Omentopexy for empyema due to lung fistula following lobectomy. A case report.
A case of sustained lung fistula after lung surgery is reported here. This case of a sustained pulmonary fistula was diagnosed by sustained air leak through the chest drain and a positive culture of the drainage fluid. The third re-operation was performed successfully by omentopexy via median sternotomy. Careful postoperative observation with chest radiography, bronchial fiberscopy, and determining whether infection is present in the drainage fluid are important for precise diagnosis and therapy for complications following pulmonary lobectomy.
Nonami
Y
Y
Department of Surgery II, Kochi Medical School, Nankoku, Japan.
Ogoshi
S
S
D000231:Adenocarcinoma, Papillary / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D000368:Aged; D004653:Empyema / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005402:Fistula / Q000150:complications* / Q000175:diagnosis; D005500:Follow-Up Studies; D006801:Humans; D008171:Lung Diseases / Q000150:complications* / Q000175:diagnosis; D008175:Lung Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D008297:Male; D009852:Omentum / Q000601:surgery*; D010532:Peritoneal Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D011013:Pneumonectomy / Q000009:adverse effects*; D012086:Reoperation; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed