Spontaneous Pneumothorax Due to Ruptured Bulla of the Azygos Lobe

Sarah E. Kim, MD, MA; Daniel Steeno, MD; Alexander P. Lynch; Francis J. Podbielski, MD

Annals of Thoracic Surgery Short Reports (Sep 2024)

Spontaneous Pneumothorax Due to Ruptured Bulla of the Azygos Lobe

Sarah E. Kim, MD, MA,
Daniel Steeno, MD,
Alexander P. Lynch,
Francis J. Podbielski, MD

Affiliations

Sarah E. Kim, MD, MA: Department of Surgery, University of Illinois at Chicago, Chicago, Illinois; Address correspondence to Dr Kim, Department of Surgery, 840 S Wood St, 376-CSN (mc 958), Chicago, IL 60612.
Daniel Steeno, MD: Department of Surgery, University of Illinois at Chicago, Chicago, Illinois
Alexander P. Lynch: Division of Biological Sciences, Creighton University, Omaha, Nebraska
Francis J. Podbielski, MD: Department of Thoracic Surgery, Jesse Brown Veterans Affair Medical Center, Chicago, Illinois

Journal volume & issue: Vol. 2, no. 3
pp. 513 – 515

Abstract

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Azygos lobe is an uncommon anatomic variant that is widely recognized, but rarely associated with pneumothorax. We present a successful surgical management of a spontaneous pneumothorax resulting from rupture of a bulla in an incidentally discovered azygos lobe. The patient is a 73-year-old man who presented with the first-time occurrence of a spontaneous right pneumothorax. The patient did not tolerate nonoperative management and underwent a right thoracotomy with bullae resection in the azygos and right lower lobes for definitive management. Our treatment highlights several considerations during operative management of azygos lobe pathology.

Published in Annals of Thoracic Surgery Short Reports

ISSN: 2772-9931 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/annals-of-thoracic-surgery-short-reports

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