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  • Title: [A case of omental pedicle flap plombage for fungus ball type pulmonary aspergillosis].
    Author: Okitsu H, Nakajima S, Takahashi E, Sayami P, Katou R, Hayata Y.
    Journal: Nihon Kyobu Geka Gakkai Zasshi; 1989 Nov; 37(11):2434-8. PubMed ID: 2614131.
    Abstract:
    The usual surgical treatment for fungus ball type pulmonary aspergillosis is lobectomy, but in cases of aspergillosis located in a post-lobectomy space a second lobectomy is difficult because of the accompanying inflammatory process. A 53-year-old male underwent left upper lobectomy for pulmonary tuberculosis eight years ago. Six year postoperatively, he developed fungus ball type aspergillosis in the post-lobectomy space with bronchopleural fistula and recurrent hemoptysis. We performed an omental pedicle flap plombage via the post-sternal route to resect the pleural cavity fungus ball. The post operative course was uneventful and clinically the bronchopleural fistula was closed.
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