title: Giant bulla mimicking tension pneumothorax.
abstract: In the chest X-ray, we observe tension pneumothorax (TPX) as wide radiolucent view in a hemithorax and pushing the mediastinal structures contralateral. Giant bulla may mimic TPX with wide radiolucent view and mediastinal shift. The present report includes giant pulmonary bulla in 35-year-old woman. The giant bulla was diagnosed as a TPX in emergency, and chest tube was performed. The differentiation between TPX and a giant bulla may be very difficult. The therapies of these two similar entities are completely different. So that, we must be careful about anamnesis, physical examination and radiology for true diagnosis.
authors.affiliation: Department of Chest Surgery, Faculty of Medicine, Zonguldak Karaelmas University, Zonguldak, Turkey. mervin34@hotmail.com
authors.forename: Mertol
authors.initials: M
authors.lastname: Gökçe
authors.forename: Ozkan
authors.initials: O
authors.lastname: Saydam
authors.forename: Remzi
authors.initials: R
authors.lastname: Altin
authors.forename: Levent
authors.initials: L
authors.lastname: Kart
mesh_terms: D000328:Adult; D001768:Blister / Q000175:diagnosis* / Q000601:surgery; D015505:Chest Tubes; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D011030:Pneumothorax / Q000175:diagnosis* / Q000601:surgery; D013902:Radiography, Thoracic; D013907:Thoracostomy; D016896:Treatment Outcome