先前瘘管行网膜成形术后异时性支气管胸膜瘘的自发闭合：病例报告
Spontaneous closure of a metachronous brochopleural fistula after omentoplasty for a preceding fistula: Case report.
作者信息
Iizuka Shuhei, Uebayashi Asuka, Nakamura Toru, Funai Kazuhito
机构信息
Department of General Thoracic Surgery, Seirei Hamamatsu General Hospital, 2-12-12 Sumiyoshi, Naka-ku, Hamamatsu City, Shizuoka, 430-8558, Japan.
First Department of Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama, Higashi-ku, Hamamatsu City, Shizuoka, 431-3192, Japan.
出版信息
Ann Med Surg (Lond). 2022 Sep 13;82:104645. doi: 10.1016/j.amsu.2022.104645. eCollection 2022 Oct.
INTRODUCTION
A bronchopleural fistula (BPF) after an anatomical lung resection commonly arises singly. We report a case of a metachronous BPF, which developed after omentoplasty of a preceding fistula and subsequently closed without any intervention.
CASE PRESENTATION
A 77-year-old patient underwent omentoplasty for a brochopleural fistula (BPF) following a right lower lobectomy. A sudden massive air leak developed from the novel BPF approximately 1 cm proximal to the preceding fistula 3 days later. The air leak resolved spontaneously without any intervention one week later. The corresponding fistula was found to be completely closed. Computed tomography showed the omental flap covered both fistulae.
CONCLUSION
The present case suggested that a metachronous BPF could develop and a harvested omental flap might migrate even after being anchored.
引言
解剖性肺切除术后的支气管胸膜瘘（BPF）通常单发。我们报告一例异时性BPF病例，该病例在前一个瘘管行网膜成形术后发生，随后未经任何干预而闭合。
病例介绍
一名77岁患者在右下肺叶切除术后因支气管胸膜瘘（BPF）接受了网膜成形术。3天后，在前一个瘘管近端约1 cm处的新BPF突然出现大量漏气。一周后，漏气未经任何干预自行消失。发现相应的瘘管已完全闭合。计算机断层扫描显示网膜瓣覆盖了两个瘘管。
结论
本病例表明，异时性BPF可能会发生，并且即使在网膜瓣固定后也可能移位。
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