A 9-year-old boy presented with itching and bulla formation since the last 3 years. The lesions commenced over the abdomen, scalp and then became generalized. Past perinatal and drug history were uneventful. On examination, tense bullae (0.5 cm to 3.5 cm in diameter) were present all over the body (Fig. 1). Bullae arranged in an annular pattern were seen in perineal region (string of pearl’s si...

As endoscopic sinus surgery has been used widely in sinus pathologies and advancements in computerized tomography technologies, the importance of the lateral nasal wall anatomy and its variations has been emphasized more commonly. In evaluation of endoscopic and radiological anatomy of paranasal sinuses attention must be paid to these variations. Concha bullosa which is an anatomical variation ...

Vol. 26, No. 6, 2014 791 Received April 7, 2014, Revised June 25, 2014, Accepted for publication June 27, 2014 Corresponding author: Kun-Yong Sung, Department of Plastic and Reconstructive Surgery, School of Medicine, Kangwon National University, 1 Gangwondaehak-gil, Chuncheon 200-701, Korea. Tel: 82-33-258-9494, Fax: 82-33-258-9437, E-mail: [email protected] This is an Open Access article di...

Giant bulla is defined as a large bulla that occupy over one-third of the thoracic cavity. A 40-yearold Japanese male presented with severe dyspnea and high fever. Radiological examination revealed that several fluid-filled giant bullae had expanded and occupied the majority of the right hemithorax. As a result, mediastinal shift to the contralateral side had occurred. Despite the administratio...

Giant bullae may be found in association with emphysema. They present as pockets of entrapped air which grow as the surrounding lung retracts away. As they do not take part in gas exchange and merely occupy space, their presence leads to severe impediment of mechanical ventilation in the adjacent lung parenchyma. Patients may present with dyspnoea, exercise intolerance and a feeling of pressure...

With the advent of HRCT, primary spontaneous pneumothorax has come to be better understood and managed, because its etiology can now be identified in most cases. Primary spontaneous pneumothorax is mainly caused by the rupture of a small subpleural emphysematous vesicle (designated a bleb) or of a subpleural paraseptal emphysematous lesion (designated a bulla). The aim of this pictorial essay w...