Klair Ikrita K, Palomino Jaime, Kheir Fayez, Salerno Daniel A
Department of Pulmonary Diseases, Critical Care, and Environmental Medicine at the Tulane University School of Medicine in New Orleans.
J La State Med Soc. 2014 Nov-Dec;166(6):258-61. Epub 2014 Dec 15.
We report a case of severe acute respiratory distress syndrome (ARDS) complicated by a very large bronchopleural fistula (BPF) measuring 30 mm in length and evident on computed tomography (CT) chest scan. Such a large BPF is a very rare occurrence. Generally, a BPF of more than 6 mm in size is considered as large.(1) Small BPFs can be easily missed on CT scan chest, but a persistent air-leak through an adequately placed chest tube should raise suspicion for a BPF.