有瘻性膿胸に対してEWS を用いた気管支充填術と瘻孔内フィブリン糊注入 の併用が有効であった1例

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  • A case of empyema with a bronchial fistula successfully treated with EWS embolization and intrapleural administration of fibrin glue
  • ユウロウセイ ノウキョウ ニタイシテ EWS オ モチイタ キカンシ ジュウテンジュツ ト ロウコウナイ フィブリンコ チュウニュウ ノ ヘイヨウ ガユウコウ デアッタ 1レイ

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Abstract

Background : Empyema with a bronchial fistula is difficult to treat. Recently, bronchial occlusion using endobronchial Watanabe Spigot(EWS)ris reported to be useful for treatment of intractable pneumothorax and thoracic empyema. Case : A 60 year old man presented fever and left chest pain. He was diagnosed with empyema. Video- assisted thoracoscopic debridement and decortication for the empyema cavity and drainage for the abscess cavity were performed. Air leak appeared at postoperative day13. We performed EWS embolization and intrapleural administration of fibrin glue, and the persistent air leak disappeared. Conclusion : We experienced empyema with a bronchial fistula successfully treated with EWS embolization and intrapleural administration of fibrin glue.

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