Academic Journal

A case of attempted transbronchial spigot insertion for fistulous pyothorax in the residual pleural airspace after pleurectomy/decortication for malignant pleural mesothelioma

التفاصيل البيبلوغرافية
العنوان: A case of attempted transbronchial spigot insertion for fistulous pyothorax in the residual pleural airspace after pleurectomy/decortication for malignant pleural mesothelioma
المؤلفون: Ryo Miyata, Shoichiro Morizono, Tadashi Umehara, Aya Harada‐Takeda, Go Kamimura, Masaya Aoki, Toshiyuki Nagata, Kazuhiro Ueda
المصدر: Respirology Case Reports, Vol 12, Iss 1, Pp n/a-n/a (2024)
بيانات النشر: Wiley, 2024.
سنة النشر: 2024
المجموعة: LCC:Diseases of the respiratory system
مصطلحات موضوعية: fistulous pyothorax, malignant pleural mesothelioma, penetration, pleurectomy/decortication, residual thoracic airspace, Diseases of the respiratory system, RC705-779
الوصف: Abstract Pleurectomy/decortication for malignant pleural mesothelioma is a relatively recent surgical approach for which there is a dearth of information on complications, especially in the late postoperative period. A 70‐year‐old man was diagnosed with right epithelioid malignant pleural mesothelioma and underwent pleurectomy/decortication. Computed tomography at 6 months after surgery revealed nodules on the surface of the right lung. These nodules gradually increased in size and were diagnosed as recurrent disease. Immunotherapy was started, but treatment was discontinued a few days after the first course due to pneumonitis. Subsequent oral prednisolone therapy for about 2 months ameliorated pneumonitis, but fistulous pyothorax developed. During attempted transbronchial occlusion of the responsible bronchus, some spigots penetrated the empyema cavity. Open window thoracotomy was performed on the following day. This case suggests that if there is no change in diameter between the proximal and distal parts of the responsible bronchus, transbronchial occlusion should not be chosen.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2051-3380
Relation: https://doaj.org/toc/2051-3380
DOI: 10.1002/rcr2.1286
URL الوصول: https://doaj.org/article/6694a5c1198145d8bf91391defdd82d9
رقم الانضمام: edsdoj.6694a5c1198145d8bf91391defdd82d9
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:20513380
DOI:10.1002/rcr2.1286