Tuberc Respir Dis > Volume 58(4); 2005 > Article
Tuberculosis and Respiratory Diseases 2005;58(4):404-409.
DOI:    Published online April 1, 2005.
A Case of RUL Bronchopleural Fistula Occluded by Flexible Bronchoscope with Endobronchial Watanabe Spigot (EWS).
Young In Choi, Jin Hui Cho, Jin Young Shim, Seung Soo Sheen, Yoon Jung Oh, Joo Hun Park, Sung Chul Hwang, Sung Soo Lee
1Department of Pulmonary and Critical Care Medicine, Ajou University School of Medicine, Suwon, Korea.
2Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine, Suwon, Korea.
An 86 year old woman was admitted complaining of dyspnea and right pleuritic pain with a 5 week durations. A physical examination, chest X-ray, and diagnostic thoracentesis upon admission revealed findings consistent with severe pneumonia and empyema on the right lung. Despite the insertion of a chest tube and negative suction via Emersion pump, the continuous air leakage was sustained, and a bronchopleural fistula (BPF) was found on the chest-CT. A flexible bronchoscopic occlusion with an Endobronchial Watanabe Spigot (EWS) was performed after 56 days of admission. An 5 mm diameter EWS was successfully inserted into the anterior segmental bronchus of the right upper lobe by flexible bronchoscope. There was no aAir leakage detected after this procedure. The patient was discharged 30 days after the EWS occlusion.
Key Words: Bronchopleural fistula, Flexible bronchoscope, EWS

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