[A case of refractory pulmonary fistula, managed with bronchoscopic therapy using occluding spiral embolus].
We report a successful case of bronchoscopic therapy using occluding spiral embolus and fibrin glue for refractory pulmonary fistula. A 22-year-old female underwent left lower lobectomy for giant bulla of the lung. Air leakage began 6 days after lobectomy. Closing alveolar fistula was performed 12 days after first operation. Relapsing air leakage began 4 days after second operation. Bronchography revealed a fistula from left B1+2c. The insertion of embolus through bronchofiberscope, following administration of fibrin glue, was performed to close the fistula. This method is effective for refractory pulmonary fistula.
Kawamata
O
O
Department of Surgery, Himeji Red Cross Hospital, Japan.
Ishizuka
S
S
Kurozumi
Y
Y
Maruo
Y
Y
Nakashima
A
A
Inoguchi
T
T
Watanabe
T
T
Kanazawa
T
T
Aoyama
M
M
Sato
S
S
Nakashima
A
A
Nabeyama
A
A
D000328:Adult; D001999:Bronchoscopy; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000008:administration & dosage*; D005402:Fistula / Q000628:therapy*; D006801:Humans; D008171:Lung Diseases / Q000628:therapy*
D015718:Fibrin Tissue Adhesive