Spontaneous closure of a metachronous brochopleural fistula after omentoplasty for a preceding fistula: Case report. (October 2022)

• Record Type: Journal Article
• Authors: Iizuka, Shuhei; Uebayashi, Asuka; Nakamura, Toru; Funai, Kazuhito
• Is Part Of: Annals of medicine and surgery. Volume 82(2022)
• Publication Date: 2022-10
• Subjects: Metachronous -- Bronchopleural fistula -- Omentoplasty -- Case report; Surgery -- Periodicals; Medicine -- Periodicals; General Surgery -- Periodicals; Education, Medical -- Periodicals; Periodicals; 617
• DOI: 10.1016/j.amsu.2022.104645
• Languages: English
• ISSNs: 2049-0801

Abstract

Abstract: Introduction: A bronchopleural fistula (BPF) after an anatomical lung resection commonly arises singly. We report a case of a metachronous BPF, which developed after omentoplasty of a preceding fistula and subsequently closed without any intervention. Case presentation: A 77-year-old patient underwent omentoplasty for a brochopleural fistula (BPF) following a right lower lobectomy. A sudden massive air leak developed from the novel BPF approximately 1 cm proximal to the preceding fistula 3 days later. The air leak resolved spontaneously without any intervention one week later. The corresponding fistula was found to be completely closed. Computed tomography showed the omental flap covered both fistulae. Conclusion: The present case suggested that a metachronous BPF could develop and a harvested omental flap might migrate even after being anchored. Highlights: A metachronous bronchopleural fistula (BPF) developed 3 days after an omentoplasty for a preceding fistula following a right lower lobectomy. The BPF was closed spontaneously without any subsequent intervention and a computed tomography revealed that the omental flap covered both fistulae. A metachronous BPF could develop and a harvested omental flap might migrate even after being anchored.