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Japanese

Aspergillus Empyema with Bronchopleural Fistula due to Destroyed Lung after Postoperative Radiotherapy for Thymoma Rieko Umetsu 1 , Makoto Endoh 1 , Katsuyuki Suzuki 1 , Kazuki Hayasaka 1 , Marina Shiikawa 1 , Satoshi Shiono 1 , Hiroyuki Oizumi 2 1Division of General Thoracic Surgery, Yamagata Prefectural Central Hospital Keyword: thymoma , radiation therapy , empyema , Aspergillus pp.901-904
Published Date 2020/10/1
DOI https://doi.org/10.15106/j_kyobu73_901
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A 35-year-old man underwent adjuvant chemoradiation therapy to the surgical margin of the thymoma. Five years after the therapy, an area of the right upper lung lobe, which was included in the irradiation field, developed destroyed lung, resulting in Aspergillus empyema with bronchopleural fistula. To control the infection, an open window thoracostomy was performed. As the bronchopleural fistula resulted in pneumonia, bronchial embolization was performed with an Endobronchial Watanabe Spigot. After the empyema cavity was cleaned, the empyema space was closed with omental and muscular flap, thoracoplasty. Negative pressure wound therapy was carried out because of poor wound healing. The patient is doing well without relapse 15 months after the thoracoplasty.


© Nankodo Co., Ltd., 2020

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電子版ISSN 2432-9436 印刷版ISSN 0021-5252 南江堂

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