Obstructive pneumonia owing to migration of a Teflon pledget at 8 years after surgery for a pulmonary carcinoid tumor: a case report
Abstract Background It is uncommon for a bronchial stump-related complication to develop during the remote postoperative period in a case of obstructive pneumonia owing to migration of the suture material. Here, we describe a case of bronchial obstructive pneumonia that developed owing to migration...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2019-10-01
|
| Series: | Surgical Case Reports |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40792-019-0734-2 |
| _version_ | 1818342011706540032 |
|---|---|
| author | Hikaru Watanabe Kohei Abe Naoki Kanauchi |
| author_facet | Hikaru Watanabe Kohei Abe Naoki Kanauchi |
| author_sort | Hikaru Watanabe |
| collection | DOAJ |
| description | Abstract Background It is uncommon for a bronchial stump-related complication to develop during the remote postoperative period in a case of obstructive pneumonia owing to migration of the suture material. Here, we describe a case of bronchial obstructive pneumonia that developed owing to migration of the suture material in the airway 8 years after pulmonary resection. Case presentation A 34-year-old woman underwent left lower lobectomy for a pulmonary carcinoid tumor (pT1bN0M0-stage IA) in 2010. She experienced obstructive pneumonia, and chest computed tomography revealed a mass protruding from the bronchial stump to the bronchial lumen in 2018. After treatment for pneumonia, flexible bronchoscopy showed the presence of a fibrous suture material (Teflon pledget) completely obstructing the left second carina. A week later, the Teflon pledget obstructing the bronchial lumen was removed using a flexible bronchoscope with the patient under general anesthesia. The procedure was completed without removing the small amount of granulation tissue because the bronchial lumen opened after removing the Teflon pledget. She has remained asymptomatic for 1 year after removal. Conclusions In this case, the complication of obstructive pneumonia developed owing to migration of the non-absorbable suture materials used to suture the bronchial stump. Bronchoscopic management of this rare complication comprised endobronchial removal with the patient under general anesthesia. Given our experience with this case, we believe that such conservative management should allow for excellent results in most instances and avoid the need for reoperation. |
| first_indexed | 2024-12-13T16:07:54Z |
| format | Article |
| id | doaj.art-7272c117f73541a4834a79a10e5dcd41 |
| institution | Directory Open Access Journal |
| issn | 2198-7793 |
| language | English |
| last_indexed | 2024-12-13T16:07:54Z |
| publishDate | 2019-10-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj.art-7272c117f73541a4834a79a10e5dcd412022-12-21T23:39:00ZengSpringerOpenSurgical Case Reports2198-77932019-10-01511410.1186/s40792-019-0734-2Obstructive pneumonia owing to migration of a Teflon pledget at 8 years after surgery for a pulmonary carcinoid tumor: a case reportHikaru Watanabe0Kohei Abe1Naoki Kanauchi2Department of General Thoracic Surgery, Nihonkai General HospitalDepartment of General Thoracic Surgery, Nihonkai General HospitalDepartment of General Thoracic Surgery, Nihonkai General HospitalAbstract Background It is uncommon for a bronchial stump-related complication to develop during the remote postoperative period in a case of obstructive pneumonia owing to migration of the suture material. Here, we describe a case of bronchial obstructive pneumonia that developed owing to migration of the suture material in the airway 8 years after pulmonary resection. Case presentation A 34-year-old woman underwent left lower lobectomy for a pulmonary carcinoid tumor (pT1bN0M0-stage IA) in 2010. She experienced obstructive pneumonia, and chest computed tomography revealed a mass protruding from the bronchial stump to the bronchial lumen in 2018. After treatment for pneumonia, flexible bronchoscopy showed the presence of a fibrous suture material (Teflon pledget) completely obstructing the left second carina. A week later, the Teflon pledget obstructing the bronchial lumen was removed using a flexible bronchoscope with the patient under general anesthesia. The procedure was completed without removing the small amount of granulation tissue because the bronchial lumen opened after removing the Teflon pledget. She has remained asymptomatic for 1 year after removal. Conclusions In this case, the complication of obstructive pneumonia developed owing to migration of the non-absorbable suture materials used to suture the bronchial stump. Bronchoscopic management of this rare complication comprised endobronchial removal with the patient under general anesthesia. Given our experience with this case, we believe that such conservative management should allow for excellent results in most instances and avoid the need for reoperation.http://link.springer.com/article/10.1186/s40792-019-0734-2Late complicationNon-absorbable suture materialPulmonary resectionLung carcinoid tumor |
| spellingShingle | Hikaru Watanabe Kohei Abe Naoki Kanauchi Obstructive pneumonia owing to migration of a Teflon pledget at 8 years after surgery for a pulmonary carcinoid tumor: a case report Surgical Case Reports Late complication Non-absorbable suture material Pulmonary resection Lung carcinoid tumor |
| title | Obstructive pneumonia owing to migration of a Teflon pledget at 8 years after surgery for a pulmonary carcinoid tumor: a case report |
| title_full | Obstructive pneumonia owing to migration of a Teflon pledget at 8 years after surgery for a pulmonary carcinoid tumor: a case report |
| title_fullStr | Obstructive pneumonia owing to migration of a Teflon pledget at 8 years after surgery for a pulmonary carcinoid tumor: a case report |
| title_full_unstemmed | Obstructive pneumonia owing to migration of a Teflon pledget at 8 years after surgery for a pulmonary carcinoid tumor: a case report |
| title_short | Obstructive pneumonia owing to migration of a Teflon pledget at 8 years after surgery for a pulmonary carcinoid tumor: a case report |
| title_sort | obstructive pneumonia owing to migration of a teflon pledget at 8 years after surgery for a pulmonary carcinoid tumor a case report |
| topic | Late complication Non-absorbable suture material Pulmonary resection Lung carcinoid tumor |
| url | http://link.springer.com/article/10.1186/s40792-019-0734-2 |
| work_keys_str_mv | AT hikaruwatanabe obstructivepneumoniaowingtomigrationofateflonpledgetat8yearsaftersurgeryforapulmonarycarcinoidtumoracasereport AT koheiabe obstructivepneumoniaowingtomigrationofateflonpledgetat8yearsaftersurgeryforapulmonarycarcinoidtumoracasereport AT naokikanauchi obstructivepneumoniaowingtomigrationofateflonpledgetat8yearsaftersurgeryforapulmonarycarcinoidtumoracasereport |