Simple chest closure of open window thoracostomy for postpneumonectomy empyema: a case report.
Bronchopleural fistulae
Chest closure
Omentopexy
Open window thoracostomy
Postpneumonectomy empyema
Journal
Surgical case reports
ISSN: 2198-7793
Titre abrégé: Surg Case Rep
Pays: Germany
ID NLM: 101662125
Informations de publication
Date de publication:
05 Apr 2019
05 Apr 2019
Historique:
received:
23
02
2019
accepted:
25
03
2019
entrez:
7
4
2019
pubmed:
7
4
2019
medline:
7
4
2019
Statut:
epublish
Résumé
Management of postpneumonectomy empyema requires comprehensive strategies, especially when the condition is associated with large bronchopleural fistulae. We report a case involving the simple chest closure of open window thoracostomy with remaining residual space. We performed open window thoracostomy for empyema with a huge bronchial stump dehiscence after right pneumonectomy for a large lung cancer. We definitively closed the chest window infected with chronic persistent Pseudomonas aeruginosa via a simple chest closure technique with the remaining residual space, after repairing the bronchial dehiscence using an omental flap and the appearance of healthy granulation tissue throughout the cavity. The patient died of recurrent cancer 10 months after the definitive chest closure. Until the patient died, there were no symptoms or signs suggestive of recurrent empyema. This simple chest closure technique allows "silent empyema" to be observed carefully, is less invasive, and can even be applied to cases of recurrent cancer.
Sections du résumé
BACKGROUND
BACKGROUND
Management of postpneumonectomy empyema requires comprehensive strategies, especially when the condition is associated with large bronchopleural fistulae. We report a case involving the simple chest closure of open window thoracostomy with remaining residual space.
CASE PRESENTATION
METHODS
We performed open window thoracostomy for empyema with a huge bronchial stump dehiscence after right pneumonectomy for a large lung cancer. We definitively closed the chest window infected with chronic persistent Pseudomonas aeruginosa via a simple chest closure technique with the remaining residual space, after repairing the bronchial dehiscence using an omental flap and the appearance of healthy granulation tissue throughout the cavity. The patient died of recurrent cancer 10 months after the definitive chest closure. Until the patient died, there were no symptoms or signs suggestive of recurrent empyema.
CONCLUSION
CONCLUSIONS
This simple chest closure technique allows "silent empyema" to be observed carefully, is less invasive, and can even be applied to cases of recurrent cancer.
Identifiants
pubmed: 30953209
doi: 10.1186/s40792-019-0612-y
pii: 10.1186/s40792-019-0612-y
pmc: PMC6450984
doi:
Types de publication
Journal Article
Langues
eng
Pagination
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