Infected giant bulla treated by percutaneous drainage followed later by resection: report of a case

A 55-year-old man was hospitalized for treatment of a giant, fluid-filled bulla in the upper lobe of the right lung. The infection was resistant to antibiotics, and the resulting drug-induced liver dysfunction prohibited us from performing emergency lobectomy. Percutaneous drainage of the bulla was...

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Bibliographic Details
Published in:Surgery today (Tokyo, Japan) Japan), 2007-08, Vol.37 (8), p.656-659
Main Authors: Hata, Yoshinobu, Takagi, Keigo, Sasamoto, Shuichi, Kato, Nobuhide, Satoh, Fumitomo, Otsuka, Hajime, Fukumori, Kazuhiko
Format: Article
Language:English
Subjects:
Blister - surgery
Blister - therapy
Chest Tubes
Humans
Lung - surgery
Lung Diseases - surgery
Lung Diseases - therapy
Male
Middle Aged
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Summary:A 55-year-old man was hospitalized for treatment of a giant, fluid-filled bulla in the upper lobe of the right lung. The infection was resistant to antibiotics, and the resulting drug-induced liver dysfunction prohibited us from performing emergency lobectomy. Percutaneous drainage of the bulla was done initially, using a 28-Fr chest tube, after which the symptoms of infection improved rapidly. Despite a small air leakage, which became evident on day 4 of drainage, shrinkage of the bulla was achieved, and elective bullectomy was performed after continuous drainage for 21 days. Thus, percutaneous drainage was effective in controlling the infection and minimizing the invasiveness of surgery.
ISSN:0941-1291
1436-2813
DOI:10.1007/s00595-007-3474-z