Informatics Publishing Limited

Dinesh Mehta ¹, Sachin Bansal ², Sameer Singhal ², Nitin Tangri ², Sulbha Singla ², Sanchit Wadhwa ², Chavi Mehta ³

Affiliations
1 Department of Pulmonary Medicine, MMIMSR, Mullana, 406, Model Colony, Yamunanaga, Ambala, Haryana-135001, IN
2 Department of Pulmonary Medicine, MMIMSR, Mullana, Ambala, Haryana, IN
3 MLGH Civil Hospital, Yamunanagar, Haryana, IN

Abstract

Persistent bronchopleural fistula (BPF) is a challenging management problem. Bronchoscopic closure of BPF with instillation of absolute ethanol is a minimallv invasive technique for managing BPF. We present a case that was successfully treated with this method. In India this is the'first report if the bronchoscopic closure of BPF by injecting absolute ethanol, and we would recommend this treatment as very economical, effective and safe first-line therapy for patients with a BPF with an orifice that is < 5 mm in diameter.

This case was successfully treated by injecting absolute ethanol directly into the submucosal layer of the fistula and with no complication and a follow up of six months.

Keywords

Bronchopleural Fistula, Fibreoptic Bronchoscopy, Absolute Ethanol.

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Sanchit Wadhwa ¹, Manish Verma ², Qazi Najeeb ³, Chintu Chaudhary ³

Affiliations
1 Medical Intensive Care Unit, Fortis Hospital, Mohali, IN
2 Verma Nursing Home, Ladwa, Haryana, IN
3 MMIMSR, Mullan, Ambala, Haryana, IN

Abstract

Pleurosubcutaneous fistula is a very rare entity. It is defined as a pathologic communication between the pleural space and the subcutaneous tissues. We describe a 55 year old man with left sided empyema who underwent chest tube placement. After removal of the chest tube, he developed chest wall lump. Diagnosis of pleurosubcutaneous fistula was made on clinical examination and chest radiograph findings.

Keywords

Pleurosubcutaneous, Fistula, Pneumothorax.

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