[Oxidized cellulose occlusion of a peripheral bronchial fistula communicating to the left subphrenic abscess].
A 52-year-old man was complicated with a left subphrenic abscess after total pancreatectomy and gastrectomy for advanced pancreatic cancer. A left subphrenic silicon tube penetrated the diaphragm and the bottom of the left lung as well, causing a bronchial fistula with bilateral aspiration pneumonia. Then bronchoscopically, the fistula was successfully treated by packing a few pieces of oxidized cellulose into the affected bronchus. One month later the patient died of sepsis due to multiple liver abscess. On autopsy, the bronchial fistula and any active inflammation were not recognized in the left lower lung area.
Suzuki
S
S
Department of Surgery II, National Defense Medical College, Tokorozawa, Japan.
Sugiura
Y
Y
Kase
K
K
Tanaka
S
S
D001983:Bronchial Fistula / Q000209:etiology / Q000628:therapy*; D002483:Cellulose, Oxidized / Q000627:therapeutic use*; D004621:Embolization, Therapeutic; D006801:Humans; D008297:Male; D008875:Middle Aged; D013369:Subphrenic Abscess / Q000150:complications*
D002483:Cellulose, Oxidized