Department of Thoracic Surgery, Chest Disease Center, Kyoto Katsura Hospital, Kyoto, Japan.
Department of Thoracic Surgery, Uji-Tokushukai Medical Center, Kyoto, Japan.
Interact Cardiovasc Thorac Surg. 2021 Jun 28;33(1):139-141. doi: 10.1093/icvts/ivab057.
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.
我们报告了一例继发性自发性气胸病例,其中通过胸腔镜手术成功治疗了导致气胸的大疱。一名 64 岁男性因右侧气胸入院。胸部计算机断层扫描显示一个位于咽食管隐窝的大疱。胸腔镜检查证实了一个不寻常的大疱,它沿着胸椎延伸,尖端有一个瘘管。我们首次描述了这个独特大疱的有趣特征,并对其病因进行了推测。