Thoracic Empyema due to Gunshot Wounds Successfully Treated with Fenestration in a Low-resource Setting—A Case Report—

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  • 医療資源の限られた環境下で胸腔開窓術を行った銃創による膿胸の1例
  • 症例 医療資源の限られた環境下で胸腔開窓術を行った銃創による膿胸の1例
  • ショウレイ イリョウ シゲン ノ カギラレタ カンキョウ カ デ キョウコウ カイソウジュツ オ オコナッタ ジュウソウ ニ ヨル ノウキョウ ノ 1レイ

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Abstract

<p>A 25-year-old woman in the northern region of South Sudan was shot on the roadside and transported to a hospital for treatment of gunshot wounds in the chest and abdominal regions. Laparotomy and left chest tube insertion were performed. The gunshot exit wound on the chest wall was closed. Thoracic empyema was noted on hospitalization day 10 ; drainage via the chest tube and continued antibiotic treatment did not produce improvement. After fenestration to the left chest on hospitalization day 17, the patient recovered and was discharged on hospitalization day 31. As the hospital and operating theater settings were not equipped with ventilators and only had oxygen of low concentration, it was difficult to decide whether fenestration should be performed or not. However, if normal drainage is insufficient, fenestration for thoracic empyema may be a valid option in low-resource settings.</p>

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