title: [A case of empyema with a bronchopleural fistula treated by a pedicle muscle flap with the thick parietal pleura].
abstract: A 65-year-old male with a bronchopleural fistula of 10 mm in diameter underwent thoracoplasty combined with a pedicle muscle flap following open thoracic window. He had been treated by gastrectomy and right upper lobectomy because of gastric perforation and lung tuberculosis before empyema. Sterilization for the empyema cavity through the thoracic window was done for 255 days, obliteration of the empyema cavity was achieved by a muscle flap with the thick parietal pleura. The parietal pleura which was not separated from the intercostal pleura which was not separated from the intercostal muscle was used for reinforcement of the muscle flap against the high intra-tracheal pressure. There was no postoperative relapse of empyema for 9 months.
authors.affiliation: Department of Surgery, Kobe University School of Medicine, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Yamamoto
authors.forename: M
authors.initials: M
authors.lastname: Okada
authors.forename: M
authors.initials: M
authors.lastname: Takada
authors.forename: G
authors.initials: G
authors.lastname: Yamamoto
mesh_terms: D000368:Aged; D001983:Bronchial Fistula / Q000150:complications / Q000601:surgery*; D004653:Empyema / Q000150:complications / Q000601:surgery*; D005402:Fistula / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male; D010994:Pleura; D010995:Pleural Diseases / Q000150:complications / Q000601:surgery*; D013524:Surgical Flaps; D013905:Thoracoplasty