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Kin-Sun Wong, MD; Hui-Ping Liu, MD; Ka-Shun Cheng, MD; Chuen Hsueh, MD
From the Division of Pediatric Pulmonology (Dr Wong), Chang Gung Children's Hospital, Taoyuan, Taiwan, and the Departments of Thoracic and Cardiovascular Surgery (Dr Liu), Anesthesiology (Dr Cheng), and Pathology (Dr Hsueh), Chang Gung Memorial Hospital, Taipei, Taiwan.

Arch Pediatr Adolesc Med. 2000;154:845-846.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A PREVIOUSLY healthy 11-year-old girl had sudden-onset left-sided chest pain in the morning. On physical examination, a normal-appearing girl had tachypnea and shallow respirations. The trachea was shifted to the right, and her breath sounds were decreased in the left thorax. No clubbing of the fingers was present. Findings from frontal chest radiograph revealed a left tension pneumothorax (Figure 1). Her dyspnea was relieved after a left thoracostomy tube was inserted. Computed tomography of the chest disclosed clusters of emphysematous bullae in the left lower lobe (Figure 2). Resection of the bullae was performed using a video-assisted thoracoscope (Figure 3). Her ₁-antitrypsin level was 154 mg/dL, which was within reference limits. Results of a pathologic examination of the excised lung showed a prominent emphysematous change with rupture of alveolar septae that resulted . . . [Full Text of this Article]