Repair of tracheal aspergillosis perforation causing tension pneumothorax.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 24296207.
- Also identified by DOI 10.1016/j.athoracsur.2013.06.064.
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Abstract
Tracheobronchial aspergillosis is a rare entity mainly observed in immune-compromised patients or those who have undergone transplantation. It may cause airway ulcerations or bleeding. We report the case of a 17-year-old patient receiving chemotherapy for acute lymphoblastic leukemia who presented with right-sided tension pneumothorax. Chest tube drainage revealed a massive air leak without reexpansion of the lung, and bronchoscopy showed a 15- × 15-mm defect of the distal trachea related to aspergillosis infection. The defect was closed by an intrathoracic transposition of a pedicled latissimus dorsi muscle flap, which was sutured into the debrided defect followed by temporary endotracheal stenting and antifungal medication.
Medical subject headings
- Aspergillosis
- Drainage
- Pneumothorax
- Surgical Flaps
- Trachea
- Tracheal Diseases