Elective over emergency: The role of precise diagnosis in managing Giant bullae in COPD patients – A case report

Abstract Introduction and importance: Bullous lung disease, characterized by large air-filled spaces in lung tissue, includes a significant subset called “giant bullae,” occupying over 30 % of a hemithorax, often linked to chronic obstructive pulmonary disease (COPD). Accurate differentiation between giant bullous emphysema and pneumothorax is crucial to prevent unintended interventions. Misdiagnosing as pneumothorax might lead to chest tube placement with associated complications, including hemothorax, empyema, continuous air leak, prolonging hospitalization and increasing healthcare costs. Case presentation: A 42-year-old male,