Background: Bullectomy is preferred for the treatment of giant emphysematous bulla (GEB). For the surgically unfit candidates, bronchoscopic placement of one-way endobronchial valve (EBV) and intracavitary drainage of bulla have been considered as alternative strategies. Case presentation: In this report, we present a surgery unfit patient with giant emphysematous bulla in the left lower lobe w...

Two patients were admitted to our hospital due to giant bullae. During thoracoscopic surgery, saline-cooled radiofrequency coagulation devices were used to shrink the wall of the bulla. In each case, the volume of the bulla was gradually reduced and the boundary between the lung and bulla was clearly delineated. This method is considered to be useful for performing thoracoscopic surgery of gian...

Surgical bullectomy is the treatment of choice for giant emphysematous bullae; however, when a giant emphysematous bulla occupies the entire hemithorax, and the remaining lung is in a collapsed state for a long period, it is difficult to predict the surgical outcome preoperatively. We report a case of the successful resection of a giant emphysematous bulla occupying the entire hemithorax. A 44-...

Operations for emphysematous giant bulla have been performed on 17 patients. Complications of primary lung cancer were observed in four of the 17 patients. All the patients who had such lung cancer were male and heavy smokers. As to histological type, squamous cell carcinoma were found in three patients and undifferentiated cancer of large cell type in one patient. The three had squamous cell c...

Pulmonary blebs and bullae are generally considered an absolute contra-indication for scuba diving, because of a high estimated risk of pulmonary overpressure syndrome due to air-trapping inside the bulla. This is primarily based on a number of retrospective studies and case reports; formal prospective evidence of a higher risk is lacking. We present three cases where a pulmonary bulla was radi...

Purpose; To evaluate effectiveness of alcohol sclerosis combined with percutaneous catheter drainage (PCD) for treatment of infected bulla. Materials and Methods: Infected bulla in four consecutive patients were treated. In all patients, percutaneous catheter drainage of the bulla was performed . Instillation of sterile alcohol (99% ethano l) was carried out into the cavity of the bulla. Alcoho...

UNLABELLED We report a case of 31 years-old female suffering from complicated giant bulla in the right upper pulmonary lobe. The patient was admitted to our hospital with a radiologic diagnosis of hydro - pneumothorax treated by chest tube in a first time, and later, for prolonged air leaks, by uniportal VATS with a single 4-cm skin incision. We have observed a giant ruptured bulla in right upp...

We report a 58-year-old man who underwent surgical treatment of primary lung cancer arising from the wall of a giant bulla. Chest roentgenography and computed tomography revealed multiple emphysematous bullae in the bilateral upper lobes, and a right upper giant bulla with a mass measuring 6 cm arising on the bulla wall. Right upper lobectomy was performed, the postoperative pathological diagno...

A simple sequential chart for identifying bullous skin lesions is presented based on the site and size of the bulla and helpful changes in the bulla, epidermis, and dermis.