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Treatment of tuberculous empyema with multiple fistulae by reexpansion of the affected lung and restoration of its function: Report of a case

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Abstract

We report herein the case of a patient in whom a calcified tuberculous empyema with multiple fistulae was successfully treated by a new surgical approach. Reexpansion of the affected lung which had calcified over 30 years was achieved by covering the multiple bronchial fistulae using the omentum without obliterating the empyema cavity. Although the patient presented with severe aspiration pneumonia, he made a complete recovery and is now leading a better quality of life than before. This new operative method is less invasive and can therefore be performed much more easily on critically ill patients than conventional methods.

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Authors and Affiliations

  1. Hyogo Medical Center, 13-70 Kitaoji, 673, Akashi Hyogo, Japan

    Noriam Tsubota, Akehiro Murotani, Masahiro Yoshimura, Yoshifumi Mixamoto & Yoshimasa Maniwa

Authors
  1. Noriam Tsubota
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  2. Akehiro Murotani
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  3. Masahiro Yoshimura
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  4. Yoshifumi Mixamoto
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  5. Yoshimasa Maniwa
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Tsubota, N., Murotani, A., Yoshimura, M. et al. Treatment of tuberculous empyema with multiple fistulae by reexpansion of the affected lung and restoration of its function: Report of a case. Surg Today 24, 663–665 (1994). https://doi.org/10.1007/BF01833738

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  • DOI: https://doi.org/10.1007/BF01833738

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