腹直筋皮弁と大網の充塡により治癒しえた開窓術後膿胸の1例

Empyema Successfully Treated by Plombage with Abdominal Rectus Muscle and Omental Flap after Open-window Thoracostomy；Report of a Case

膿胸術後の胸腔内充塡は大網のほか，広背筋，前鋸筋，大胸筋といった胸部の筋弁が用いられることが多い．われわれは腹直筋を用いて有茎筋皮弁を作成し，大網とともに充塡して完治した膿胸症例を経験したので報告する．

The partient was 76-year-old male. He had acute empyema due to lung abscess and open-window thoracotomy was performed to control infection. 3 years and 9 months later, the bronchial fistula was closed with abdominal rectus muscle and greater omentum. These are very useful when other muscles such as latissimus dorsi muscle, serratus anterior muscle and pectoralis major muscle are not available.