Intercostal muscle flap for repair of bronchopleural fistula

A 50-year-old male patient, a known case of chronic obstructive pulmonary disease (COPD), presented with the features of bronchopleural fistula (BPF) on the right side for 1 month. The patient was a chronic smoker and did not give any history suggestive of pulmonary Koch′s. The patient had sudden-on...

Full description

Bibliographic Details
Main Authors: Vikas Deep Goyal, Bharti Gupta, Sanjeev Sharma
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Lung India
Subjects:
Online Access:http://www.lungindia.com/article.asp?issn=0970-2113;year=2015;volume=32;issue=2;spage=152;epage=154;aulast=Goyal
_version_ 1811212274780602368
author Vikas Deep Goyal
Bharti Gupta
Sanjeev Sharma
author_facet Vikas Deep Goyal
Bharti Gupta
Sanjeev Sharma
author_sort Vikas Deep Goyal
collection DOAJ
description A 50-year-old male patient, a known case of chronic obstructive pulmonary disease (COPD), presented with the features of bronchopleural fistula (BPF) on the right side for 1 month. The patient was a chronic smoker and did not give any history suggestive of pulmonary Koch′s. The patient had sudden-onset breathlessness and chest pain 1 month before, which was diagnosed to be due to spontaneous pneumothorax. An intercostal drain was inserted but even after 1 month of all conservative measures, the lung remained collapsed and there was large air leak in the intercostal drain. Computed tomogram (CT) of the chest revealed collapsed and entrapped lung with surgical emphysema of the subcutaneous tissues due to rupture of the emphysematous bulla on the right side along with the presence of emphysematous bullae on the left upper lobe also. Surgical intervention in the form of decortication of entrapped lung and repair of the BPF with intercostal muscle flap was performed. The patient recovered well and was discharged after 10 days.
first_indexed 2024-04-12T05:26:26Z
format Article
id doaj.art-14ee9fc41f284841aa857ffb4d04a519
institution Directory Open Access Journal
issn 0970-2113
0974-598X
language English
last_indexed 2024-04-12T05:26:26Z
publishDate 2015-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Lung India
spelling doaj.art-14ee9fc41f284841aa857ffb4d04a5192022-12-22T03:46:14ZengWolters Kluwer Medknow PublicationsLung India0970-21130974-598X2015-01-0132215215410.4103/0970-2113.152628Intercostal muscle flap for repair of bronchopleural fistulaVikas Deep GoyalBharti GuptaSanjeev SharmaA 50-year-old male patient, a known case of chronic obstructive pulmonary disease (COPD), presented with the features of bronchopleural fistula (BPF) on the right side for 1 month. The patient was a chronic smoker and did not give any history suggestive of pulmonary Koch′s. The patient had sudden-onset breathlessness and chest pain 1 month before, which was diagnosed to be due to spontaneous pneumothorax. An intercostal drain was inserted but even after 1 month of all conservative measures, the lung remained collapsed and there was large air leak in the intercostal drain. Computed tomogram (CT) of the chest revealed collapsed and entrapped lung with surgical emphysema of the subcutaneous tissues due to rupture of the emphysematous bulla on the right side along with the presence of emphysematous bullae on the left upper lobe also. Surgical intervention in the form of decortication of entrapped lung and repair of the BPF with intercostal muscle flap was performed. The patient recovered well and was discharged after 10 days.http://www.lungindia.com/article.asp?issn=0970-2113;year=2015;volume=32;issue=2;spage=152;epage=154;aulast=GoyalBronchopleural fistulaempyemaentrapped lungintercostal muscle flap
spellingShingle Vikas Deep Goyal
Bharti Gupta
Sanjeev Sharma
Intercostal muscle flap for repair of bronchopleural fistula
Lung India
Bronchopleural fistula
empyema
entrapped lung
intercostal muscle flap
title Intercostal muscle flap for repair of bronchopleural fistula
title_full Intercostal muscle flap for repair of bronchopleural fistula
title_fullStr Intercostal muscle flap for repair of bronchopleural fistula
title_full_unstemmed Intercostal muscle flap for repair of bronchopleural fistula
title_short Intercostal muscle flap for repair of bronchopleural fistula
title_sort intercostal muscle flap for repair of bronchopleural fistula
topic Bronchopleural fistula
empyema
entrapped lung
intercostal muscle flap
url http://www.lungindia.com/article.asp?issn=0970-2113;year=2015;volume=32;issue=2;spage=152;epage=154;aulast=Goyal
work_keys_str_mv AT vikasdeepgoyal intercostalmuscleflapforrepairofbronchopleuralfistula
AT bhartigupta intercostalmuscleflapforrepairofbronchopleuralfistula
AT sanjeevsharma intercostalmuscleflapforrepairofbronchopleuralfistula