One patient later diagnosed
bronchopleural fistula (BPF) on day 30 but never became sputum positive for AFB any in FU.
Table 1: Indications for thoracostomy in groups Injury Trochar ICD Blunt ICD n=25 (%) Cn=25 (%) Hemothorax 14 (56) 13 (52) Pneumothorax 9 (26) 10 (40) Tension 2 (8) 1 (4) pneumothorax Flail chest 4 (16) 5 (20) Table 2: Complications Complications Trochar thoracostomy Blunt thoracostom n=25(%) y (n=25) Vascular injury 1 (6.66) 0 Diaphragm injury 1 (6.66) 0 Splenic injury 1 (6.66) 0 Liver injury 0 0 Bowel injury 1 (6.66) 0
Bronchopleural 1 (6.66) 0 fistula Heart injury 0 0 Subcutaneous 3 (20) 0 placement Intraparenchymal 1 (6.66) 0 placement Re-expansion 0 0 pulmonary edema Phrenic nerve 0 0 injury Esophageal 0 0 perforation Chylothorax 0 0 Cardiac 0 0 dysrhythmias Infectious 2 (13.33) 2 (13.33) complications
Use of a serratus anterior musculocutaneous flap for surgical obliteration of a
bronchopleural fistula.
This difference in outcome was attributed to associated
Bronchopleural fistula present in 50% of our empyema patients.
The result can be a pneumothorax, hydropneumothorax, empyema, or
bronchopleural fistula [2].
N Incidence Perioperative complications (cases) rates (%) Noninfective inflammation of the 38 100.00 ipsilateral lung Ipsilateral pleural effusion 32 84.21 In a small amount 27 71.05 In a large amount needing drainage 5 13.16 Ipsilateral secondary pneumothorax 24 63.16 Nontension pneumothorax 22 57.90 Tension pneumothorax 2 5.26 Subcutaneous emphysema 7 18.42 Asymptomatic ipsilateral pleural thickening 13 34.21
Bronchopleural fistula 0 0.00 Mortality 0
Urayama, "Endobronchial occlusion method of
bronchopleural fistula with metallic coils and glue," The Thoracic and Cardiovascular Surgeon, vol.
The symptoms can progress to cavities, formation of
bronchopleural fistula, aspergilloma, atypical mycobacterial infections, chronic or recurrent pneumonia in areas of lung damage, and concurrent neoplasms in 5% of cases [2].
We present a case of disseminated Salmonellosis complicated by
bronchopleural fistula with secondary in a patient with AIDS.
Type of complications Number of patients Anemia 1 Immediate postop bleeding 1
Bronchopleural fistula 1 Postop empyema 1 Type of complications Treatment Anemia Transfusion of 3 units of blood Immediate postop bleeding Taking back to the operating room the same day
Bronchopleural fistula Taking back to the operating room at day 4 Postop empyema Drainage Type of complications Prognosis Anemia Good Immediate postop bleeding Good
Bronchopleural fistula Good Postop empyema Good
The major postoperative complication are atelectasis (17,5%), prolonged air leakage (4.1%), wound infection (2%) and
bronchopleural fistula (1%) in childhood population (23).
The use of a Dumon stent for the treatment of a
bronchopleural fistula.