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DIFFERENTIAL DIAGNOSIS BETWEEN VANISHING LUNG SYNDROME AND PNEUMOTHORAX – DOUBLE WALL SIGN - CASE REPORT /
DIFERENCIJALNA DJAGNOZA IZMEĐU „NESTAJUĆIH PLUĆA” I PNEUMOTORAKSA - ZNAK DUPLE LINIJE - PRIKAZ SLUČAJA

Authors

 

Biljana Lazović1,4, Anita Agić2, Ivana Blažić1, Vuk Andrejević1, Nenad Janeski1, Vladimir Žugić3,4

1University clinical center „Zemun”, Belgrade, Serbia 2Abela Pharm, Beograd, Srbija
3Clinic for lung diseases, Clinical center of Serbia, Belgrade, Serbia
4School of medicine, University of Belgrade, Serbia

 

UDK: 6616.24-007.63-079.4


The paper was received 21.01.218. Accepted: 24.01.2018.

Rad primljen 21.01.218. Rad prihvaćen: 24.01.2018.

 


Corresponding author/ Autor za korespodenciju:


Biljana Lazović
University clinical center "Zemun", Belgrade, Serbia,
Vukova 9, Zemun, 11070 Belgrade
Self phone +381 62 212 040
Fax+381 11 214 1569
e-mail: lazovic.biljana@gmail.com

 

 

Abstract

 

Giant bullous emphysema, or vanishing lung syndrome, typically occurs in young, thin male smokers with large bullae in one or more upper lobes occupying at least one-third of the hemithorax. Giant bullae often mimic pneumothorax on radiographic appearance. We present here a rare case of giant bullous emphysema in a mid-age smoking male who was treated as exacerbation of chronic obstructive pulmonary disease and has live for four years on oxygen at home. In this case we highlight the radiology sign which could help the distinction between vanishing lung tumor and pneumothorax, etiology and presentation, since the fact that treatment of these disease is very different.

 

 

Key words:

giant bullous emphysema, pneumothorax, vanishing lung syndrome

 

 

Sažetak

 

Gigantski bulozni emfizem ili ‘nestajući sindrom pluća” obično se javlja kod mladih pušača, pripadika muškog roda, radiološki se prikazujući kao ogromna bula u jednom ili više lobusa, zauzimajući najmanje jednu trećinu hemitoraksa. Veliki (gigantski) bulozni emfizem se često radiografski može zameniti sa pneumotoraksom. Naš rad predstavlja redak slučaj sredovečnog bolesnika sa ogromnom bulom koja je zauzimala ceo hemitoraks, a koji je trertiran zbog pogoršanja hronične obstruktivne bolesti pluća i poslednjih pet godina bio na dugotrajnoj oksigenoj terapiji. Ovaj prikaz je do sada prvi koji opisuje razliku između pneumotoraksa i “nestajućeg sindroma pluća” koja je često “zavarujuća”, ali esencijalna, jer je lečenje i pristup bolesniku totalno različit.

 

 

Ključne reči:

bulozni emfizem, radiološki znak, pneumotoraks

 

 

Reference / Literatura

 

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PDF Lazović B. et al. • MD-Medical Data 2018;10(1): 055-057

 

 

 

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