Vanishing Lung Syndrome (Giant Bullous Emphysema): CT Findings in 7 Patients and a Literature Review

@article{Sharma2009VanishingLS,
  title={Vanishing Lung Syndrome (Giant Bullous Emphysema): CT Findings in 7 Patients and a Literature Review},
  author={Nidhi Sharma and Al Mamoon Justaniah and Jeffrey P Kanne and Jud W. Gurney and Tan Lucien H Mohammed},
  journal={Journal of Thoracic Imaging},
  year={2009},
  volume={24},
  pages={227-230}
}
PURPOSE we reviewed the imaging findings in 7 patients with idiopathic giant bullous emphysema. [...] Key Method On HRCT scans, the size, location, and distribution of the bullae were documented and categorized as either subpleural or central. RESULTS The HRCT scan findings in all 7 study patients included numerous bullae ranging in size from a few centimeters in diameter to giant bullae nearly filling an entire hemithorax, mimicking a pneumothorax.Expand
Vanishing Lung Syndrome: A Rare Entity -
TLDR
A 20-year-old male was admitted with complaints of shortness of breath, chest pain, sweating, and tachycardia and chest X-ray and chest CT images revealed the presence of giant bullae occupying the left hemithorax and pneumothorax. Expand
A rare case of vanishing lung syndrome with pneumothorax: importance of computed tomography
TLDR
This case exemplifies role of HRCT thorax in timely diagnosis and planning appropriate treatment of VLS, and is reported in a 40-year-old male patient, who was a chronic smoker for past 20 years. Expand
Vanishing lung syndrome vs emphysematous bulla: Two interesting cases
Journal of Medical and Scientific Research Abstract Vanishing lung syndrome (VLS) is a rare radiological syndrome in which the lungs seem to disappear on chest radiograph. It is a chronic,Expand
Vanishing lung syndrome in one family: five cases with a 20-year follow-up.
TLDR
The present study suggests that vanishing lung syndrome may be associated with autosomal dominant and recessive genetic inheritance. Expand
The vanishing lung: an important cause of hyperlucency on chest radiograph.
TLDR
This work describes two cases with this condition that presented acutely and discusses the management of bullous emphysema, a rare condition characterised by large asymmetric bullae with upper lobe predominance. Expand
Tuberculosis-related giant bullae mimicking tension pneumothorax
TLDR
A 54-year-old man presented to the emergency department with a 2-day history of worsening dyspnea on exertion and was diagnosed with TB-related giant pulmonary bullae, and bullectomy was scheduled. Expand
PRIMARY BULLOUS LUNG DISEASE - A CASE REPORT -
TLDR
A case of bullous lung disease is presented in a sixty five year old man with a clinical presentation of pneumothorax and the diagnosis was established by high resolution computed tomography of the chest. Expand
Vanishing Lung Syndrome and Lung Volume Reduction Surgery-A Case Report
TLDR
This case demonstrated that giant bullae can be successfully managed with surgical resection, and that their size can be determined by different techniques, including chest CT and lung volume measurements. Expand
Giant bulla or pneumothorax
TLDR
It is very important to make an early and quick diagnosis between giant bulla and pneumothorax before contemplating intervention, and right lung volume reduction preferably through a small incision should be the preferred treatment in this patient. Expand
Vanishing Lung Syndrome: An Idiopathic Bullous Emphysema Mimicking Pneumothorax
TLDR
A case of a 64-year-old man with frequent hospitalizations for COPD exacerbation admitted with worsening shortness of breath and was found to have giant bullae mimicking a pneumothorax on the initial presentation is presented. Expand
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References

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TLDR
Associated centrilobular emphysema, seen in cigarette smokers, is the important variable finding for determining the extent of underlying parenchymal disease, which may help in the preoperative assessment of giant bullous lung disease. Expand
Vanishing Lungs: A Case Report of Bullous Emphysema
TLDR
The etiology of the obstruction in bullous emphysema is frequently obscure and the best understood type is that in which bullae follow localized productive changes such as result from tuberculosis. Expand
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TLDR
In a contemporary series of operations on giant emphysematous bullae, giant bullectomy is shown to produce significant immediate functional improvement and declines with time but persists at least 3 years. Expand
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The results of changes in dyspnea and pulmonary function are reported in 27 emphysematous patients followed up for about 10 years after removal of giant bullae, which occupied at least 50% of aExpand
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TLDR
HRCT can demonstrate the location of pathologic changes within a lobule and may be helpful in the differential diagnosis of diffuse pulmonary diseases, and centrilobular emphysema and centrillobular tuberculous nodules can be diagnosed with HRCT. Expand
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Nine patients with bullous emphysema for which surgery was being considered have been investigated with computed tomography (CT). In six out of nine patients (67%) CT showed more extensive disease orExpand
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TLDR
In patients with GBE who were enrolled in the study prospectively and were investigated yearly during a 5-year-follow-up period, elective surgery appears to have been fairly safe, and allowed clinical and functional improvement for at least 5 years. Expand
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TLDR
Computed tomography clearly demonstrates the extent and distribution of bullous disease while both the computed tomography and the bronchoscopic argon/freon test give functional information about bullous and non-bullous lung. Expand
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TLDR
CT extremely useful in assessing the extent of CAE, however there are limitation in the diagnosis of mild cases, and visual scoring of low-attenuation areas on CT images was found to be clinically useful in the quantitative evaluation ofCAE. Expand
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