Use of an omental pedicle flap to treat chronic pyothorax and bronchopleural fistula in a patient with malignant lymphoma

概要

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Chronic pyothorax with bronchopleural fistula and thoracic malignant lymphoma was successfully treated by omental pedicle flap and chest wall muscles. A 61-year-old man who had had an episode of pulmonary tuberculosis treated with artificial pneumothorax 37 years ago was admitted with chronic empyema. After tube drainage, open thoracotomy was performed. A soft tumor on the empyema cavity wall was biopsied and found to be a B cell malignant lymphoma. Following after the tumor had disappeared (CR) the chemotherapy (VEPA-B), muscle and omental flap closure of the empyema space and thoracoplasty were performed. The omental flap was pulled into the empyema cavity and fixed over the bronchopleural fistula. The patient is alive eight months after surgery.
特定非営利活動法人日本呼吸器外科学会の論文