11).…”

Section: öZetmentioning

confidence: 99%

Vanishing Lung Syndrome: A Rare Entity

2015

J Turgut Ozal Med Cent

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Vanishing lung syndrome is characterised by giant bullae that compress the underlying lung. Differentiating between bullous emphysema and pneumothorax and choosing the right treatment modality can be challenging. The present report describes a case of a giant pulmonary bulla in a young male patient. A 20-year-old male was admitted with complaints of shortness of breath, chest pain, sweating, and tachycardia. Chest X-ray and chest CT images revealed the presence of giant bullae occupying the left hemithorax and pneumothorax. A chest tube was inserted percutaneously under local anesthesia into the pleural cavity and then we performed bullectomy using thoracoscopic surgery. Residual lung re-expansion yielded good postoperative results without complications. It can be very difficult to distinguish a pneumothorax from a giant bulla and preoperative assessment of the extent and distribution of the bullae is vital for the following procedures. Keyword: Giant Bulla; Pulmonary Emphysema; Pneumothorax.Vanishing Lung Sendrom: Nadir Bir Antite Özet Vanishing lung sendrom nadir görülen ve dev bül veya büllerin akciğerin büyük oranda kollapsına neden olduğu bir antitedir. Bu çalışmada solunum sıkıntısı, terleme, çarpıntı şikayeti ile acil servise başvuran 20 yaşında, radyografik olarak sağ hemitoraksın tümünü kaplayan dev bül ve çevresinde pnömotoraks saptanan bir erkek hasta sunuldu. Hastaya tüp torakostomi uygulandı ve daha sonra torakoskopik cerrahi ile bül eksizyonu yapıldı. Postoperatif dönemde komplikasyon gelişmedi. Akciğer ekspanse olan olgu postop 6. günü şifa ile externe edildi. Vanishing lung sendromunda en önemli sıkıntı bül, pnömotoraks ayrımının yapılmasında ve altta yatan akciğer parankiminin ne derece sağlıklı olduğunun değerlendirilmesinde yaşanılan zorluktur. Uygun vakalarda bül eksizyonu ile kollabe akciğerin ekspanse olur ve tam bir klinik düzelme sağlanır.

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“…It's major complication is pneumothorax, which classically involves a history of acute deterioration in respiratory function associated with chest pain and also mimicking pneumothorax8. In this case, surgical bullectomy is the treatment of choice to allow the compressed lung to re-expend with a subsequent improvement of symptoms and lung function.…”

Section: Discussionmentioning

confidence: 99%

A Case of Bilateral Giant Bullae in Young Adult

et al. 2013

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Giant bullae are large bullae occupying at least one-third of the hemithorax and surgical bullectomy is the treatment of choice. We report a case with symptomatic giant bullae which were resected successfully. A 35-year-old man presented with bilateral giant bullae that occupied almost the entire left hemithorax and a third of the right hemithorax. He was a current smoker with a 30 pack-year history and he presented with dyspnea on exertion. An elective surgical bullectomy was performed with video-assisted thoracoscopic surgery. The patient recovered without any adverse events and stayed well for 1 month after surgery.

show abstract

Giant bulla mimicking pneumothorax

Cited by 25 publications

References 19 publications

Misdiagnosis of pulmonary bulla

Misdiagnosis of pulmonary bulla

Vanishing Lung Syndrome: A Rare Entity

A Case of Bilateral Giant Bullae in Young Adult

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