Late extrusion of pulmonary plombage outside the thoracic cavity.
Plombage, a variant of collapse therapy for patients with pulmonary tuberculosis that uses a variety of foreign materials, was undertaken until the 1950s before the invention of effective antimicrobial therapy. Complications related to previous plombage procedures are not uncommon. Management of these complications can be challenging. We report a patient presenting with extrusion of plombage 59 years later and managed successfully with removal of the plomb and pectoral muscle flap transposition.
Department of Cardiothoracic Surgery, The Townsville Hospital, Doulas, QLD 4814, Australia. sirzon@yahoo.com
Sumit
S
Yadav
Hemant
H
Sharma
Anand
A
Iyer
D000369:Aged, 80 and over; D003096:Collapse Therapy / Q000009:adverse effects* / Q000379:methods; D004322:Drainage / Q000379:methods; D016724:Empyema, Pleural / Q000175:diagnosis / Q000601:surgery; D005500:Follow-Up Studies; D005548:Foreign-Body Migration / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010369:Pectoralis Muscles / Q000637:transplantation; D013902:Radiography, Thoracic; D012086:Reoperation / Q000379:methods; D018570:Risk Assessment; D013524:Surgical Flaps; D013908:Thoracotomy / Q000379:methods; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis / Q000601:surgery*