Abrupt Bulla Formation by Visceral Pleural Detachment after Pulmonary Lobectomy: A Case Report

Pulmonary bullae usually grow slowly and have thin walls. However, we have observed 2 cases of abrupt bulla formation immediately after lobectomy and during surgery. The pathologic findings of what can be called visceral pleural detachment are quite distinctive: these bullae had a broad base conn...

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Main Authors: Byeong A Yoo, Seungmo Yoo, Jae Kwang Yun, Sehoon Choi
Format: Article
Language:English
Published: Korean Society for Thoracic & Cardiovascular Surgery 2023-05-01
Series:Journal of Chest Surgery
Subjects:
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author Byeong A Yoo
Seungmo Yoo
Jae Kwang Yun
Sehoon Choi
author_facet Byeong A Yoo
Seungmo Yoo
Jae Kwang Yun
Sehoon Choi
author_sort Byeong A Yoo
collection DOAJ
description Pulmonary bullae usually grow slowly and have thin walls. However, we have observed 2 cases of abrupt bulla formation immediately after lobectomy and during surgery. The pathologic findings of what can be called visceral pleural detachment are quite distinctive: these bullae had a broad base connected to the lung, and their walls were thick, including the full extent of visceral pleural and peripheral alveolar tissues, which suggests that the visceral pleura were detached from the distal alveoli. High transpleural pressure might be the key factor in the pathogenesis of this type of bulla, unlike previously known types of bullous lung disease.
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spelling doaj.art-2fe1aa272f13475c9168272afc2f179c2023-05-04T05:42:01ZengKorean Society for Thoracic & Cardiovascular SurgeryJournal of Chest Surgery2765-16062765-16142023-05-0156321621910.5090/jcs.22.143Abrupt Bulla Formation by Visceral Pleural Detachment after Pulmonary Lobectomy: A Case ReportByeong A Yoo0https://orcid.org/0000-0002-8158-3513Seungmo Yoo1https://orcid.org/0000-0001-8988-679XJae Kwang Yun2https://orcid.org/0000-0001-5364-5548Sehoon Choi3https://orcid.org/0000-0002-9961-9289University of Ulsan College of MedicineUniversity of Ulsan College of MedicineUniversity of Ulsan College of MedicineUniversity of Ulsan College of MedicinePulmonary bullae usually grow slowly and have thin walls. However, we have observed 2 cases of abrupt bulla formation immediately after lobectomy and during surgery. The pathologic findings of what can be called visceral pleural detachment are quite distinctive: these bullae had a broad base connected to the lung, and their walls were thick, including the full extent of visceral pleural and peripheral alveolar tissues, which suggests that the visceral pleura were detached from the distal alveoli. High transpleural pressure might be the key factor in the pathogenesis of this type of bulla, unlike previously known types of bullous lung disease.bullavisceral pleurapneumatoceledetachmentcase report
spellingShingle Byeong A Yoo
Seungmo Yoo
Jae Kwang Yun
Sehoon Choi
Abrupt Bulla Formation by Visceral Pleural Detachment after Pulmonary Lobectomy: A Case Report
Journal of Chest Surgery
bulla
visceral pleura
pneumatocele
detachment
case report
title Abrupt Bulla Formation by Visceral Pleural Detachment after Pulmonary Lobectomy: A Case Report
title_full Abrupt Bulla Formation by Visceral Pleural Detachment after Pulmonary Lobectomy: A Case Report
title_fullStr Abrupt Bulla Formation by Visceral Pleural Detachment after Pulmonary Lobectomy: A Case Report
title_full_unstemmed Abrupt Bulla Formation by Visceral Pleural Detachment after Pulmonary Lobectomy: A Case Report
title_short Abrupt Bulla Formation by Visceral Pleural Detachment after Pulmonary Lobectomy: A Case Report
title_sort abrupt bulla formation by visceral pleural detachment after pulmonary lobectomy a case report
topic bulla
visceral pleura
pneumatocele
detachment
case report
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AT seungmoyoo abruptbullaformationbyvisceralpleuraldetachmentafterpulmonarylobectomyacasereport
AT jaekwangyun abruptbullaformationbyvisceralpleuraldetachmentafterpulmonarylobectomyacasereport
AT sehoonchoi abruptbullaformationbyvisceralpleuraldetachmentafterpulmonarylobectomyacasereport