Successful treatment of pyopneumothorax with bronchopleural fistula using endobronchial Watanabe spigots
Abstract Bronchopleural fistula (BPF) can complicate necrotizing pneumonia. Surgery would be indicated in patients who fail conservative management, yet this group is often of poor pulmonary function and general condition. Bronchial occlusion with endobronchial Watanabe spigots (EWS) can be a potent...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2020-07-01
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| Series: | Respirology Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/rcr2.562 |
| _version_ | 1818407994923155456 |
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| author | Chan Sin Chai Swee Kim Chan Sze Shyang Kho Mei Ching Yong Siew Teck Tie |
| author_facet | Chan Sin Chai Swee Kim Chan Sze Shyang Kho Mei Ching Yong Siew Teck Tie |
| author_sort | Chan Sin Chai |
| collection | DOAJ |
| description | Abstract Bronchopleural fistula (BPF) can complicate necrotizing pneumonia. Surgery would be indicated in patients who fail conservative management, yet this group is often of poor pulmonary function and general condition. Bronchial occlusion with endobronchial Watanabe spigots (EWS) can be a potential alternative treatment when the culprit bronchi can be isolated. In this case report, we describe a middle‐aged gentleman who presented with necrotizing pneumonia complicated with pyopneumothorax with right upper lobe BPF, and who had failed to respond to chest drainage and antibiotics. EWS bronchial occlusion finally led to cessation of air leak, allowing removal of chest tube. EWS were removed uneventfully six months later. This case highlights the role of EWS in the management of BPF in patients with high surgical risk. |
| first_indexed | 2024-12-14T09:36:41Z |
| format | Article |
| id | doaj.art-6e415752b6434254a25bb7e26fe3b931 |
| institution | Directory Open Access Journal |
| issn | 2051-3380 |
| language | English |
| last_indexed | 2024-12-14T09:36:41Z |
| publishDate | 2020-07-01 |
| publisher | Wiley |
| record_format | Article |
| series | Respirology Case Reports |
| spelling | doaj.art-6e415752b6434254a25bb7e26fe3b9312022-12-21T23:07:54ZengWileyRespirology Case Reports2051-33802020-07-0185n/an/a10.1002/rcr2.562Successful treatment of pyopneumothorax with bronchopleural fistula using endobronchial Watanabe spigotsChan Sin Chai0Swee Kim Chan1Sze Shyang Kho2Mei Ching Yong3Siew Teck Tie4Division of Respiratory Medicine, Department of Internal Medicine Sarawak General Hospital Kuching Sarawak MalaysiaDivision of Respiratory Medicine, Department of Internal Medicine Sarawak General Hospital Kuching Sarawak MalaysiaDivision of Respiratory Medicine, Department of Internal Medicine Sarawak General Hospital Kuching Sarawak MalaysiaDivision of Respiratory Medicine, Department of Internal Medicine Sarawak General Hospital Kuching Sarawak MalaysiaDivision of Respiratory Medicine, Department of Internal Medicine Sarawak General Hospital Kuching Sarawak MalaysiaAbstract Bronchopleural fistula (BPF) can complicate necrotizing pneumonia. Surgery would be indicated in patients who fail conservative management, yet this group is often of poor pulmonary function and general condition. Bronchial occlusion with endobronchial Watanabe spigots (EWS) can be a potential alternative treatment when the culprit bronchi can be isolated. In this case report, we describe a middle‐aged gentleman who presented with necrotizing pneumonia complicated with pyopneumothorax with right upper lobe BPF, and who had failed to respond to chest drainage and antibiotics. EWS bronchial occlusion finally led to cessation of air leak, allowing removal of chest tube. EWS were removed uneventfully six months later. This case highlights the role of EWS in the management of BPF in patients with high surgical risk.https://doi.org/10.1002/rcr2.562Air leakagebronchial occlusionbronchopleural fistulaendobronchial Watanabe spigotpyopneumothorax |
| spellingShingle | Chan Sin Chai Swee Kim Chan Sze Shyang Kho Mei Ching Yong Siew Teck Tie Successful treatment of pyopneumothorax with bronchopleural fistula using endobronchial Watanabe spigots Respirology Case Reports Air leakage bronchial occlusion bronchopleural fistula endobronchial Watanabe spigot pyopneumothorax |
| title | Successful treatment of pyopneumothorax with bronchopleural fistula using endobronchial Watanabe spigots |
| title_full | Successful treatment of pyopneumothorax with bronchopleural fistula using endobronchial Watanabe spigots |
| title_fullStr | Successful treatment of pyopneumothorax with bronchopleural fistula using endobronchial Watanabe spigots |
| title_full_unstemmed | Successful treatment of pyopneumothorax with bronchopleural fistula using endobronchial Watanabe spigots |
| title_short | Successful treatment of pyopneumothorax with bronchopleural fistula using endobronchial Watanabe spigots |
| title_sort | successful treatment of pyopneumothorax with bronchopleural fistula using endobronchial watanabe spigots |
| topic | Air leakage bronchial occlusion bronchopleural fistula endobronchial Watanabe spigot pyopneumothorax |
| url | https://doi.org/10.1002/rcr2.562 |
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