Empyema caused by thoracic cavity penetration of coil embolus after treatment for pulmonary arteriovenous malformation - A case report

DOI Web Site 5 References

Bibliographic Information

Other Title
  • 肺動静脈奇形に対して塞栓したコイルの胸腔内穿破による膿胸の1例

Search this article

Abstract

<p>Pulmonary arteriovenous malformations (PAVM) are often associated with hereditary hemorrhagic telangiectasia (HHT). Embolization using a coil or plug is the first choice of treatment. There are no reports of complications such as penetration of the coil into the thoracic cavity or empyema. A woman in her twenties with a history of HHT underwent coil embolization of the right S10 PAVM at another hospital five years ago. She visited our hospital with right chest pain and was admitted with mild right pneumothorax. After admission, pleural effusion increased, and blood examination showed an increased inflammatory reaction. Thoracoscopy was performed. In addition to empyema, the coil was exposed through the visceral pleura. We diagnosed empyema due to penetration of the coil into the thoracic cavity. After thoracoscopic debridement, we placed sutures in the lungs around the coil and closed the puncture site. After discharge, she continued to have a small amount of bloody sputum. Computed tomography three months after surgery showed a cystic lesion around the coil. As we suspected that the bronchus and coil were connected, we performed right lower lobectomy six months after the first surgery.</p>

Journal

References(5)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top