Adenoidal hypertrophy and pulmonary bullae in a child: a case report

This case highlights the importance of preoperative thoracic imaging in children undergoing elective surgery, particularly in those of Han Chinese ethnicity, to detect occult anomalies. The incidental finding of a giant pulmonary bulla necessitated a multidisciplinary approach and transparent parent-clinician collaboration, leading to a conservative management strategy. The decision to defer surgery in favor of monitoring underscores the need for individualized risk assessment and patient-centered care in pediatric surgical practice.