Successful endobronchial occlusion in empyema with broncho‐pleural fistula secondary to COVID‐19 pneumonia: a case report and literature review
Abstract A few cases of empyema secondary to coronavirus disease 2019 (COVID‐19) pneumonia have been reported. Here, we report our experience of a successful endobronchial occlusion using endobronchial Watanabe spigots (EWSs) for empyema with broncho‐pleural fistula secondary to COVID‐19 pneumonia....
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-07-01
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| Series: | Respirology Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/rcr2.785 |
| _version_ | 1818449723905802240 |
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| author | Takahito Nakano Masahiro Kawada Kensuke Minami Hiroyuki Kaneda |
| author_facet | Takahito Nakano Masahiro Kawada Kensuke Minami Hiroyuki Kaneda |
| author_sort | Takahito Nakano |
| collection | DOAJ |
| description | Abstract A few cases of empyema secondary to coronavirus disease 2019 (COVID‐19) pneumonia have been reported. Here, we report our experience of a successful endobronchial occlusion using endobronchial Watanabe spigots (EWSs) for empyema with broncho‐pleural fistula secondary to COVID‐19 pneumonia. A 62‐year‐old man was diagnosed with COVID‐19 and progressed to empyema with broncho‐pleural fistula. Computed tomography (CT) imaging showed cyst formation and the right B5b was presumed to be a branch dependent on the cyst. The effusion and air in the pleural cavity were well drained, although the air leak persisted. Endobronchial occlusion was performed for right B5a and B5b using 7‐ and 5‐mm EWSs (Novatech, France), respectively, and the air leak ceased. This is the first report of successful treatment of empyema with bronchial fistula with endobronchial occlusion. Air leak secondary to COVID‐19 pneumonia with a limited number of air cysts may be a good indication for endobronchial occlusion. |
| first_indexed | 2024-12-14T20:39:57Z |
| format | Article |
| id | doaj.art-bd7ee4fdd4ae4f6ba442f856795da965 |
| institution | Directory Open Access Journal |
| issn | 2051-3380 |
| language | English |
| last_indexed | 2024-12-14T20:39:57Z |
| publishDate | 2021-07-01 |
| publisher | Wiley |
| record_format | Article |
| series | Respirology Case Reports |
| spelling | doaj.art-bd7ee4fdd4ae4f6ba442f856795da9652022-12-21T22:48:19ZengWileyRespirology Case Reports2051-33802021-07-0197n/an/a10.1002/rcr2.785Successful endobronchial occlusion in empyema with broncho‐pleural fistula secondary to COVID‐19 pneumonia: a case report and literature reviewTakahito Nakano0Masahiro Kawada1Kensuke Minami2Hiroyuki Kaneda3Division of Thoracic Surgery Kansai Medical University Medical Center Moriguchishi JapanDivision of Trauma and Surgical Critical Care Osaka General Medical Center Osakashi JapanDivision of Trauma and Surgical Critical Care Osaka General Medical Center Osakashi JapanDivision of Thoracic Surgery Kansai Medical University Medical Center Moriguchishi JapanAbstract A few cases of empyema secondary to coronavirus disease 2019 (COVID‐19) pneumonia have been reported. Here, we report our experience of a successful endobronchial occlusion using endobronchial Watanabe spigots (EWSs) for empyema with broncho‐pleural fistula secondary to COVID‐19 pneumonia. A 62‐year‐old man was diagnosed with COVID‐19 and progressed to empyema with broncho‐pleural fistula. Computed tomography (CT) imaging showed cyst formation and the right B5b was presumed to be a branch dependent on the cyst. The effusion and air in the pleural cavity were well drained, although the air leak persisted. Endobronchial occlusion was performed for right B5a and B5b using 7‐ and 5‐mm EWSs (Novatech, France), respectively, and the air leak ceased. This is the first report of successful treatment of empyema with bronchial fistula with endobronchial occlusion. Air leak secondary to COVID‐19 pneumonia with a limited number of air cysts may be a good indication for endobronchial occlusion.https://doi.org/10.1002/rcr2.785Air cystbroncho‐pleural fistulaCOVID‐19empyemaendobronchial occlusion |
| spellingShingle | Takahito Nakano Masahiro Kawada Kensuke Minami Hiroyuki Kaneda Successful endobronchial occlusion in empyema with broncho‐pleural fistula secondary to COVID‐19 pneumonia: a case report and literature review Respirology Case Reports Air cyst broncho‐pleural fistula COVID‐19 empyema endobronchial occlusion |
| title | Successful endobronchial occlusion in empyema with broncho‐pleural fistula secondary to COVID‐19 pneumonia: a case report and literature review |
| title_full | Successful endobronchial occlusion in empyema with broncho‐pleural fistula secondary to COVID‐19 pneumonia: a case report and literature review |
| title_fullStr | Successful endobronchial occlusion in empyema with broncho‐pleural fistula secondary to COVID‐19 pneumonia: a case report and literature review |
| title_full_unstemmed | Successful endobronchial occlusion in empyema with broncho‐pleural fistula secondary to COVID‐19 pneumonia: a case report and literature review |
| title_short | Successful endobronchial occlusion in empyema with broncho‐pleural fistula secondary to COVID‐19 pneumonia: a case report and literature review |
| title_sort | successful endobronchial occlusion in empyema with broncho pleural fistula secondary to covid 19 pneumonia a case report and literature review |
| topic | Air cyst broncho‐pleural fistula COVID‐19 empyema endobronchial occlusion |
| url | https://doi.org/10.1002/rcr2.785 |
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