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Management of a Giant Fluid-filled Bulla by Closed-Chest Thoracostomy Tube Drainage

Lawrence S. Kirschner; William Stauffer; Charles Krenzel; Peter G. Duane
Author and Funding Information

Affiliations: From the Pulmonary Disease Division, Department of Medicine, Veterans Affairs Medical Center, and University of Minnesota School of Medicine, Minneapolis,  From the Pulmonary Disease Division, Department of Medicine, and the Department of Radiology, Minneapolis

Affiliations: From the Pulmonary Disease Division, Department of Medicine, Veterans Affairs Medical Center, and University of Minnesota School of Medicine, Minneapolis,  From the Pulmonary Disease Division, Department of Medicine, and the Department of Radiology, Minneapolis


1997 by the American College of Chest Physicians


Chest. 1997;111(6):1772-1774. doi:10.1378/chest.111.6.1772
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Abstract

A 53-year-old man was admitted to the hospital for management of pneumonia and a giant fluid-filled bulla. He appeared acutely ill and had persistent fever despite prolonged therapy with parenteral antibiotics and aggressive bronchial drainage. Percutaneous placement of an 8.5F catheter into the bulla enabled drainage of both fluid and air within the bulla and led to resolution of his symptoms within 24 h. This report demonstrates that drainage of giant fluid-filled bullae may lead to rapid resolution of symptoms and describes a novel management technique for this condition.


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