title: Successful treatment of sternal osteomyelitis after pneumonectomy using a pedicled omental flap.
abstract: We report here the case of a 64-year-old man with sternal osteomyelitis after pneumonectomy through a median sternotomy who was successfully treated using a pedicled omental flap. This is the first report in the literature to describe sternal osteomyelitis and mediastinitis after pneumonectomy. In this case, the visceral pleura of the remnant right lung was located just under the infected sternum. Careful management is recommended because empyema pleurae can be a fatal complication.
authors.affiliation: Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume 830-0011, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Miwa
authors.forename: S
authors.initials: S
authors.lastname: Takamori
authors.forename: M
authors.initials: M
authors.lastname: Mitsuoka
authors.forename: A
authors.initials: A
authors.lastname: Hayashi
authors.forename: M
authors.initials: M
authors.lastname: Fukunaga
authors.forename: K
authors.initials: K
authors.lastname: Shirouzu
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000601:surgery; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery; D008297:Male; D008480:Mediastinitis / Q000209:etiology; D008875:Middle Aged; D010019:Osteomyelitis / Q000209:etiology*; D011013:Pneumonectomy / Q000379:methods*; D011183:Postoperative Complications; D013249:Sternum; D013524:Surgical Flaps