Pneumonectomy: The final cut in a rare incidence of persistent bronchopleural fistula following empyema.

Abstract:

:The incidence of necrotizing pneumonia and empyema complicated by bronchopleural fistula is rising. We describe the case of a 2-year-old boy who presented with empyema thoracis and necrotizing pneumonia who developed a bronchopleural fistula. At initial thoracotomy for decortication, necrotic lung was found and resected. He subsequently underwent further thoracotomy, prolonged chest tube drainage and endobronchial glue application attempts to close a bronchopleural fistula. The fistula was only sealed at third thoracotomy and completion pneumonectomy. This case highlights the potential challenges faced when dealing with air leaks in the setting of infection and we discuss the treatment options available.

journal_name

Pediatr Pulmonol

journal_title

Pediatric pulmonology

authors

Peters RT,Child F,Long AM,Humphrey GM,Rakoczy G

doi

10.1002/ppul.22649

subject

Has Abstract

pub_date

2013-06-01 00:00:00

pages

617-21

issue

6

eissn

8755-6863

issn

1099-0496

journal_volume

48

pub_type

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