Tuberc Respir Dis.  2004 Jul;57(1):78-81.

A Patient Presenting Purulent Discharge From Open Window Thoracostomy

Affiliations
  • 1Department of Internal Medicine, College of Medicine, Ewha Womans University, Seoul, Korea. hs1017@ewha.ac.kr
  • 2Department of Diagnostic radiology, College of Medicine, Ewha Womans University, Seoul, Korea.
  • 3Department of Internal Medicine, Yangi Hospital, Korea.

Abstract

A 73-year-old man who had undergone a right pneumonectomy and open window thoracostomy due to tuberculous empyema, presented with purulent discharge from the previous operation site. The computed tomography of the chest showed diffuse pleural thickening and a low attenuated lesion, with air bubbles in a dependent portion of the right hemithorax. These air bubbles were revealed to be due to 7 pieces of retained surgical gauze by flexible bronchoscopy. The patient showed marked clinical improvement with diminished purulent discharge after removal of the foreign bodies.

Keyword

Thoracostomy; Computed tomography; Foreign body

MeSH Terms

Aged
Bronchoscopy
Empyema, Tuberculous
Foreign Bodies
Humans
Pneumonectomy
Thoracostomy*
Thorax
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