Based on these findings, we performed a left upper lobectomy with left lower lobe superior segmentectomy. A dense adhesion was detected in the whole lung field, and the major fissure of the left lung was absent, characterized by a consolidation of left upper lobe, which extended to the superior segment of the left lower lobe. A fungal ball with cicatrization atelectasis can be seen in the left upper lobe.Īfter general anesthesia, we performed a serratus-sparing posterolateral thoracotomy at the fifth intercostal space. A computed tomography (CT) at the time of admission revealed a cavitary lesion in the left upper lung field containing a fungal ball ( Figure 1), indicating the need for resection of the diseased lung.įigure 1 Preoperative chest computed tomography (CT) scan. Here, we report the case of a patient who developed chronic empyema in the left upper lung field after pulmonary resection due to aspergilloma, which was successfully treated with omental flap.Ī 55-year-old male patient who had been diagnosed with pulmonary aspergillosis 11 years prior was admitted for treatment due to a recently aggravated hemoptysis. Common treatment options for cases of dead space in the thoracic cavity include thoracoplasty, eloesser flap, muscle flap, or omental flap. These issues are further complicated in cases of concomitant infection of the surgical cavity, as such infections are often difficult to treat with systemic antibiotics. Accepted for publication Oct 26, 2016.ĭead space formation in the thoracic cavity after lung parenchymal resection can occasionally lead to intra-thoracic infection. Keywords: Omentum pulmonary aspergillosis surgical flap
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