{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:04:15Z","timestamp":1753877055589,"version":"3.41.2"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2021,9,13]],"date-time":"2021-09-13T00:00:00Z","timestamp":1631491200000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,9,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:p>A giant lung bulla occupies at least a third of the lung space. We present a middle-aged man who lost consciousness during an air flight for 30\u00a0minutes, without any respiratory symptoms. An incidental finding on chest x-ray revealed a giant bulla and a chest computed tomography imaging confirmed the diagnosis and ruled out a tension pneumothorax. A giant lung bulla is an uncommon cause of loss of consciousness and may be suspected if it occurs during air travel.<\/jats:p>","DOI":"10.1093\/omcr\/omab084","type":"journal-article","created":{"date-parts":[[2021,9,13]],"date-time":"2021-09-13T10:59:48Z","timestamp":1631530788000},"source":"Crossref","is-referenced-by-count":2,"title":["Loss of consciousness during air travel: A case of lung bullae"],"prefix":"10.1093","volume":"2021","author":[{"given":"Kenan B","family":"Nyalile","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Kilimanjaro Christian Medical Centre, P.O. Box 3010, Moshi, Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7812-8042","authenticated-orcid":false,"given":"Abid M","family":"Sadiq","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Kilimanjaro Christian Medical Centre, P.O. Box 3010, Moshi, Tanzania"},{"name":"Faculty of Medicine, Kilimanjaro Christian Medical University College, P.O. Box 2240, Moshi, Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adnan M","family":"Sadiq","sequence":"additional","affiliation":[{"name":"Department of Radiology, Kilimanjaro Christian Medical Centre, P.O. Box 3010, Moshi, Tanzania"},{"name":"Faculty of Medicine, Kilimanjaro Christian Medical University College, P.O. Box 2240, Moshi, Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elichilia R","family":"Shao","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Kilimanjaro Christian Medical Centre, P.O. Box 3010, Moshi, Tanzania"},{"name":"Faculty of Medicine, Kilimanjaro Christian Medical University College, P.O. Box 2240, Moshi, Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,9,13]]},"reference":[{"key":"2021091310552737200_ref1","first-page":"868","article-title":"A case of Bullous lung disease","volume":"10","author":"Devu","year":"2019","journal-title":"Indian J Public Heal Res Dev"},{"key":"2021091310552737200_ref2","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1097\/MAJ.0b013e31815f1e35","article-title":"Hypoxia During Air Travel in Adults With Pulmonary Disease","volume":"335","author":"Mohr","year":"2008","journal-title":"Am J Med Sci"},{"key":"2021091310552737200_ref3","first-page":"922","article-title":"Altitude-related hypoxia: risk assessment and management for passengers on commerical aircraft","volume":"74","author":"Mortazavi","year":"2003","journal-title":"Aviat Space Environ Med"},{"key":"2021091310552737200_ref4","first-page":"bcr2014208159","article-title":"Major ischaemic stroke caused by an air embolism from a ruptured giant pulmonary bulla","volume":"2015","author":"Gudmundsdottir","year":"2015","journal-title":"Case Rep Dermatol"},{"key":"2021091310552737200_ref5","first-page":"12","article-title":"Recurrent inflight chest pain due to a solitary bulla","volume":"5","author":"Echevarria","year":"2012","journal-title":"Respir Med Case Rep"},{"key":"2021091310552737200_ref6","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1136\/thorax.57.4.289","article-title":"Managing passengers with respiratory disease planning air travel: British Thoracic Society recommendations","volume":"57","author":"British Thoracic Society Standards of Care Committee","year":"2002","journal-title":"Thorax"},{"key":"2021091310552737200_ref7","doi-asserted-by":"crossref","first-page":"e319","DOI":"10.1016\/j.chest.2020.12.014","article-title":"Respiratory Distress and Chest Pain in an Airplane Passenger With Radiolucent Left Hemithorax","volume":"159","author":"Hamad","year":"2021","journal-title":"Chest"},{"key":"2021091310552737200_ref8","doi-asserted-by":"crossref","first-page":"279","DOI":"10.2214\/ajr.162.2.8310909","article-title":"Idiopathic giant bullous emphysema (vanishing lung syndrome): imaging findings in nine patients","volume":"162","author":"Stern","year":"1994","journal-title":"Am J Roentgenol"},{"key":"2021091310552737200_ref9","doi-asserted-by":"crossref","first-page":"E551","DOI":"10.21037\/jtd.2017.05.53","article-title":"Complete spontaneous resolution of a giant bulla without rupture or infection: a case report and literature review","volume":"9","author":"Chang","year":"2017","journal-title":"J Thorac Dis"},{"key":"2021091310552737200_ref10","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1016\/j.athoracsur.2013.10.049","article-title":"Bullectomy for Symptomatic or Complicated Giant Lung Bullae","volume":"97","author":"Krishnamohan","year":"2014","journal-title":"Ann Thorac Surg"}],"container-title":["Oxford Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/omcr\/article-pdf\/2021\/9\/omab084\/40352704\/omab084.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/omcr\/article-pdf\/2021\/9\/omab084\/40352704\/omab084.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,13]],"date-time":"2021-09-13T11:00:09Z","timestamp":1631530809000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/omcr\/article\/doi\/10.1093\/omcr\/omab084\/6369261"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,1]]},"references-count":10,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2021,9,1]]}},"URL":"https:\/\/doi.org\/10.1093\/omcr\/omab084","relation":{},"ISSN":["2053-8855"],"issn-type":[{"type":"electronic","value":"2053-8855"}],"subject":[],"published-other":{"date-parts":[[2021,9]]},"published":{"date-parts":[[2021,9,1]]},"article-number":"omab084"}}