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dc.contributor.authorAzzopardi, Matthew-
dc.contributor.authorSladden, David-
dc.contributor.authorGalea, Joseph-
dc.identifier.citationAzzopardi, M., Sladden, D., & Galea, J. (2021). Minimally invasive resection of a marijuana-associated giant bulla : a case report. Malta Medical Journal, 33(1), 100-106.en_GB
dc.description.abstractBACKGROUND: Smoking is known to be a causative factor for emphysema. Literature also supports the possibility that marijuana abuse increases the probability of giant apical bullae in young individuals. Surgical resection is the only cure for giant bullae, whilst also having a prophylactic role. Video-assisted Thoracoscopic Surgery (VATS) bullectomy is thenew gold standard replacing thoracotomy.en_GB
dc.description.abstractCASE PRESENTATION: We present a 31-year old marijuana smoker with a history of multiple pneumothoraces who was found to have a large emphysematous bulla in the left upper lobe accompanied by a smaller bulla in the superior lingular segment. Even though he was asymptomatic at the time, VATS bullectomy was carried out in view of his multiple previous pneumothoraces. The patient recovered well after surgery, and a follow-up chest x-ray 2 weeks post-operatively showed a fully inflated lung.en_GB
dc.description.abstractCONCLUSION: This is the first case of giant bulla being removed via minimally invasive VATS in Malta. Apart from continuing to show the effectiveness and suitability of VATS in the treatment of this condition, we highlight the important link between marijuana and giant emphysematous bullae.en_GB
dc.publisherUniversity of Malta. Medical Schoolen_GB
dc.subjectEmphysema, Pulmonary -- Complicationsen_GB
dc.subjectEmphysema, Pulmonary -- Case studiesen_GB
dc.subjectThoracic Surgery, Video-Assisteden_GB
dc.subjectMarijuana -- Health aspectsen_GB
dc.titleMinimally invasive resection of a marijuana-associated giant bulla : a case reporten_GB
dc.rights.holderThe copyright of this work belongs to the author(s)/publisher. The rights of this work are as defined by the appropriate Copyright Legislation or as modified by any successive legislation. Users may access this work and can make use of the information contained in accordance with the Copyright Legislation provided that the author must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the prior permission of the copyright holder.en_GB
dc.publication.titleMalta Medical Journalen_GB
Appears in Collections:MMJ, Volume 33, Issue 1

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