title: [A case of refractory pulmonary fistula, managed with bronchoscopic therapy using occluding spiral embolus].
abstract: 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.
authors.affiliation: Department of Surgery, Himeji Red Cross Hospital, Japan.
authors.forename: O
authors.initials: O
authors.lastname: Kawamata
authors.forename: S
authors.initials: S
authors.lastname: Ishizuka
authors.forename: Y
authors.initials: Y
authors.lastname: Kurozumi
authors.forename: Y
authors.initials: Y
authors.lastname: Maruo
authors.forename: A
authors.initials: A
authors.lastname: Nakashima
authors.forename: T
authors.initials: T
authors.lastname: Inoguchi
authors.forename: T
authors.initials: T
authors.lastname: Watanabe
authors.forename: T
authors.initials: T
authors.lastname: Kanazawa
authors.forename: M
authors.initials: M
authors.lastname: Aoyama
authors.forename: S
authors.initials: S
authors.lastname: Sato
authors.forename: A
authors.initials: A
authors.lastname: Nakashima
authors.forename: A
authors.initials: A
authors.lastname: Nabeyama
mesh_terms: 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*
chemical_list: D015718:Fibrin Tissue Adhesive