The patient had undergone VATS for right pneumothorax.
Subpleural bullae over the apical segment were excised
with endoscopic linear staples. The patient was
discharged on the sixth postoperative day. Five months
after the surgery, the patient was seen at our hospital for
the sudden onset of left chest pain. Upon examination,
he was neither cyanotic nor tachypneic, but left hemithoraces
was resonant to percussion. Chest roentgenogram
showed left pneumothorax (Figure 3). VATS bullae
resection with pleural abrasion was performed on the
left hemothorax. He was discharged 4 days later and
was followed up for 1 month at our outpatient clinic without
recurrence.