Herniation of pulmonary bulla — A case report

Department of TB and Respiratory diseases, J.N.Medical College, AMU Aligarh, UP, India.
European Journal of Internal Medicine (Impact Factor: 2.89). 02/2009; 20(1):e5-6. DOI: 10.1016/j.ejim.2008.04.017
Source: PubMed
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    • "To the best of our knowledge, only two cases have been reported in the literature in which pulmonary bulla herniated to contralateral hemithorax (2, 3). Lung herniation to contralateral hemithorax can occur at three locations which are anterior to ascending aorta, immediately behind the heart and under the ascending aorta (2). In our case, the emphysematous bulla had herniated to the opposite hemithorax anterior to the ascending aorta and under the arch of aorta. "
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    ABSTRACT: Herniation of an emphysematous bulla is extremely rare. A 55-year-old male patient presented with complains of shortness of breath and cough for the last 10 years which had exacerbated in the last two days. The patient was a diagnosed case of chronic obstructive pulmonary disease. Chest x-ray showed bilateral hyperinflated lung fields along with loss of lung markings in left upper lobe and a thin white line in right upper lobe suggestive of wall of bulla. High resolution computed tomography of the chest revealed anterior herniation of a pulmonary bulla from left to right side across midline. Patient was put on antibiotics, hydrocortisone and aminophylline by intravenous route and nebulization of steroid and bronchodilator. However, the patient expired after 5 days following admission.
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