2007 Volume 21 Issue 4 Pages 581-584
Eosinophilic granuloma is defined as being mainly composed of a granulomatous lesion including Langerhans' cells. These cases have emphysematous and cystic lesions and sometimes have a refractory pneumothorax. A 36-year-old man was diagnosed with a right pneumothorax. His chest CT scan revealed emphysematous and nodular lesions and he was diagnosed with eosinophilic granulomas after lung biopsies, concurrent with bulla plication under VATS. After surgery, he quit smoking. Eleven months after the operation, he was well without progression of lung lesions and recurrence of the pneumothorax.