{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T22:16:06Z","timestamp":1740176166699,"version":"3.37.3"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,8,9]],"date-time":"2022-08-09T00:00:00Z","timestamp":1660003200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,8,9]],"date-time":"2022-08-09T00:00:00Z","timestamp":1660003200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["JA Clin Rep"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Anesthetic management of non-thoracic surgery in patients with giant bullae is challenging. We present a case of laparoscopic cholecystectomy in a patient with a giant bulla managed with one-lung ventilation (OLV).<\/jats:p><\/jats:sec><jats:sec><jats:title>Case presentation<\/jats:title><jats:p>A 75-year-old man with a giant bulla occupying the lower half of the right hemithorax underwent laparoscopic cholecystectomy. We managed anesthesia with OLV to avoid positive pressure ventilation of the giant bulla. Surgery was completed uneventfully; however, postoperative chest radiography indicated a large lucency occupying the entire right hemithorax. Although we suspected a pneumothorax due to a ruptured bulla, chest computed tomography (CT) led to a diagnosis of giant bulla hyperinflation. The giant bulla deflated gradually to its preoperative size within three postoperative days.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Managing laparoscopic cholecystectomy in a patient with a giant bulla with OLV resulted in spontaneous hyperinflation of the giant bulla. Chest CT ruled out a pneumothorax.<\/jats:p><\/jats:sec>","DOI":"10.1186\/s40981-022-00552-1","type":"journal-article","created":{"date-parts":[[2022,8,9]],"date-time":"2022-08-09T04:02:52Z","timestamp":1660017772000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Spontaneous hyperinflation of a giant bulla of the non-ventilated lung during laparoscopic cholecystectomy under one-lung ventilation: a case report"],"prefix":"10.1186","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0788-0146","authenticated-orcid":false,"given":"Taku","family":"Mayahara","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryosuke","family":"Fukuoka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norihiro","family":"Shimada","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junji","family":"Nishiyama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,8,9]]},"reference":[{"key":"552_CR1","first-page":"1239","volume":"64","author":"N Tomita","year":"2015","unstructured":"Tomita N, Katsumata N, Nomura M, Kurihara M, Kumakura S, Hariya S, et al. Combined general and spinal-epidural anesthesia under spontaneous breathing in a patient with a giant bulla. Masui. 2015;64:1239\u201341.","journal-title":"Masui."},{"key":"552_CR2","first-page":"1101","volume":"60","author":"T Sugiura","year":"2011","unstructured":"Sugiura T, Akiyoshi R, Kato R, Sasano H, Sobue K. Interscalene block combined with general anesthesia under spontaneous breathing in a patient with a giant bulla. Masui. 2011;60:1101\u20133.","journal-title":"Masui."},{"key":"552_CR3","doi-asserted-by":"crossref","first-page":"200","DOI":"10.4103\/aca.ACA_150_17","volume":"21","author":"B Theodare","year":"2018","unstructured":"Theodare B, Nissy VV, Sahajanandan R, Mariappan R. Anesthetic challenges of a patient with the communicating bulla coming for nonthoracic surgery. Ann Card Anaesth. 2018;21:200\u20132.","journal-title":"Ann Card Anaesth."},{"key":"552_CR4","doi-asserted-by":"publisher","unstructured":"Koratala A, Bhatti V. Look before you leap: a curious case of giant pulmonary bulla. BMJ Case Rep. 2017. https:\/\/doi.org\/10.1136\/bcr-2017-220058.","DOI":"10.1136\/bcr-2017-220058"},{"key":"552_CR5","first-page":"187","volume":"9","author":"P Gagnon","year":"2014","unstructured":"Gagnon P, Guenette JA, Langer D, Laviolette L, Mainguy V, Maltais F, et al. Pathogenesis of hyperinflation in chronic obstructive pulmonary disease. Int J Chron Obstruct Pulmon Dis. 2014;9:187\u2013201.","journal-title":"Int J Chron Obstruct Pulmon Dis."},{"key":"552_CR6","doi-asserted-by":"publisher","first-page":"80","DOI":"10.1186\/s12871-017-0371-x","volume":"17","author":"Q Li","year":"2017","unstructured":"Li Q, Zhang X, Wu J, Xu M. Two-minute disconnection technique with a double-lumen tube to speed the collapse of the non-ventilated lung for one-lung ventilation in thoracoscopic surgery. BMC Anesthesiol. 2017;17:80.","journal-title":"BMC Anesthesiol."},{"key":"552_CR7","first-page":"346","volume":"34","author":"A Kisa","year":"2019","unstructured":"Kisa A, Koruk S, Kocoglu H, Leblebici \u0130M. Comparison of general anesthesia with spinal anesthesia in laparoscopic cholecystectomy operations. Medeni Med J. 2019;34:346\u201353.","journal-title":"Medeni Med J."},{"key":"552_CR8","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1186\/s12893-018-0396-1","volume":"18","author":"M Bayrak","year":"2018","unstructured":"Bayrak M, Alt\u0131ntas Y. Comparing laparoscopic cholecystectomy in patients with chronic obstructive pulmonary disease under spinal anesthesia and general anesthesia. BMC Surg. 2018;18:65.","journal-title":"BMC Surg."},{"key":"552_CR9","doi-asserted-by":"publisher","first-page":"1915","DOI":"10.1056\/NEJMicm1101918","volume":"365","author":"ME Vega","year":"2011","unstructured":"Vega ME, Civic B. Images in clinical medicine: a tension bulla mimicking tension pneumothorax. N Engl J Med. 2011;365:1915.","journal-title":"N Engl J Med."},{"key":"552_CR10","first-page":"461","volume":"116","author":"M Schumann","year":"2019","unstructured":"Schumann M, Hamed A, Kohl T. Giant bulla imitating tension pneumothorax. Dtsch Arztebl Int. 2019;116:461.","journal-title":"Dtsch Arztebl Int."}],"container-title":["JA Clinical Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40981-022-00552-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40981-022-00552-1\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40981-022-00552-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:35:44Z","timestamp":1727742944000},"score":1,"resource":{"primary":{"URL":"https:\/\/jaclinicalreports.springeropen.com\/articles\/10.1186\/s40981-022-00552-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,9]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2022,12]]}},"alternative-id":["552"],"URL":"https:\/\/doi.org\/10.1186\/s40981-022-00552-1","relation":{},"ISSN":["2363-9024"],"issn-type":[{"type":"electronic","value":"2363-9024"}],"subject":[],"published":{"date-parts":[[2022,8,9]]},"assertion":[{"value":"21 July 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 July 2022","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 July 2022","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 August 2022","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient. Written informed consent was obtained from the patient for publication of this case report and accompanying images","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"62"}}