Article Text
Statistics from Altmetric.com
A 54-year-old male patient underwent right middle and lower lobectomy due to squamous cell carcinoma of the lung. He recovered well, and the thoracic drainage tube was removed. However, he developed a cough and severe fever (39.5°C) 8 days postsurgery. Sputum culture suggested Klebsiella pneumoniae infection. Piperacillin tazobactam and voriconazole were administered according to drug sensitivity results. Bronchoscopy (figure 1A) and CT demonstrated the formation of an intermediate bronchial fistula. Pneumothorax was not observed. A residual cavity with a small volume of empyema associated with the intermediate bronchi was detected on CT tracheal reconstruction imaging (figure 1B). A customised Y-shaped self-expandable covered metallic stent with a dead end was planned to occlude the fistula under the guidance of fluoroscopy.1 2 According to our experience, the diameter of the stent was designed to be 15%–20% larger than the corresponding airway. Based on the measurement of the corresponding bronchi, the diameter and length were determined …
Footnotes
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.