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"Double fistula" bronchopleural and pleurocutaneous during radioxenon study
E B Cronin1, N Erbay, R P Spencer
1Jefferson X-Ray Group, Hartford Hospital, Connecticut, USA.
A patient developed a complex bronchial stump fistula and empyema after a right pneumonectomy. Xenon-133 ventilation lung scans revealed a "double fistula" communicating with the pleural space and exterior via an Eloesser flap.
Area of Science:
- Thoracic Surgery
- Pulmonary Medicine
- Diagnostic Imaging
Background:
- A right pneumonectomy can lead to long-term complications.
- Bronchial stump fistulas and empyema are serious post-pneumonectomy issues.
- Management often requires complex surgical interventions.
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