Spontaneous Pneumothorax Due to Ruptured Bulla of the Azygos Lobe
Sarah E Kim1, Daniel Steeno1, Alexander P Lynch2
1Department of Surgery, University of Illinois at Chicago, Chicago, Illinois.
Abstract:
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.
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