title: Bronchoscopic closure of bronchopleural fistula using gelfoam.
abstract: Management of a persistent bronchopleural fistula (BPF) can be a therapeutic challenge. The etiological factors responsible for BPF include pulmonary tuberculosis, post-thoracic resection surgeries, trauma, malignancy, necrotising infections and rupture of lung abscess. The immediate management of BPF is drainage of the pleural cavity with insertion of an intercostal drainage tube. Patients with BPF may also require surgical intervention in the form of a wedge resection or lobectomy or muscle flap surgery. We report a case of a peripheral BPF secondary to a bacterial infection, which was successfully managed by the instillation of gelfoam via flexible bronchoscopy.
authors.affiliation: Department of Respiratory Diseases, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai.
authors.forename: A M
authors.initials: AM
authors.lastname: Shah
authors.forename: Pratibha
authors.initials: P
authors.lastname: Singhal
authors.forename: P N
authors.initials: PN
authors.lastname: Chhajed
authors.forename: Amita
authors.initials: A
authors.lastname: Athavale
authors.forename: Rajam
authors.initials: R
authors.lastname: Krishnan
authors.forename: A C
authors.initials: AC
authors.lastname: Shah
mesh_terms: D001983:Bronchial Fistula / Q000628:therapy*; D001999:Bronchoscopy; D005781:Gelatin Sponge, Absorbable / Q000627:therapeutic use*; D006490:Hemostatics / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010995:Pleural Diseases / Q000628:therapy*
chemical_list: D006490:Hemostatics