title: [Acute empyema with fistula successfully treated by curettage and endobronchial Watanabe spigot (EWS)].
abstract: A 49-year-old woman was referred to our hospital because of empyema. A chest drainage tube inserted and lavage performed. Her general condition improved but the infection and a major air leakage remained. On the 10th day after chest drainage, we performed thoracoscopic debridement and occlusion of bronchopleural fistulas using cellulose oxidized( Surgicel) and fibrin glue. Expansion of the lung and the improvement of inflammation were observed. but a major air leakage remained. On 29th postoperative day, we performed bronchial embolization using endobronchial Watanabe spigot (EWS). The leakage stopped the 7 days after bronchial embolization, we removed chest tube and 10 days after bronchial embolization she was discharged.
authors.affiliation: Department of Chest Surgery, Takamatsu Red-cross Hospital, Takamatsu, Japan.
authors.forename: Masafumi
authors.initials: M
authors.lastname: Tamaki
authors.forename: Kazumasa
authors.initials: K
authors.lastname: Miura
authors.forename: Shoko
authors.initials: S
authors.lastname: Norimura
authors.forename: Koichirou
authors.initials: K
authors.lastname: Kenzaki
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Yoshizawa
mesh_terms: D000208:Acute Disease; D002483:Cellulose, Oxidized / Q000627:therapeutic use; D004322:Drainage; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D016724:Empyema, Pleural / Q000628:therapy*; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use; D006801:Humans; D008875:Middle Aged; D016156:Respiratory Tract Fistula / Q000628:therapy; D007507:Therapeutic Irrigation
chemical_list: D002483:Cellulose, Oxidized; D015718:Fibrin Tissue Adhesive; C013695:Surgicel