Thoracic Research and Practice
Poster Presentation

Giant Bulla

1.

Department of Thoracic Surgery, Health Sciences University, Kayseri City Training and Research Hospital, Kayseri, Turkey

Thorac Res Pract 2019; 20: Supplement 282-282
DOI: 10.5152/TurkThoracJ.2019.282
Keywords : Bulla, bullectomy, emphysema
Read: 865 Downloads: 471 Published: 08 August 2019

Introduction: The structures of the lungs larger than 1 cm, which are formed by the destruction, dilatation and convergence of the air spaces in the distal part of the terminal bronchi are called bulla. Bullas can be between 1-10 cm. Bullas larger than 10 cm are called “Giant Bulla”. Criteria for bullectomy are accepted; 1- Isolated bul covering 30% or more of the hemithorax 2- Non-ventile, compressed and non-emphysematous lung parenchyma 3- Dyspnea.
 

Case Presentation: A 40-year-old male patient was admitted with a complaint of assault. The CT examination revealed a bul of 10.5 cm in the left upper lobe. The patient was operated under elective conditions. Compared with preoperative PFT and postoperative PFT, there is an improvement more than 10% in the early period. On the seventh postoperative day, the patient was discharged without complication.
 

Conclusion: Young patients with giant bullas and without emphysematous lung should be evaluated in terms of bullectomy.

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