2012
DOI: 10.1155/2012/714746
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Abstract: We report two cases in which we were able to diagnose bronchopleural fistula through retrograde methylene blue instillation during bronchoscopy. In the first case, methylene blue was injected through an abdominal drain, followed by air instillation and detected in the left bronchial tree, demonstrating the presence of a fistula in the lingula's bronchus. In the second case, methylene blue was injected into a pleural drain, through a breach on a surgical suture and detected in the right bronchial tree, demonstr… Show more

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Cited by 3 publications
(8 citation statements)
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“…In human medicine, the most common aetiologies of BPF’s are pulmonary infections, surgical procedures such as pulmonary (lobe) resection and less commonly chest trauma or further idiopathic causes (Ravenna et al. 2012). The percentage of patients forming a BPF is much higher in cases of necrotising pneumonia compared with parapneumonic effusions, pneumonia or pulmonary abscessation (Hoffer et al.…”
Section: Discussionmentioning
confidence: 99%
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“…In human medicine, the most common aetiologies of BPF’s are pulmonary infections, surgical procedures such as pulmonary (lobe) resection and less commonly chest trauma or further idiopathic causes (Ravenna et al. 2012). The percentage of patients forming a BPF is much higher in cases of necrotising pneumonia compared with parapneumonic effusions, pneumonia or pulmonary abscessation (Hoffer et al.…”
Section: Discussionmentioning
confidence: 99%
“…Anterograde instillation, where methylene blue is infused through the bronchoscope and visualised externally at the thoracic drain, may confirm the presence of a BPF, but does not identify its exact location (Ravenna et al. 2012). Retrograde instillation consists of injection of dye through a pleural drain or thoracotomy opening and evaluating the appearance of dye at the level of the bronchial tree endoscopically (Ravenna et al.…”
Section: Discussionmentioning
confidence: 99%
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