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Fatal mediastinal compression as a late complication of surgical plombage.
  1. J S Skinner,
  2. D J Sinclair
  1. Department of Respiratory Medicine, South Cleveland Hospital, Middlesbrough.


    Surgical plombage was used as a form of collapse therapy for pulmonary tuberculosis before the advent of reliable chemotherapy. A patient developed stridor, recurrent laryngeal nerve paralysis, and obstruction of the superior vena cava and eventually died as a result of haemorrhage into a large intrathoracic cyst, secondary to a polystan pack inserted 38 years previously.

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