Surgery for bullous lung disease: a case report

We present a patient with giant right apical bulla compressing the whole lung and multiple numeous small bullae in the rest of the middle and lower lobe. The patient presented with worsening shortness of breath, compromised pulmonary function tests and typical chest CT finding. She was managed successfully with right postero-lateral thoracotomy, excision of the giant bulla and pleurectomy. This case demonstrates that giant bullectomy and pleurectomy could produce significant and immediate functional improvement without complication