Pyothorax with fistula.
A 27-year-old female patient. In 2012 and again in 2016, she underwent anti-tuberculosis chemotherapy due to fibrocavitary pulmonary tuberculosis. In February 2017, she developed hemoptysis with episodes of pulmonary bleeding. In March 2017, an emergency left-sided pneumonectomy was performed on vital indications.
Several weeks after surgery, stump insufficiency developed. The patient’s condition progressively worsened; therefore, closure of the left main bronchus with a valvular bronchial blocker was indicated. Under general anesthesia and using rigid bronchoscopy, a MEDLUNG No. 13 bronchial blocker was placed in the left main bronchus.
Immediately after the procedure, air leakage from the pleural drainage ceased, and complete airtightness was achieved. The patient was discharged home in improved clinical condition.
At present, she is in good general condition and has gained weight (previously 37 kg, currently 53 kg).
- Chest CT (coronal view) prior to pneumonectomy.
- Chest CT (axial view) prior to pneumonectomy.
- Pyothorax 1 week prior to bronchial blockade.
- Valvular bronchial blockade.
- Chest radiography 2 months after blockade.
- Chest radiography 4 months after blockade.
- Chest CT (axial view) 7 months after blockade.
- Chest CT 7 months after blockade.
- Bronchoscopy 8 months after blockade.
- Bronchoscopy 10 months after blockade.
- Comparison.
