Abstract
Internal drainage was performed with expandable metallic stents in a 79-year-old male with lung abscess secondary to bronchogenic carcinoma. Initial external drainage was prolonged, and internalization of drainage allowed removal of the external drainage catheter. Connection of abscess cavity to obstructed bronchus was created after passing a steerable guidewire percutaneously through the abscess into the bronchus. This new type of internal drainage technique may be applicable to patients with prolonged standard percutaneous external drainage of lung abscesses.
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Rice TW, Ginsberg RJ, Todd TRJ (1987) Tube drainage of lung abscess. Ann Thorac Surg 44:356–359
Parker LA, Melton JW, Delany DJ (1987) Percutaneous small bore catheter drainage in management of lung abscess Chest 92:213–218
Van Sonnenberg E, D'Agostino HB, Casola G, Wittich GR, Varney RR, Harker C (1991) Lung abscess: CT-guided drainage. Radiology 178:347–351
Moore AVJ, James HZ, Michael JK (1991) Lung abscess: An interventional radiology perspective. Semin Intervent Radiol 8:36–43
Gittens SA, Mihaly JP (1954) Medical management of acute lung abscess. Am Rev Tuberc 69:673–680
Fox JR, Hughes FA, Sutliff WD (1954) Non-putrid lung abscess. J Thorac Surg 27:255–260
Bernhard WF, Malcolm JA, Wylie RH (1963) Lung abscess: A study of 148 cases due to aspiration. Chest 43:620–630
Chidi CC, Mendelsohn HJ (1974) Lung abscess: A study of the results of treatment based on 90 consecutive cases. J Thorac Cardiovasc Surg 68:168–172
Delarue NC, Pearson FG, Nelems JM (1980) Lung abscess: Surgical implications. Can J Surg 23:297–302
Estrera AS, Platt MR, Mills LJ (1980) Primary lung abscess. J Thorac Cardiovasc Surg 79:275–282
Harber P, Terry PB (1981) Fatal lung abscesses: Review of 11 years' experience. South Med J 74:281–283
Hagan JL, Hardy JD (1983) Lung abscess revisited. Ann Surg 197:755–761
Mengoli L (1985) Giant lung abscess treated by tube thoracostomy. J Thorac Cardiovasc Surg 90:186–194
Snow N, Lucas A, Horrigan TP (1985) Utility of pneumontomy in the treatment of cavitary lung abscess. Chest 87:731–734
Sawada S, Tanigawa N, Kobayashi M (1993) Malignant tracheobronchial obstructive lesions: Treatment with Gianturco expandable metallic stents. Radiology 188:205–208
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Okuda, Y., Sawada, S., Kobayashi, M. et al. Percutaneous internal fistulization of a lung abscess after incomplete external drainage. Cardiovasc Intervent Radiol 17, 339–342 (1994). https://doi.org/10.1007/BF00203955
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DOI: https://doi.org/10.1007/BF00203955