Tuberculosis and Respiratory Diseases

  • 제75권5호
  • /
  • Pages.222-224
  • /
  • 2013
  • /
  • 1738-3536(pISSN)
  • /
  • 2005-6184(eISSN)
대한결핵및호흡기학회 (The Korean Academy of Tuberculosis and Respiratory Diseases)
권호 표지
DOI QR코드

DOI QR Code

A Case of Bilateral Giant Bullae in Young Adult

  • Park, Ju-Hee (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine and Lung Institute, Seoul National University College of Medicine) ;
  • Kim, Junghyun (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine and Lung Institute, Seoul National University College of Medicine) ;
  • Lee, Jung-Kyu (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine and Lung Institute, Seoul National University College of Medicine) ;
  • Kim, Soo Jung (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine and Lung Institute, Seoul National University College of Medicine) ;
  • Lee, Ae-Ra (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine and Lung Institute, Seoul National University College of Medicine) ;
  • Moon, Hyeon Jong (Department of Thoracic Surgery, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul National University College of Medicine) ;
  • Kim, Deog Kyeom (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul National University College of Medicine)
  • 투고 : 2013.07.20
  • 심사 : 2013.08.26
  • 발행 : 2013.11.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

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.

키워드

참고문헌

  1. Burke RM. Vanishing lungs: a case report of bullous emphysema. Radiology 1937;28:367-71. https://doi.org/10.1148/28.3.367
  2. Palla A, Desideri M, Rossi G, Bardi G, Mazzantini D, Mussi A, et al. Elective surgery for giant bullous emphysema: a 5-year clinical and functional follow-up. Chest 2005;128:2043-50. https://doi.org/10.1378/chest.128.4.2043
  3. Stern EJ, Webb WR, Weinacker A, Muller NL. Idiopathic giant bullous emphysema (vanishing lung syndrome): imaging findings in nine patients. AJR Am J Roentgenol 1994;162:279-82. https://doi.org/10.2214/ajr.162.2.8310909
  4. Kayawake H, Chen F, Date H. Surgical resection of a giant emphysematous bulla occupying the entire hemithorax. Eur J Cardiothorac Surg 2013;43:e136-8. https://doi.org/10.1093/ejcts/ezs699
  5. Bradshaw DA, Murray KM, Amundson DE. Spontaneous regression of a giant pulmonary bulla. Thorax 1996;51:549-50. https://doi.org/10.1136/thx.51.5.549
  6. Roberts L, Putman CE, Chen JT, Goodman LR, Ravin CE. Vanishing lung syndrome: upper lobe bullous pneumopathy. Rev Interam Radiol 1987;12:249-55.
  7. Sharma N, Justaniah AM, Kanne JP, Gurney JW, Mohammed TL. Vanishing lung syndrome (giant bullous emphysema): CT findings in 7 patients and a literature review. J Thorac Imaging 2009;24:227-30. https://doi.org/10.1097/RTI.0b013e31819b9f2a
  8. Waseem M, Jones J, Brutus S, Munyak J, Kapoor R, Gernsheimer J. Giant bulla mimicking pneumothorax. J Emerg Med 2005;29:155-8. https://doi.org/10.1016/j.jemermed.2005.04.004