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Giant bullae mimicking tension pneumothorax

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Author(s): Ahmet Erbey | Menduh Oruç | Atalay Şahin | Fatih Meteroğlu

Journal: Journal of Clinical and Experimental Investigations
ISSN 1309-8578

Volume: 3;
Issue: 4;
Start page: 548;
Date: 2012;
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Keywords: Tension pneumothorax | giant bullae | computed tomography | tube thoracostomy

ABSTRACT
Giant bullae may mimic tension pneumothorax radiologicallyso that it may expand completely to hemithorax,increase of radiolucency mediastinal shift, flattening ofdiaphragm and printing on trachea. Sixty one year oldmale patient with giant bullae misdiagnosed as tensionpneumothorax and underwent to tube thoracostomy. Thedifferential diagnosis of giant bullae and tension pneumothoraxmay be confusing. The therapeutic approaches ofthese two radiologically similar entities differ significantly.Thus proper physical assessment and radiological examinationis crucial in the differential diagnosis and computedtomography examination should be performed before theadjustment of therapy. J Clin Exp Invest 2012; 3(4): 548-551Key words: Tension pneumothorax, giant bullae, computedtomography, tube thoracostomy
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