Chronic tension pneumothorax mimicking tension bullae. Use of video-assisted thoracoscopy for diagnosis

Chest. 1993 Dec;104(6):1913-4. doi: 10.1378/chest.104.6.1913.


A 48-year-old patient had a lucent right hemithorax and marked mediastinal shift of unknown duration that appeared on a chest radiograph. He was unchanged symptomatically from his baseline status. Video-assisted thoracoscopy was used to distinguish between tension from a giant bulla and a chronic tension pneumothorax.

Publication types

  • Case Reports

MeSH terms

  • Chronic Disease
  • Diagnosis, Differential
  • Humans
  • Male
  • Middle Aged
  • Pneumothorax / diagnosis*
  • Pulmonary Emphysema / diagnosis
  • Thoracoscopy*
  • Video Recording