AN INTERESTING CASE OF GIANT BULLA OF LUNG SIMULATING TENSION PNEUMOTHORAX

A 55 year old woman visited our hospital for exertional dyspnoea and dry cough for 2 months. Radiological investigations revealed a giant bulla of the left lung simulating tension pneumothorax , that was treated with video assisted thorascopic bullectomy. This case is reported as to include giant bulla in the differential diagnosis of tension pneumothorax A 55 year old woman with no significant medical history in the past presented to our outpatient clinic with exertional dyspnoea and non-productive cough for 2 months duration. On physical examination she was a healthy looking woman, comfortable at rest. There was a slight asymmetry of the chest with hyperresonant percussion and decreased breath sounds on the left hemithorax. Her cardiac and neurological status was normal.