Bronchoscopic‐Guided Selective Endobronchial Injection of Methylene Blue Solution for Localising Peripheral Bronchopleural Fistulas During Pleural Debridement in a Post‐Lobectomy Patient With Bronchopleural Fistula and Empyema
ABSTRACT The bronchopleural fistula (BPF) is a pathological passageway between the bronchus and the pleural cavity. Diagnosing and localising BPF can be challenging, and the traditional retrograde methylene blue (MB) perfusion method may fail to identify multifocal BPFs. This article reports a novel...
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Wiley
2025-01-01
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| Series: | Respirology Case Reports |
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| Online Access: | https://doi.org/10.1002/rcr2.70100 |
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| author | Yi Wei Ke Wang Honglei Tao Zhongliang He Weihua Xu |
| author_facet | Yi Wei Ke Wang Honglei Tao Zhongliang He Weihua Xu |
| author_sort | Yi Wei |
| collection | DOAJ |
| description | ABSTRACT The bronchopleural fistula (BPF) is a pathological passageway between the bronchus and the pleural cavity. Diagnosing and localising BPF can be challenging, and the traditional retrograde methylene blue (MB) perfusion method may fail to identify multifocal BPFs. This article reports a novel method for locating multifocal BPFs in patients undergoing concurrent empyema debridement. Initially, selective endobronchial injection of MB solution is performed under bronchoscopic guidance. Subsequently, the thoracic surgeon determines the location of BPFs as the MB solution flows into the pleural cavity. This process of injecting MB within the bronchus is repeated to locate any additional BPFs until no new ones are found. We report a case where this new method was used to identify multifocal BPFs, ultimately diagnosing three BPFs' presence. Following treatment with bronchopleural fistula occlusion, no recurrence of BPFs was observed during the follow‐up period. |
| format | Article |
| id | doaj-art-81958783bce249ccad8ee5a616c26bc8 |
| institution | Kabale University |
| issn | 2051-3380 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Respirology Case Reports |
| spelling | doaj-art-81958783bce249ccad8ee5a616c26bc82025-01-27T09:16:54ZengWileyRespirology Case Reports2051-33802025-01-01131n/an/a10.1002/rcr2.70100Bronchoscopic‐Guided Selective Endobronchial Injection of Methylene Blue Solution for Localising Peripheral Bronchopleural Fistulas During Pleural Debridement in a Post‐Lobectomy Patient With Bronchopleural Fistula and EmpyemaYi Wei0Ke Wang1Honglei Tao2Zhongliang He3Weihua Xu4Department of Respiratory and Critical Care Medicine Tongde Hospital of Zhejiang Province Hangzhou ChinaEndoscopy Department Tongde Hospital of Zhejiang Province Hangzhou ChinaAnesthesiology Department Tongde Hospital of Zhejiang Province Hangzhou ChinaCardiothoracic Surgery Department Tongde Hospital of Zhejiang Province Hangzhou ChinaDepartment of Respiratory and Critical Care Medicine Tongde Hospital of Zhejiang Province Hangzhou ChinaABSTRACT The bronchopleural fistula (BPF) is a pathological passageway between the bronchus and the pleural cavity. Diagnosing and localising BPF can be challenging, and the traditional retrograde methylene blue (MB) perfusion method may fail to identify multifocal BPFs. This article reports a novel method for locating multifocal BPFs in patients undergoing concurrent empyema debridement. Initially, selective endobronchial injection of MB solution is performed under bronchoscopic guidance. Subsequently, the thoracic surgeon determines the location of BPFs as the MB solution flows into the pleural cavity. This process of injecting MB within the bronchus is repeated to locate any additional BPFs until no new ones are found. We report a case where this new method was used to identify multifocal BPFs, ultimately diagnosing three BPFs' presence. Following treatment with bronchopleural fistula occlusion, no recurrence of BPFs was observed during the follow‐up period.https://doi.org/10.1002/rcr2.70100bronchopleural fistulabronchoscopy and interventional techniquesmethylene blue |
| spellingShingle | Yi Wei Ke Wang Honglei Tao Zhongliang He Weihua Xu Bronchoscopic‐Guided Selective Endobronchial Injection of Methylene Blue Solution for Localising Peripheral Bronchopleural Fistulas During Pleural Debridement in a Post‐Lobectomy Patient With Bronchopleural Fistula and Empyema Respirology Case Reports bronchopleural fistula bronchoscopy and interventional techniques methylene blue |
| title | Bronchoscopic‐Guided Selective Endobronchial Injection of Methylene Blue Solution for Localising Peripheral Bronchopleural Fistulas During Pleural Debridement in a Post‐Lobectomy Patient With Bronchopleural Fistula and Empyema |
| title_full | Bronchoscopic‐Guided Selective Endobronchial Injection of Methylene Blue Solution for Localising Peripheral Bronchopleural Fistulas During Pleural Debridement in a Post‐Lobectomy Patient With Bronchopleural Fistula and Empyema |
| title_fullStr | Bronchoscopic‐Guided Selective Endobronchial Injection of Methylene Blue Solution for Localising Peripheral Bronchopleural Fistulas During Pleural Debridement in a Post‐Lobectomy Patient With Bronchopleural Fistula and Empyema |
| title_full_unstemmed | Bronchoscopic‐Guided Selective Endobronchial Injection of Methylene Blue Solution for Localising Peripheral Bronchopleural Fistulas During Pleural Debridement in a Post‐Lobectomy Patient With Bronchopleural Fistula and Empyema |
| title_short | Bronchoscopic‐Guided Selective Endobronchial Injection of Methylene Blue Solution for Localising Peripheral Bronchopleural Fistulas During Pleural Debridement in a Post‐Lobectomy Patient With Bronchopleural Fistula and Empyema |
| title_sort | bronchoscopic guided selective endobronchial injection of methylene blue solution for localising peripheral bronchopleural fistulas during pleural debridement in a post lobectomy patient with bronchopleural fistula and empyema |
| topic | bronchopleural fistula bronchoscopy and interventional techniques methylene blue |
| url | https://doi.org/10.1002/rcr2.70100 |
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