[Acute empyema with intraoperative intractable air leaks in a child; report of a case].
We report a case of acute empyema with intraoperative intractable air leaks in a child. A 4-year-old girl was admitted with parapneumonic empyema by Staphylococcus aureus. Conventional conservative therapies such as antibiotics, chest tube drainage were failed. Then we performed dissection and debridement with video-assisted thoracoscopic surgery in fibrinopurulent phase of acute empyema. Intraoperative findings showed that the parietal pleura was very weak by Staphylococcus aureus pneumonia. Air leaks occurred,but pleural defects could not be closed by sutures and ligations. We could seal intractable air leaks to use fibrin glue soaked bioabsorbable polyglycolic acid felt sheet. Lung expansion promptly recovered and the patient was discharged on the 34th postoperative day without complications.
Department of Thoracic Surgery, Iwata City Hospital, Iwata, Japan.
Kozo
K
Matsushita
S
S
Ohi
H
H
Shimota
K
K
Suzuki
T
T
Kazui
D020341:Absorbable Implants; D000208:Acute Disease; D000388:Air; D002675:Child, Preschool; D003646:Debridement; D016724:Empyema, Pleural / Q000209:etiology / Q000601:surgery*; D005260:Female; D015718:Fibrin Tissue Adhesive; D006801:Humans; D007431:Intraoperative Complications / Q000601:surgery*; D010995:Pleural Diseases / Q000601:surgery*; D018410:Pneumonia, Bacterial / Q000150:complications; D011100:Polyglycolic Acid; D013203:Staphylococcal Infections / Q000150:complications; D020775:Thoracic Surgery, Video-Assisted; D019616:Thoracic Surgical Procedures
D015718:Fibrin Tissue Adhesive; D011100:Polyglycolic Acid