Suzuki S, Sugiura Y, Kase K, Tanaka S
Department of Surgery II, National Defense Medical College, Tokorozawa, Japan.
Nihon Geka Gakkai Zasshi. 1992 Oct;93(10):1347-9.
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 inflammation were not recognized in the left lower lung area.
一名52岁男性因晚期胰腺癌接受全胰切除术和胃切除术后并发左膈下脓肿。一根左膈下硅胶管穿透膈肌及左肺底部,导致支气管瘘并双侧吸入性肺炎。随后,通过支气管镜检查,将几片氧化纤维素填塞到患侧支气管,成功治疗了瘘管。1个月后,患者因多发性肝脓肿导致的败血症死亡。尸检时,左下肺区域未发现支气管瘘及任何活动性炎症。