Autobullectomy: Disease Itself Relieved The Dyspnoea of Patient. Can It Happen?

Pulmonary bullae occur as insulated abnormalities in approximate normal lung tissue or in the presence of emphysema. The steady expansion of lung bulla is common; however, its mechanism is still unclear, but can impulse life threatening conditions that requires emergent surgical intervention. Spontaneous complete or partial resolution also known as “autobullectomy” of giant pulmonary bullae is very scarce. The pathophysiology of natural purging of giant bulla is not known with inevitability. Here, we are discussing a case of an older female presented with exertional dyspnoea and later diagnosed as large bullous emphysema with secondary infection on the left side. She was managed with antibiotics and inhaled bronchodilators, showed near complete spontaneous resolution of a giant pulmonary bulla with dramatic improvement in severity of dyspnoea, partial pressure of oxygen and arterial blood gas.