Vanishing lung syndrome in a pregnant woman: case report and literature review

Authors

DOI:

https://doi.org/10.33448/rsd-v11i14.36626

Keywords:

Pregnancy; Vanishing lung; Bullectomy.

Abstract

The presence of an underlying lung disease in pregnant women can present as a challenging case. The Vanishing Lung Syndrome is considered a rare condition, in which pulmonary emphysema is usually observed. We describe a unique case of Vanishing Lung Syndrome in pregnant patient. Female patient, 29 years old, started having progressive dyspnea on exertion in 2019, without other associated symptoms. She was hospitalized and a chest imaging study showed the presence of a large bulla in the upper right hemithorax with “hypertensive” behavior. The patient was lost to follow-up and returned two years later, pregnant, with a gestational age of 17 weeks, with an important restrictive component described in the spirometry. A bullectomy and right middle lobectomy were performed, and the patient showed significant symptom and pulmonary evaluation improvement. There are no documented cases of this rare condition in a pregnant patient, with an emphasis on seeking to maintain maternal and fetal well-being. The management of Vanishing Lung Syndrome in pregnant women is challenging, especially when lung function is impaired, as in the described case.

References

Budev, M. M., Arroliga, A. C., & Emery, S. (2005). Exacerbation of underlying pulmonary disease in pregnancy. Crit Care Med. Oct;33(10 Suppl):S313-8. 10.1097/01.ccm.0000182792.37480.87.

Burke, R. (1937). Vanishing lungs: A case report of bullous emphysema. Radiology. 28:367 371. 10.1148/28.3.367

Estrela, C. (2018). Metodologia Científica: Ciência, Ensino, Pesquisa. Editora Artes Médicas.

Gao, X., Wang, H., Gou, K., Huang, B., Xia, D., Wu, X., Ming W., Shengxi Z., Shan M., & Juanxiang He. (2015). Vanishing lung syndrome in one family: five cases with a 20- year follow-up. Mol Med Rep. 11:567-57. 10.3892/mmr.2014.2673.

Grindheim, G., Toska, K., Estensen, M. E., & Rosseland, L. A. (2012). Changes in pulmonary function during pregnancy: A longitudinal cohort study. An International Journal of Obstetrics & Gynaecology. 119: 94–101. 10.1111/j.1471-0528.2011.03158.x.

Hirnle, L., Lysenko, L., Gerber, H., Lesnik, P., Baranowska, A., Rachwalik, M., Leszczyszyn, J., Leszczyszyn, J., & Strozecki L. (2013). Respiratory function in pregnant women. Adv Exp Med Biol. 788:153-60. 10.1007/978-94-007-6627-3_23.

Im, Y., Farooqi, S., & Mora, A. (2016). Vanishing lung syndrome. Baylor Univ Med Center Proc. 29(4):399–401: 10.1080/08998280.2016.11929486.

Kadowaki, T., & Yano, S. (2018). Autobullectomy in a patient with COPD. Intern Med. 8(57):1179. doi: 10.2169/internalmedicine.9641-17

Kim, S.W., & Kim, D. (2016). Management of long-term persistent air leakage developed after bullectomy for giant bullous lung disease associated with neurofibromatosis type 1. J Thorac Dis. 1(8):E140–3. 10.3978/j.issn.2072-1439.2016.01.21.

Lai, C. C., Huang, S. H., Wu, T. T., & Lin, S. H. (2013). Vanishing lung syndrome mimicking pneumothorax, Postgrad. Med. 89: 427–428. 10.1136/postgradmedj-2012-131750.

MacDuff, A., Arnold, A., & Harvey, J. (2010). Management of spontaneous pneumothorax: British Thoracic Society Pleural Disease Guideline 2010. Thorax;65:ii18-31. 10.1136/thx.2010.136986

Marchetti, N., & Criner, G. (2015) Surgical approaches to treating emphysema: lung volume reduction surgery, Bullectomy, and lung transplantation. Semin Respir Crit Care Med. 04(36):592–608. 10.1055/s-0035-1556064

Mohammad, K., Siddiqui, M.F., & Badiredd, S. (2013). The vanishing lungs! Am J Respir Crit Care Med. 187: 448. DOI: 10.1164/rccm.201209-1713IM

Muhamad, N. I., Nawi, S. N. M., Yusoff, B. M., Halim, N. A. B., Mohammad, N., & Ghazali, W. S. W. (2020). Vanishing lung syndrome Masquerading as bilateral pneumothorax: A case report. Respiratory Medicine Case Reports. 31:101276. 10.1016/j.rmcr.2020.101276

Palla, A., Desideri, M., Rossi, G., Bardi, G., Mazzantini, D., Mussi, A., & Giuntini, C. (2005). Elective surgery for giant bullous emphysema: a 5-year clinical and functional follow-up. Chest. 128 (4):2043–2050 . 10.1378/chest.128.4.2043.

Schipper, P. H., Meyers, B. F., Battafarano, R. J., Guthrie, T. J., Patterson, A., & Cooper, J. D. (2004). Outcomes after resection of giant emphysematous bullae. Ann Thorac Surg. 78(3):976–982. 10.1016/j.athoracsur.2004.04.005

Shah, N.N., Bhargava, R., Ahmed, Z., Pandey, D.K., Shameem, M., Bachh, A.A., Akhtar, Md. S., Dar, K. A, & Mohsina, M. (2007) Unilateral Bullous Emphysema of Lung: Lung India 24:30–32. 10.4103/0970-2113.44202

Sharma, N., Justaniah, A. M., Kanne, J. P., Gurney, J. W., & Mohammed, T. L. (2009). Vanishing lung syndrome (giant bullous emphysema): CT findings in 7 patients and a literature review. J Thorac Imaging. 24:227-30. 10.1097/RTI.0b013e31819b9f2a

Sunanda. H., & Razaque, M. A. (2010). Bilateral vanishing lung syndrome. J Medi Soc. 3(24):155–6. doi: 10.1503/cmaj.111507

Tsao, Y. T., & Lee, S. W. (2012). Vanishing lung syndrome. CMAJ. 184: E977. doi: 10.1503/cmaj.111507

Vij, A. S. (2014). A rare case of vanishing lung syndrome. J Assoc Physicians India.12(62):51–3. https://pubmed.ncbi.nlm.nih.gov/26259424/

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Published

30/10/2022

How to Cite

PAIVA, J. H. H. G. L. .; SIMÕES, E. S. F. .; LIMA, R. S.; ALBUQUERQUE, I. C.; BEZERRA, F. R.; FREITAS, I. G. de A. . Vanishing lung syndrome in a pregnant woman: case report and literature review. Research, Society and Development, [S. l.], v. 11, n. 14, p. e382111436626, 2022. DOI: 10.33448/rsd-v11i14.36626. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/36626. Acesso em: 8 dec. 2022.

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Section

Agrarian and Biological Sciences