Muhamad Nur Izat, Mohd Nawi Siti Nurbaya, Yusoff Bazli Md, Ab Halim Noor Azizah, Mohammad Nurashikin, Wan Ghazali Wan Syamimee
Department of Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Department of Radiology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Respir Med Case Rep. 2020 Nov 6;31:101276. doi: 10.1016/j.rmcr.2020.101276. eCollection 2020.
Vanishing lung syndrome (VLS) is a rare condition characterized by giant emphysematous bullae. It is frequently misdiagnosed as pneumothorax. We describe a case of a 30-year-old male who presented with shortness of breath, reduced effort tolerance, and pleuritic chest pain for three months. He was initially diagnosed with bilateral pneumothorax based on clinical examination and chest radiograph findings. However, further imaging with a high resolution computed tomography (HRCT) of the thorax confirmed bilateral giant emphysematous bullae. Our patient subsequently underwent video-assisted thoracoscopic surgery (VATS) and bullectomy. In this report, we discuss the clinical presentations, radiological features, and the management of VLS. We also highlight the differentiating features of VLS from a pneumothorax.
消失肺综合征（VLS）是一种以巨大气肿性肺大疱为特征的罕见病症。它常被误诊为气胸。我们描述了一例30岁男性病例，该患者出现气短、运动耐力下降和胸膜炎性胸痛三个月。根据临床检查和胸部X线片结果，他最初被诊断为双侧气胸。然而，胸部高分辨率计算机断层扫描（HRCT）进一步成像证实为双侧巨大气肿性肺大疱。我们的患者随后接受了电视辅助胸腔镜手术（VATS）和肺大疱切除术。在本报告中，我们讨论了VLS的临床表现、影像学特征及治疗方法。我们还强调了VLS与气胸的鉴别特征。
