2006
DOI: 10.1055/s-2005-872975 View full text |Buy / Rent full text
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Abstract: Chest radiology proved to be the diagnostic modality of choice for early detection of bronchopleural fistula.

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“…2Y4 However, early bronchoscopy was not sensitive for the detection of bronchopleural communication. 18 Occult BPF or microfistula in which a tiny bronchial stump dehiscence may be present without objective confirmation with conventional modalities has been reported in the literature. 18,26 In this study, CT demonstrated central BPF in most cases including 1 patient with negative finding on bronchoscopy.…”
Section: Discussionmentioning
“…18 Occult BPF or microfistula in which a tiny bronchial stump dehiscence may be present without objective confirmation with conventional modalities has been reported in the literature. 18,26 In this study, CT demonstrated central BPF in most cases including 1 patient with negative finding on bronchoscopy. This result suggests that thin-section axial volume dataset and MPR images of multiYdetector row CT can enable the detection of small central BPF, which is difficult to detect by bronchoscopy.…”
Section: Discussionmentioning
“…While a gradual rise in air-fluid level within a few days (progressive mediastinal shift and lung herniation) and total obliteration of the postpneumonectomy space within weeks to months demonstrate the normal changes, unexpected deviations indicate the onset of possible complications. 16,35,36 CT should only be used in the presence of inconclusive radiographic findings, especially in the late postoperative period. The lateral decubitus position, which improves matching of pulmonary ventilation and perfusion, 37,38 and chest physiotherapy and postural training, which support the functional capacity and avoid thoracal deformities, 1 are other keen points in the prevention of postoperative morbidity.…”
Section: Discussionmentioning