VATS for Pneumopyothorax due to Ruptured Lung Abscess: A Case Report

Hachisuka, Yasuki; Uomoto, Masashi

doi:10.2995/jacsurg.21.064

Cited by 2 publications

(1 citation statement)

References 5 publications

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“…The treatment of a ruptured or perforated LA is difficult. Including our case, 18 cases involving empyema associated with LA rupture or perforation have been reported (Table 1) [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20]. The coexistence of diabetes mellitus occurred in eight cases [6-8, 10-12, 14, 19].…”

Section: Discussionmentioning

confidence: 99%

Successful surgical treatment of an intraoperatively ruptured lung abscess rupture using free pericardial fat implantation: a case report

Iijima,

Mizoguchi,

Ishikawa

et al. 2024

surg case rep

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Background Lung abscess treatment results the treatment results improved with the development of antibiotics; however, surgical treatment is indicated when pyothorax is present, surgical treatment is indicated. When a lung abscess ruptures, pyothorax and fistula occur, which are difficult to treat. Case presentation A 74-year-old woman who experienced exacerbated dyspnea and left back pain for 10 days was diagnosed with a lung abscess caused by an odontogenic infection. The patient’s medical history included hypertension, angina pectoris, untreated dental caries, and periodontitis. Despite administration of meropenem for 5 days, inflammatory markers increased. Chest radiography revealed pleural effusion exacerbation; therefore, the patient immediately underwent chest drainage and surgery was planned. Thoracic debridement and parietal and visceral decortication were performed. However, the lung abscess in the lateral basal segment ruptured during visceral decortication. As the tissue was fragile and difficult to close with sutures, free pericardial fat was implanted in the ruptured abscess cavity and fixed with fibrin glue, and sutured to the abscess wall. No signs of postoperative air leakage or infection of the implanted pericardial fat were observed. All drainage tubes were removed by postoperative day 9. The patient was discharged on postoperative day 12 and underwent careful observation during follow-up as an outpatient. At 1 year and 2 months after surgery, empyema recurrence was not observed. Conclusions A lung abscess that ruptured intraoperatively was successfully and effectively treated by implantation of free pericardial fat in the abscess cavity.

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Section: Discussionmentioning

confidence: 99%

Successful surgical treatment of an intraoperatively ruptured lung abscess rupture using free pericardial fat implantation: a case report

Iijima,

Mizoguchi,

Ishikawa

et al. 2024

surg case rep

View full text Add to dashboard Cite

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Hemoptysis due to ruptured lung abscess successfully treated by exploratory thoracoscopy: report of a case

Miyano,

Oyama,

Saito

et al. 2023

Gen Thorac Cardiovasc Surg Cases

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Background Ruptured lung abscess is rare and a serious medical concern. We reported a rare case of exploratory thoracoscopy for hemoptysis and empyema due to ruptured lung abscess. Case A 49-year-old man visited our hospital due to hemoptysis. Chest CT showed a left empyema due to ruptured lung abscess in the left lower lobe. Exploratory thoracoscopy revealed thoracic empyema with bronchopleural fistula, and thoracotomy was performed and curettage for empyema cavity, and closure of bronchopleural fistula was done. It was closed by sutures with polyglycolic-acid sheet as a pledget and covered with thickened pleura. A pneumonia and a small cavity, which seemed to be aspiration, were found on the healthy side, and the patient is being closely followed up. Conclusion We encountered a surgical case of ruptured lung abscess that is a cause of hemoptysis, and postoperative course was uneventful. Exploratory thoracoscopy was effective in confirming the fistula.

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VATS for Pneumopyothorax due to Ruptured Lung Abscess: A Case Report

Cited by 2 publications

References 5 publications

Successful surgical treatment of an intraoperatively ruptured lung abscess rupture using free pericardial fat implantation: a case report

Successful surgical treatment of an intraoperatively ruptured lung abscess rupture using free pericardial fat implantation: a case report

Hemoptysis due to ruptured lung abscess successfully treated by exploratory thoracoscopy: report of a case

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