Endoscopic Bronchial Occlusion with Silicon Spigots for the Treatment of an Alveolar-pleural Fistula during Anti-tuberculosis Therapy for Tuberculous Empyema

A prolonged air leak caused by pulmonary tuberculosis is difficult to treat, and little is known about optimal treatment strategies. We herein report the case of a 60-year-old man who demonstrated tuberculous empyema with a fistula. An air leak from a tuberculous cavity in his left upper lobe persis...

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Bibliographic Details
Published in:Internal Medicine 2016/08/01, Vol.55(15), pp.2055-2059
Main Authors: Nishihara, Takashi, Hayama, Manabu, Okamoto, Norio, Tanaka, Ayako, Nishida, Takuji, Shiroyama, Takayuki, Tamiya, Motohiro, Morishita, Naoko, Suzuki, Hidekazu, Matsuoka, Hiroto, Hirashima, Tomonori
Format: Article
Language:English
Subjects:
alveolar-pleural fistula
Antitubercular Agents - therapeutic use
Bronchial Fistula - diagnostic imaging
Bronchial Fistula - therapy
Bronchoscopy - instrumentation
Embolization, Therapeutic - instrumentation
Empyema, Tuberculous - complications
Empyema, Tuberculous - drug therapy
endobronchial Watanabe spigot
endoscopic bronchial occlusion
Humans
Male
Middle Aged
Mycobacterium
Pleural Diseases - diagnostic imaging
Pleural Diseases - therapy
Treatment Outcome
tuberculosis
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Summary:A prolonged air leak caused by pulmonary tuberculosis is difficult to treat, and little is known about optimal treatment strategies. We herein report the case of a 60-year-old man who demonstrated tuberculous empyema with a fistula. An air leak from a tuberculous cavity in his left upper lobe persisted for approximately 4 months; surgical repair could not be performed due to a poor physical status and undernourishment. However, the air leak was successfully treated with endobronchial occlusion using two silicone spigots in left B3b and B4, without any adverse effects or aggravation of the infection.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.55.6672