2019 Volume 41 Issue 5 Pages 463-467
Background. It is very rare for inflammation to spread into the thoracic cavity from an iliopsoas abscess, and there have not been any reports of a case of bronchopleural fistula associated with iliopsoas abscess. Case. A 64-year-old man with Crohn's disease was treated for right empyema due to an iliopsoas abscess secondary to Crohn's disease by drainage and antibiotics. Although the empyema was improved by these treatments, the iliopsoas abscess developed into bronchopleural fistula and aspiration pneumonia 18 months after empyema improved. The patient received bronchial occlusion into the right B8 bronchus and right B9+10 bronchus with an Endobronchial Watanabe Spigot (EWS), and the aspiration pneumonia improved. At 52 months since bronchial occlusion, there have been no episodes of aspiration pneumonia due to the bronchopleural fistula after the bronchial occlusion. Conclusion. Bronchial occlusion with an EWS can maintain a good therapeutic outcome over the long term without serious side effects.