1999 Volume 13 Issue 7 Pages 904-909
A 31-year-old female with multiple metastatic lung cancer from uterus cancer underwent partial resection of bilateral lungs. Persistent air leakage following partial lung resection was treated by the conservative therapy of pleurodesis with closed drainage and bronchoscopic fibrin gluing. Unfortunately, it was unsuccessful. On the 26th postoperative day, as Aspergillus fumigatus was cultured from pleural effusion, the diagnosis of aspergillus empyema due to bronchopleural fistula was confirmed. Fluconazole was intravenously given, and Amphotericin-B was infused into the empyema cavity every day. One month later, pleural fluid became serous and grew neither fungus nor bacterium. Thereafter we successfully performed closure of the bronchopleural fistula by GRFG gluing and omentopexy. We believe GRFG gluing to be an effective and curative method for bronchopleural fistula.
