Complete resolution of the giant pulmonary bulla: a case of inflammatory autobullectomy
10.7180/kmj.2018.33.3.409
- Author:
Sungrock PARK
1
;
Hyejin SHI
;
Sungho WANG
;
Sangki LEE
;
Yousang KO
;
Yong Bum PARK
Author Information
1. Department of Internal Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. bfspark@medimail.co.kr
- Publication Type:Case Report
- Keywords:
Giant pulmonary bulla;
Inflammatory autobullectomy;
Medical treatment of pulmonary bulla
- MeSH:
Anti-Bacterial Agents;
Emphysema;
Follow-Up Studies;
Humans;
Inflammation;
Lung;
Methods;
Middle Aged;
Thorax;
Tomography, X-Ray Computed
- From:Kosin Medical Journal
2018;33(3):409-414
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
