Abstract
Single-stage omentopexy for chronic empyema with bronchopleural fistula was performed on a 58-year-old male complaining of cough, purulent sputum and fever. He underwent a thoracoplasty for pulmonary tuberculosis 32 years ago. Chest X-ray films and other examinations demonstrated right chronic empyema complicated with bronchopleural fistula. Although the posterior portions of the ribs overlying the empyema space were resected subperiosteally, complete filling of the empyema cavity could not be obtained together with the transplanted omental pedicle. Nevertheless, cough and purulent sputum disappeared 6 months postoperatively.