Abstract
A patient with bilateral pneumothorax is presented in whom staged, bilateral pleural abrasions were planned. Following the removal of Webs from one lung, postoperative IPPV produced a tension lung cyst in the opposite lung causing compression of the lung and mediastinum, requiring emergency operation on the opposite thorax and resection of a giant bullae. The case is an unusual complication of IPPV therapy in a patient with chronic obstructive lung disease.
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