Yamanaka A, Hirai T, Ohtake Y, Watanabe M, Nakamura K, Tanabe T
Department of Chest Surgery, Fukui Red Cross Hospital, Tsukimi, Japan.
J Pediatr Surg. 1998 Sep;33(9):1408-10. doi: 10.1016/s0022-3468(98)90020-3.
The authors report surgical treatment for thoracic empyema concurrent with rupture of lung abscesses and completely collapsed lung in a child. Right middle lobectomy for ruptured abscess, debridement and closure with interrupted sutures for another abscess in the lower lobe, and decortication were performed. Positive-pressure ventilation was needed to prevent reexpansion pulmonary edema because of long-term collapsed lobes. The patient is doing well with no recurrent empyema or thoracic deformity at 3 years postoperation.