A case of recurrent spontaneous pneumothorax was reported. Patient, a 18-year-old male, had recurring episodes of the chest pain and dyspnea for the last two years.
Abnormal shadow, partially collapsed lung with emphysematous bullae, was found in the left upper lobe on a chest roentgenogram during the course.
On thoracotomy, two bullae with air leakage, each being over tip-of-thumb sized, were recognized in the left upper lobe. Extirpation of the bullae was performed without difficulty. Histological appearance was characteristic of organized scar tissue.