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KMID : 1141320180330030409
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Kosin Medical Journal
2018 Volume.33 No. 3 p.409 ~ p.414
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Complete resolution of the giant pulmonary bulla: a case of inflammatory autobullectomy
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Park Sung-Rock
Shi Hye-Jin
Wang Sung-Ho
Lee Sang-Ki
Ko You-Sang
Park Yong-Bum
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Abstract
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Giant pulmonary bulla (GPB) is a rare manifestation of emphysema and usually enlarges gradually over time, occasionally resulting in complications. Hence, more often than not, the surgical intervention of a Bullectomy is the standard method of treatment for GPB. However, there are case reports that show the complete resolution of GPB after its inflammation process even without surgical intervention. A 51-year-old man was admitted to our clinic due to pleuritic pain. After a chest X-ray and CT scan, a new air-fluid level within the GPB was revealed in the right upper lobe of his lung. His clinical status had improved promptly with intravenous antibiotics. A one-year follow-up study showed the GPB was completely resolved.
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KEYWORD
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Giant pulmonary bulla, Inflammatory autobullectomy, Medical treatment of pulmonary bulla
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