Delayed Closure of Persistent Postpneumonectomy Bronchopleural Fistula
2002; Elsevier BV; Volume: 121; Issue: 5 Linguagem: Inglês
10.1378/chest.121.5.1703
ISSN1931-3543
AutoresDale K. Mueller, Patrick Whitten, William Tillis, Linda M. Bond, James R. Munns,
Tópico(s)Lung Cancer Diagnosis and Treatment
ResumoA 73-year-old man with a history of postpneumonectomy empyema and a long-term chest tube since 1979 presented with fever, chills, leukocytosis, and purulent fluid from the left tube thoracostomy. CT scan and bronchoscopy demonstrated a right lower lobe pneumonia and a left mainstem dehiscence with direct communication to the left tube thoracostomy. He underwent primary closure of the bronchopleural fistula with latissimus dorsi muscle flap coverage after antibiotic therapy for right lower lobe pneumonia. A 73-year-old man with a history of postpneumonectomy empyema and a long-term chest tube since 1979 presented with fever, chills, leukocytosis, and purulent fluid from the left tube thoracostomy. CT scan and bronchoscopy demonstrated a right lower lobe pneumonia and a left mainstem dehiscence with direct communication to the left tube thoracostomy. He underwent primary closure of the bronchopleural fistula with latissimus dorsi muscle flap coverage after antibiotic therapy for right lower lobe pneumonia.
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