An unusual bulla in azygoesophageal recess in a patient with secondary spontaneous pneumothorax. (4th March 2021)

• Record Type: Journal Article
• Authors: Ito, Shinya; Takahashi, Koji; Yoshimura, Takashi
• Is Part Of: Interactive cardiovascular and thoracic surgery. Volume 33:Number 1(2021)
• Page Start: 139
• Page End: 141
• Publication Date: 2021-03-04
• Subjects: Secondary spontaneous pneumothorax -- Azygoesophageal recess -- Chronic obstructive pulmonary disease -- Video-assisted thoracic surgery; Chest -- Surgery -- Periodicals; Cardiovascular system -- Diseases -- Periodicals; 616.1
• DOI: 10.1093/icvts/ivab057
• Languages: English
• ISSNs: 1569-9293

Abstract

Abstract: We report a case of secondary spontaneous pneumothorax in which the causative bulla was successfully managed by thoracoscopic surgery. A 64-year-old male was admitted presenting with a right pneumothorax. Chest computed tomography revealed a bulla located in the azygoesophageal recess. Thoracoscopic surgery confirmed an unusual bulla extending along the thoracic spine with a fistula at the tip. We describe the intriguing features of this unique bulla and speculate on its aetiology for the first time.