Giant Bulla

Introduction: The structures of the lungs larger than 1 cm, which are formed by the destruction, dilatation and convergence of the air spaces in the distal part of the terminal bronchi are called bulla. Bullas can be between 1-10 cm. Bullas larger than 10 cm are called “Giant Bulla”. Criteria for bullectomy are accepted; 1- Isolated bul covering 30% or more of the hemithorax 2- Non-ventile, compressed and non-emphysematous lung parenchyma 3- Dyspnea.
 

Case Presentation: A 40-year-old male patient was admitted with a complaint of assault. The CT examination revealed a bul of 10.5 cm in the left upper lobe. The patient was operated under elective conditions. Compared with preoperative PFT and postoperative PFT, there is an improvement more than 10% in the early period. On the seventh postoperative day, the patient was discharged without complication.
 

Conclusion: Young patients with giant bullas and without emphysematous lung should be evaluated in terms of bullectomy.