Abstract
A 73-year-old woman had a middle and lower lobectomy with metastatic lung cancer. After the operation she had an intractable fever and was found to have bronchopleural fistula by bronchoscopy. Reoperation was difficult because of her poor general condition. Endoscopiclly ethanol was injected to the bronchopleural fistula after unsuccessful treatment by OK432 injections. The ethanol injection induced tissue marked fibrosis which closed the fistula. The use of ethanol injection to close a bronchopleural fistula has not as yet been reported in the medical literature. The idea to use this method was suggested by the effects to endoscopic sclerotherapy of esophageal varices and endoscopic ethanol injection therapy to gastric bleeding and early gastric cancer.