Early post-pneumonectomy bronchial stump fistula.
Bronchial stump fistula occurred on the seventh postoperative day in a 45-year-old man who underwent right pneumonectomy for T2N2M0 adenocarcinoma of the lung. It was attributable to ventilator-related barotrauma during treatment of ARDS from multiple pulmonary emboli. A frequently lethal complication, its presentation, management and prevention in the early postoperative period are discussed.
Pomerantz
A H
AH
Department of Surgery, Albert Einstein Medical Center, Mount Sinai-Daroff Division, Philadelphia.
Derasari
M D
MD
Sethi
S S
SS
Khan
S
S
D000230:Adenocarcinoma / Q000150:complications / Q000601:surgery; D001469:Barotrauma / Q000150:complications / Q000209:etiology; D001983:Bronchial Fistula / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging; D055370:Lung Injury; D008175:Lung Neoplasms / Q000150:complications / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy; D011175:Positive-Pressure Respiration / Q000009:adverse effects; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D011859:Radiography; D012128:Respiratory Distress Syndrome / Q000209:etiology / Q000628:therapy; D013997:Time Factors