Surgical treatment of bronchopleural complications after lung resection and pleurectomy in patients with tuberculosis

Гиллер, Д.Б.; Кесаев, О.Ш.; Короев, В.В.; Enilenis, I.I.; Щербакова, Г. В.; Роменко, М. А.; Ratobylsky, G.V.; Pekhtusov, V.A.; Мартель, И. И.

doi:10.17116/hirurgia202111139

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2023

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“…Many therapeutic strategies have been implemented in the treatment of BPF[ 5 - 11 ], but a consensus on the best treatment modality has yet to be reached. The current therapeutic options can be complementary, and the treatment needs to be individualized[ 12 ].…”

Section: Discussionmentioning

confidence: 99%

Successful surgical treatment of bronchopleural fistula caused by severe pulmonary tuberculosis: A case report and review of literature

Shen¹,

Jiang²,

Dai³

2023

World J Clin Cases

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BACKGROUND Bronchopleural fistula (BPF) is a relatively rare, but severe complication of pulmonary tuberculosis. It is associated with significant mortality; however, its management remains a major therapeutic challenge. CASE SUMMARY We present a 24-year-old man with BPF resulting from severe pulmonary tuberculosis combined with mixed infections. The damaged right upper lobe and concomitant empyema were demonstrated via computed tomography. After undergoing open-window thoracostomy and tuberculosis treatment for 4 mo, decortication and right upper lobectomy were subsequently performed, leading to the resolution of tuberculosis and other concurrent pulmonary infections. Follow-up, 6 mo after surgery, failed to reveal any evidence of infection recurrence resulting in a good prognosis. CONCLUSION The disease course of tuberculous BPF is particularly challenging. Surgical intervention serves as an effective and safe therapeutic strategy for BPF.

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Section: Discussionmentioning

confidence: 99%