Bursting the Bubble: Uniportal VATS for Recurrent Pneumothorax in a Young Vaper

A 29-year-old male with a history of vaping and a prior right pneumothorax in 2022, managed conservatively with chest tube insertion, presented with persistent left-sided pneumothorax. Preoperative contrast-enhanced computed tomography (CT) confirmed a tension pneumothorax with mediastinal shift but no evidence of bronchopleural fistula. The patient underwent uniportal VATS bullectomy, pleural abrasion, and talc pleurodesis, resulting in full lung expansion. This case highlights the utility of minimally invasive surgical intervention in recurrent pneumothorax associated with vaping-related lung disease.