Bronchopleural fistula causing persistent pneumothorax in COVID‐19 pneumonia patient with no risk factors

Although pneumothorax is a well-known complication of COVID-19 pneumonia especially in patients requiring mechanical ventilation, bronchopleural fistula causing persistent pneumothorax in sole COVID-19 pneumonia is extremely rare. In this case, we illustrate that bronchopleural fistula can be found in COVID-19 pneumonia, even with no risk factors nor mechanical ventilation administration.

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Postpneumonectomy empyema: risk factors, prevention, diagnosis, and management

Asian Cardiovascular and Thoracic Annals ◽

10.1177/0218492319888048 ◽

2019 ◽

Vol 28 (2) ◽

pp. 89-96

Author(s):

Harmouchi Hicham ◽

Issoufou Ibrahim ◽

Sani Rabiou ◽

Lakranbi Marouane ◽

Ouadnouni Yassine ◽

...

Keyword(s):

Risk Factors ◽

Chest Wall ◽

Bronchopleural Fistula ◽

Pleural Space ◽

Late Period ◽

Considerable Time ◽

Goals Of Care ◽

Acute Period ◽

Diagnosis And Management ◽

Contralateral Lung

Postpneumonectomy empyema is a collection of pus in the pleural space after removal of the underlying lung. Postpneumonectomy empyema is a serious complication responsible for high rates of morbidity and mortality. Several risk factors for the development of postpneumonectomy empyema have been highlighted in the literature. The association of postpneumonectomy empyema with a bronchopleural fistula increases the rate of mortality by flooding the remaining lung. The management of postpneumonectomy empyema depends on the timing of presentation and the presence or absence of a bronchopleural fistula. The goals of care in the acute period are mainly preservation of the contralateral lung and sterilization of the pleural space, which may take a considerable time. The aims in the late period are closure of the bronchopleural fistula, obliteration of the pleural space, and closure of the chest wall.

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Analysis of Risk Factors for Bronchopleural Fistula after Surgical Treatment of Lung Cancer

Annals of Thoracic and Cardiovascular Surgery ◽

10.5761/atcs.oa.20-00010 ◽

2020 ◽

Vol 26 (6) ◽

pp. 311-319

Author(s):

Yoshimasa Tokunaga ◽

Yusuke Kita ◽

Taku Okamoto

Keyword(s):

Risk Factors ◽

Lung Cancer ◽

Surgical Treatment ◽

Bronchopleural Fistula

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Bronchopleural Fistula after Pulmonary Resection: Risk Factors, Diagnoses and Management

10.5772/intechopen.100209 ◽

2021 ◽

Author(s):

Kristina Jacobsen

Keyword(s):

Risk Factors ◽

Mortality Rate ◽

Respiratory Distress ◽

Conservative Management ◽

Endoscopic Treatment ◽

Pulmonary Resection ◽

Bronchopleural Fistula ◽

Patient Characteristics ◽

Pleural Space ◽

Life Threatening

Bronchopleural fistula (BPF) after a pulmonary resection is rare with some of the most life-threatening consequences and a high mortality rate. Contamination of the pleural space resulting in empyema and spillage of the infected fluid into the remaining lung leading to respiratory distress remain the biggest concerns with BPF postoperatively. There are many patient characteristics and risk factors that can be evaluated to decrease the chance of a postoperative BPF. Presentation of BPF can be early or late with the late BPF more difficult to diagnosis and manage. Many options to treat BPF include surgical repair, conservative management, and endoscopic treatment.

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