Bronchoscopic Management of Bronchopleural Fistula using Cyanoacrylate Glue
Published: December 1, 2022 | DOI: https://doi.org/10.7860/JCDR/2022/60185.17266
Bhanushree Ramanna, Chandramouli Mandya Thimmaiah, Giridhar Belur Hosmane
1. Assistant Professor, Department of General Medicine, K S Hegde Medical Academy, Mangaluru, Karnataka, India.
2. Senior Resident, Department of Pulmonary Medicine, K S Hegde Medical Academy, Mangaluru, Karnataka, India.
3. Professor, Department of Pulmonary Medicine, K S Hegde Medical Academy, Mangaluru, Karnataka, India.
Correspondence
Dr. Chandramouli Mandya Thimmaiah,
Senior Resident, Department of Pulmonary Medicine, K S Hegde Medical Academy, Mangaluru, Karnataka, India.
E-mail: mouli.aims@gmail.com
Bronchopleural Fistula (BPF) is a potential complication following pulmonary surgeries, lung infections, chest trauma, chemoradiotherapy, and inappropriate mechanical ventilation with significant morbidity and mortality. Surgical repair of BPF is a definitive treatment, particularly in those who develop BPF following lung resection. However, bronchoscopic management is an excellent treatment option for BPF for causes other than pulmonary resection. The present case report describes about a 50-year-old male patient who presented with a left-sided pneumothorax. He was immediately managed with Intercostal Drainage (ICD) but there was a persistent pneumothorax due to BPF. Video bronchoscopy was done, and at the site of the air leak, cyanoacrylate glue was injected. The resolution of pneumothorax was confirmed with a radiograph, the ICD tube was removed and he was discharged. He was on regular follow-up for the next six months, and there was no recurrence of pneumothorax.
[
FULL TEXT ] | [ PDF]