An unusual bulla in azygoesophageal recess in a patient with secondary spontaneous pneumothorax.

Interact Cardiovasc Thorac Surg

Department of Thoracic Surgery, Chest Disease Center, Kyoto Katsura Hospital, Kyoto, Japan.

Published: June 2021

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.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8691586PMC
http://dx.doi.org/10.1093/icvts/ivab057DOI Listing

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