title: Recurrent inflight chest pain due to a solitary bulla.
abstract: Ms L is a 47-year-old lady who was referred with severe, left-sided pleuritic chest pain and painful left arm weakness that occurred predictably during consecutive commercial flights. Subsequent investigations diagnosed a large left-sided, isolated bulla. A VATS bullectomy was performed with no complications, and a symptomless flight followed. We discuss here the physiological explanation for her symptoms and the treatment of bulla in this unusual case.
authors.affiliation: Department of Lung Health, University Hospital of North Tees, Hardwick Road, Stockton TS19 8PE, United Kingdom.
authors.forename: Carlos
authors.initials: C
authors.lastname: Echevarria
authors.affiliation: Department of Lung Health, University Hospital of North Tees, Hardwick Road, Stockton TS19 8PE, United Kingdom.
authors.forename: Richard N
authors.initials: RN
authors.lastname: Harrison
keywords: Bullectomy; Flight; Inflight; Solitary bulla