Development of alveolar-pleural fistula during hepatectomy: A case report
Anesthesia and Pain Medicine
;
: 456-459, 2019.
Artigo
em Inglês
| WPRIM
| ID: wpr-785361
ABSTRACT
BACKGROUND:
An Alveolar-pleural fistula is communication between the alveoli and the pleural space that may result in intractable pneumothorax, severe infection, respiratory failure, physical weakness, and even death.CASE A 70-year-old male underwent right hepatectomy with a cystic mass of the liver. During the operation, peak airway pressure abruptly increased and a serous fluid was regurgitated through the endotracheal tube. Lung isolation was immediately performed with a double-lumen endotracheal tube. Approximately 1,000 ml of exudate was drained through endotracheal tube. Thoracostomy was performed at right lung. Analysis of fluid from endotracheal tube and pleural effusion consistent with parapneumonic effusion.CONCLUSIONS:
We presented a case of alveolar-pleural fistula caused by pneumonia presenting with massive exudate fluid regurgitated from the endotracheal tube that was managed with bronchial suction, lung isolation, and thoracostomy and improved without surgical repair of the fistula.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Derrame Pleural
/
Pneumonia
/
Pneumotórax
/
Insuficiência Respiratória
/
Sucção
/
Toracostomia
/
Exsudatos e Transudatos
/
Ventilação Monopulmonar
/
Fístula
/
Hepatectomia
Limite:
Idoso
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Anesthesia and Pain Medicine
Ano de publicação:
2019
Tipo de documento:
Artigo
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