title: Successful closure of bronchopleural fistula with Xeroform dressing.
abstract: Bronchopleural fistula (BPF) is a communication between the pleural space and the bronchial tree, and is associated with significant morbidity and mortality. Treatment options for BPF include surgical closure and medical therapy. In an unstable patient, invasive surgical intervention is not an option. In this article, we report the case of a 61-year-old man who developed pneumothorax with a large BPF after a bronchoscopic resection of a malignant endobronchial lesion. We inserted a piece of 1.5×1.5-cm Xeroform dressing to seal the massive air leak with successful closure of the BPF. To our knowledge, this is the first report of successful closure of a massive BPF with Xeroform dressing in an acutely decompensating patient.
authors.affiliation: Division of Pulmonary and Critical Care Medicine, VA Long Beach Healthcare System, Long Beach, CA 90822, USA.
authors.forename: Miwa
authors.initials: M
authors.lastname: Fujiwara
authors.forename: Catherine S
authors.initials: CS
authors.lastname: Sassoon
authors.forename: Chetty
authors.initials: C
authors.lastname: Kota
authors.forename: Farhad
authors.initials: F
authors.lastname: Mazdisnian
mesh_terms: D001458:Bandages; D001983:Bronchial Fistula / Q000209:etiology / Q000601:surgery*; D001999:Bronchoscopy / Q000009:adverse effects* / Q000379:methods; D002289:Carcinoma, Non-Small-Cell Lung / Q000601:surgery; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010636:Phenols / Q000627:therapeutic use*; D010995:Pleural Diseases / Q000209:etiology / Q000601:surgery*; D011030:Pneumothorax / Q000209:etiology; D016896:Treatment Outcome
chemical_list: D010636:Phenols; C004554:2,4,6-tribromophenol