J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 1707KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 93(10): 1347-1349, 1992

Case report

OXIDIZED CELLULOSE OCCLUSION OF A PERIPHERAL BRONCHIAL FISTULA COMMUNICATING TO THE LEFT SUBPHRENIC ABSCESS

Department of Surgery II, National Defense Medical College, Tokorozawa, Japan

Shoichiro Suzuki, Yoshiaki Sugiura, Katsuichi Kase, Susumu Tanaka

A 52-year-old man was complicated with a left subphrenic abscess after total pancreatectomy and gastrectomy for advanced pancreatic cancer. A left subphrenic silicon tube penetrated the diaphragm and the bottom of the left lung as well, causing a bronchial fistula with bilateral aspiration pneumonia. Then bronchoscopically, the fistula was successfully treated by packing a few pieces of oxidized cellulose into the affected bronchus. One month later the patient died of sepsis due to multiple liver abscess, On autopsy, the bronchial fistula and any active infiammation were not recognized in the left lower lung area.

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