Vanishing Lung Syndrome: An Idiopathic Bullous Emphysema Mimicking Pneumothorax.
copd
emphysema
giant bulla
idiopathic bullous emphysema
lung volume reduction surgery
pneumothorax
vanishing lung syndrome
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
06 Aug 2020
06 Aug 2020
Historique:
entrez:
14
9
2020
pubmed:
15
9
2020
medline:
15
9
2020
Statut:
epublish
Résumé
Vanishing lung syndrome (VLS) is also referred to as idiopathic giant bullous emphysema and is a rare manifestation of chronic obstructive pulmonary disease (COPD). Middle-aged tobacco smokers, younger marijuana users, and those with alpha-1-antitrypsin deficiency may especially be affected. The clinical and radiographic findings of VLS may initially be misinterpreted as spontaneous pneumothorax. High-resolution CT is the diagnostic imaging modality of choice in these patients and can help to differentiate VLS from pneumothorax. Such imaging also helps guide appropriate management. Management of VLS ranges from a conservative to a surgical approach depending upon patients' comorbidities and candidacy for surgical resection. We present a case of a 64-year-old man with frequent hospitalizations for COPD exacerbation admitted with worsening shortness of breath and was found to have giant bullae mimicking a pneumothorax on the initial presentation.
Identifiants
pubmed: 32923201
doi: 10.7759/cureus.9596
pmc: PMC7478520
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e9596Informations de copyright
Copyright © 2020, Yousaf et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Respirology. 2008 Jan;13(1):122-7
pubmed: 18197922
J Glob Health. 2015 Dec;5(2):020415
pubmed: 26755942
Tanaffos. 2012;11(2):27-33
pubmed: 25191411
J Thorac Imaging. 2009 Aug;24(3):227-30
pubmed: 19704328
Chest. 2005 Oct;128(4):2043-50
pubmed: 16236853
Eur J Cardiothorac Surg. 2007 Dec;32(6):834-8
pubmed: 17931876
Proc (Bayl Univ Med Cent). 2016 Oct;29(4):399-401
pubmed: 27695175
Respir Med. 2002 Nov;96(11):872-80
pubmed: 12418584
Mol Med Rep. 2015 Jan;11(1):567-70
pubmed: 25322795