초록접수 현황
| 17F-213 | 포스터 발표 |
Infected Giant Lung Cyst Associated with Pulmonary Tuberculosis Treated with Percutaneous Drainage and Talc Sclerotherapy : A Modified Brompton Technique
Se Min Ryu, Sung-Min Park, Kyung-Hak Lee, Seong-Joon Cho, Se-Ran Yang, Jeong-Ran Park, Ki Hwan Kim, Jung Eui Yun, Jin Soo Lee
Department of Thoracic and Cardiovascular Surgery, Kangwon National University Hospital, Kangwon National University College of Medicine, Gangwon-do, Republic of Korea
Purpose : The technique first described by Monaldi for emphysematous bullae has been modified for the treatment of infected giant lung cyst – a modified Brompton technique.
Methods : A 55-year old male patient was transferred to our hospital for aggravation of dyspnea and febrile sense. His chest x-ray and CT scan showed large infected lung cyst and suspected active pulmonary tuberculosis (Figure A, B). Sputum study for tuberculosis was negative. His pulmonary function was very poor, so we decided to adapt a modified Brompton technique for treatment of huge infected lung cyst.
Results : We used Thal-Quick chest tube (COOK medical. 8 Fr.) for percutaneous drainage of giant infected lung cyst (Figure C). A total of 300 mL of dark yellow turbid fluid was drained, and AFB stain of the fluid was three positive. Anti-tuberculosis medication was started and chest tube drain was kept for 6 weeks. During this period, the cyst was shrank and air leakage was disappeared over time. In postoperative 47 days, we instilled Talc slurry (1g mixed with 15 mL saline) via chest tube for sclerosis of lung cyst. Follow up CT scan showed the cyst had nearly been disappeared (Figure D) and we removed chest tube. The patient was discharged and no complications have arisen for 3 months follow-up period (Figure E).
Conclusion : We concluded that the percutaneous drainage, and talc sclerotherapy for infected giant lung cyst - a modified Brompton technique, can be good treatment options for patient with conditions that are too poor to allow surgical intervention.
Methods : A 55-year old male patient was transferred to our hospital for aggravation of dyspnea and febrile sense. His chest x-ray and CT scan showed large infected lung cyst and suspected active pulmonary tuberculosis (Figure A, B). Sputum study for tuberculosis was negative. His pulmonary function was very poor, so we decided to adapt a modified Brompton technique for treatment of huge infected lung cyst.
Results : We used Thal-Quick chest tube (COOK medical. 8 Fr.) for percutaneous drainage of giant infected lung cyst (Figure C). A total of 300 mL of dark yellow turbid fluid was drained, and AFB stain of the fluid was three positive. Anti-tuberculosis medication was started and chest tube drain was kept for 6 weeks. During this period, the cyst was shrank and air leakage was disappeared over time. In postoperative 47 days, we instilled Talc slurry (1g mixed with 15 mL saline) via chest tube for sclerosis of lung cyst. Follow up CT scan showed the cyst had nearly been disappeared (Figure D) and we removed chest tube. The patient was discharged and no complications have arisen for 3 months follow-up period (Figure E).
Conclusion : We concluded that the percutaneous drainage, and talc sclerotherapy for infected giant lung cyst - a modified Brompton technique, can be good treatment options for patient with conditions that are too poor to allow surgical intervention.
책임저자: Se Min Ryu
Department of Thoracic and Cardiovascular Surgery, Kangwon National University Hospital, Kangwon National University College of Medicine, Gangwon-do, Republic of Korea
발표자: Se Min Ryu, E-mail : semin@kangwon.ac.kr