title: Endoscopic Bronchial Occlusion with Silicon Spigots for the Treatment of an Alveolar-pleural Fistula during Anti-tuberculosis Therapy for Tuberculous Empyema.
abstract: A prolonged air leak caused by pulmonary tuberculosis is difficult to treat, and little is known about optimal treatment strategies. We herein report the case of a 60-year-old man who demonstrated tuberculous empyema with a fistula. An air leak from a tuberculous cavity in his left upper lobe persisted for approximately 4 months; surgical repair could not be performed due to a poor physical status and undernourishment. However, the air leak was successfully treated with endobronchial occlusion using two silicone spigots in left B3b and B4, without any adverse effects or aggravation of the infection.
authors.affiliation: Department of Thoracic Malignancy, Osaka Prefectural Medical Center for Respiratory and Allergic Diseases, Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Nishihara
authors.forename: Manabu
authors.initials: M
authors.lastname: Hayama
authors.forename: Norio
authors.initials: N
authors.lastname: Okamoto
authors.forename: Ayako
authors.initials: A
authors.lastname: Tanaka
authors.forename: Takuji
authors.initials: T
authors.lastname: Nishida
authors.forename: Takayuki
authors.initials: T
authors.lastname: Shiroyama
authors.forename: Motohiro
authors.initials: M
authors.lastname: Tamiya
authors.forename: Naoko
authors.initials: N
authors.lastname: Morishita
authors.forename: Hidekazu
authors.initials: H
authors.lastname: Suzuki
authors.forename: Hiroto
authors.initials: H
authors.lastname: Matsuoka
authors.forename: Tomonori
authors.initials: T
authors.lastname: Hirashima
mesh_terms: D000995:Antitubercular Agents / Q000627:therapeutic use; D001983:Bronchial Fistula / Q000000981:diagnostic imaging / Q000628:therapy*; D001999:Bronchoscopy / Q000295:instrumentation*; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D004654:Empyema, Tuberculous / Q000150:complications* / Q000188:drug therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010995:Pleural Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D016896:Treatment Outcome
chemical_list: D000995:Antitubercular Agents