Details

Autor(en) / Beteiligte

• Takigawa, Yuki
• Kudo, Kenichiro
• Sato, Ken
• Inoue, Tomoyoshi
• Onishi, Kiriko
• Mitsumune, Sho
• Watanabe, Hiromi
• Sato, Akiko
• Fujiwara, Keiichi
• Shibayama, Takuo

Titel

Successful Treatment of Fistulous Pyothorax by Bronchial Occlusion with Repetitive Endobronchial Watanabe Spigot Placement

Ist Teil von

• The Journal of the Japan Society for Respiratory Endoscopy, 2022/07/25, Vol.44(4), pp.300-304

Ort / Verlag

The Japan Society for Respiratory Endoscopy

Erscheinungsjahr

2022

Link zum Volltext

Quelle

EZB Free E-Journals

Beschreibungen/Notizen

• Background. Although the efficacy of bronchial occlusion with an Endobronchial Watanabe Spigot (EWS) for fistulous pyothorax has been noted, there are few case reports that describe the procedure and identify the bronchus causing fistulous pyothorax in detail in Japan. We identified the causative bronchus by indigocarmine solution injection and balloon occlusion test and performed bronchial occlusion with two EWSs to successfully treat fistulous pyothorax. Case Presentation. A 40-year-old man was treated with thoracic drainage with chest tube and antibiotics. However, he did not show improvement of air leak, and follow-up chest computed tomography revealed a fistulous pyothorax. The patient was referred to the Department of Respiratory Medicine for bronchoscopic treatment. He underwent bronchoscopy three times to identify the responsible bronchi and received bronchial occlusion with an EWS using a combination of techniques. Gradual reduction and termination of the air leak was obtained. The chest tube was removed 14 days after the first bronchoscopy, and we confirmed the successful treatment of fistulous pyothorax. Conclusion. Bronchial occlusion with an EWS in combination with several techniques was useful for treating fistulous pyothorax.