Journal of

Case Reports and Images in Surgery

 
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Case Report
 
Successful surgical treatment for infectious giant bullae with mediastinal shift: A case report
Masaki Hashimoto1, Akifumi Nakamura1, Nobuyuki Kondo1, Seiki Hasegawa1
1Hyogo College of Medicine Department of Surgery, division of Thoracic Surgery.

Article ID: 100029Z12MH2016
doi:10.5348/Z12-2016-29-CR-21

Address correspondence to:
Masaki Hashimoto
1-1 Mukogawa-cho Nishinomiya city
Japan 663-8501

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How to cite this article:
Hashimoto M, Nakamura A, Kondo N, Hasegawa S. Successful surgical treatment for infectious giant bullae with mediastinal shift: A case report. J Case Rep Images Surg 2016;2:80–83.


Abstract
Giant bulla is defined as a large bulla that occupy over one-third of the thoracic cavity. A 40-year-old Japanese male presented with severe dyspnea and high fever. Radiological examination revealed that several fluid-filled giant bullae had expanded and occupied the majority of the right hemithorax. As a result, mediastinal shift to the contralateral side had occurred. Despite the administration of antibiotic therapy, his condition did not improve. An emergency operation involving resection of the walls of giant bullae and precise suturing of the base of these bullae was performed. After the operation, his condition showed immediate improvement, and the residual right lung was fully expanded. It is essential to make definitive closure of bronchial communication and preserve residual lung parenchyma in cases of rapidly expanding infectious giant bullae.

Keywords: Infectious bullae, Mediastinal shift, Surgical treatment, Thoracotomy


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Author Contributions
Masaki Hashimoto – Substantial contribution to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Akifumi Nakamura – Substantial contribution to conception and design, Acquisition of data, Drafting the article, Final approval of the version to be published
Nobuyuki Kondo – Substantial contribution to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Seiki Hasegawa – Substantial contribution to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Masaki Hashimoto et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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