[Detection of bronchopleural fistula by ventilation scintigraphy. Based on one case].
Bronchopleural fistula (BPF) is a rare but extremely serious complication of lung resection surgery. Its diagnosis is often overlooked in the clinical evolution of the patients undergoing surgery due to the subacute presentation of the picture. The procedures used to detect it are either invasive or have low accuracy. We report the case of a patient with lung carcinoma treated by left pneumonectomy in whom BPF was suspected after an episode of coughing and expectoration. The conventional chest x-ray did not show any significant findings while the (99m)Tc-DTPA ventilation lung scintigraphy demonstrated bronchopleural communication in a very early phase.
Outomuro Pérez
J M
JM
Servicio de Medicina Nuclear, Hospital Meixoeiro, Vigo (Pontevedra).
Serena Puig
A
A
Campos Villarino
L
L
Carreira Delgado
M
M
D000230:Adenocarcinoma / Q000601:surgery; D000280:Administration, Inhalation; D000336:Aerosols; D001983:Bronchial Fistula / Q000000981:diagnostic imaging* / Q000209:etiology; D002294:Carcinoma, Squamous Cell; D016724:Empyema, Pleural / Q000209:etiology; D006801:Humans; D006876:Hydrothorax / Q000209:etiology; D008175:Lung Neoplasms / Q000601:surgery; D008297:Male; D008875:Middle Aged; D016609:Neoplasms, Second Primary; D010995:Pleural Diseases / Q000000981:diagnostic imaging* / Q000209:etiology; D011013:Pneumonectomy / Q000009:adverse effects; D011030:Pneumothorax / Q000209:etiology; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000209:etiology; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals / Q000008:administration & dosage; D016156:Respiratory Tract Fistula / Q000000981:diagnostic imaging* / Q000209:etiology; D013529:Surgical Wound Dehiscence / Q000150:complications / Q000000981:diagnostic imaging*; D016284:Technetium Tc 99m Pentetate / Q000008:administration & dosage; D014062:Tongue Neoplasms; D014067:Tonsillar Neoplasms
D000336:Aerosols; D019275:Radiopharmaceuticals; D016284:Technetium Tc 99m Pentetate