2011 Volume 25 Issue 7 Pages 767-772
A 64-year-old woman was admitted to the Department of Dermatology of our hospital with eruption and dysphagia in March 2009. Dermatomyositis was diagnosed because of a skin rash, proximal muscle weakness, CPK elevation, muscle pain, and CRP elevation. Further examination for malignancy revealed lung cancer in the right lower lobe. Steroid pulse therapy was performed because of dysphagia before the lung operation. A right lower lobectomy with lymph node dissection was conducted. On the ninth day after the lobectomy, pneumothorax occurred. Chest computed tomography and bronchoscopy revealed a bronchial stump fistula. On the 17th day after the operation, we closed the stump and covered it with omentum. The patient was transfered to the Department of Internal Medicine on the 26th hospital day for the treatment of dermatomyositis. We should take care of a bronchial fistula after lobectomy for lung cancer with dermatomyositis. Omentopexy was useful for the bronchial fistula.
