[A case of omental pedicle flap plombage for fungus ball type pulmonary aspergillosis].
The usual surgical treatment for fungus ball type pulmonary aspergillosis is lobectomy, but in cases of aspergillosis located in a post-lobectomy space a second lobectomy is difficult because of the accompanying inflammatory process. A 53-year-old male underwent left upper lobectomy for pulmonary tuberculosis eight years ago. Six year postoperatively, he developed fungus ball type aspergillosis in the post-lobectomy space with bronchopleural fistula and recurrent hemoptysis. We performed an omental pedicle flap plombage via the post-sternal route to resect the pleural cavity fungus ball. The post operative course was uneventful and clinically the bronchopleural fistula was closed.
Okitsu
H
H
Nakajima
S
S
Takahashi
E
E
Sayami
P
P
Katou
R
R
Hayata
Y
Y
D001228:Aspergillosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008172:Lung Diseases, Fungal / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009852:Omentum / Q000637:transplantation; D011013:Pneumonectomy; D013524:Surgical Flaps; D014397:Tuberculosis, Pulmonary / Q000188:drug therapy / Q000601:surgery