Cargando…

Effective exchange to a larger size catheter for a lung abscess with initial percutaneous drainage failure: a case report

BACKGROUND: Percutaneous catheter drainage is an effective therapy for antibiotic-refractory lung abscesses. Pulmonary resection is usually considered in cases of drainage failure, although it remains controversial. CASE PRESENTATION: A 42-year-old man with antibiotic-refractory lung abscess underwe...

Descripción completa

Detalles Bibliográficos
Autores principales: Oh, Maki, Mori, Shohei, Noda, Yuki, Kato, Daiki, Ohtsuka, Takashi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7125289/
https://www.ncbi.nlm.nih.gov/pubmed/32246299
http://dx.doi.org/10.1186/s40792-020-00828-7
_version_ 1783515914327556096
author Oh, Maki
Mori, Shohei
Noda, Yuki
Kato, Daiki
Ohtsuka, Takashi
author_facet Oh, Maki
Mori, Shohei
Noda, Yuki
Kato, Daiki
Ohtsuka, Takashi
author_sort Oh, Maki
collection PubMed
description BACKGROUND: Percutaneous catheter drainage is an effective therapy for antibiotic-refractory lung abscesses. Pulmonary resection is usually considered in cases of drainage failure, although it remains controversial. CASE PRESENTATION: A 42-year-old man with antibiotic-refractory lung abscess underwent percutaneous abscess drainage with a 10-Fr pigtail catheter. However, adequate evacuation of the abscess content was not achieved, and his respiratory condition worsened and he required a ventilator. To achieve and maintain effective drainage, insertion of a larger size 28-Fr catheter to replace the 10-Fr catheter was performed under general anesthesia and one-lung ventilation with a double-lumen tube to isolate the left lung. Exchange with a larger size catheter was effective and achieved adequate drainage. The procedure was performed safely by expanding the route of the old catheter as a guide for accessing the abscess cavity. His condition immediately improved and he was discharged on day 40 post-catheter exchange with no complications and cured with a small residual thin wall cavity. CONCLUSIONS: Small size catheters are generally recommended for initial percutaneous drainage; however, we argue that exchange with larger size catheters should be primarily considered instead of pulmonary resection in cases of initial drainage failure. This may avoid the need for pulmonary resection.
format Online
Article
Text
id pubmed-7125289
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Springer Berlin Heidelberg
record_format MEDLINE/PubMed
spelling pubmed-71252892020-04-08 Effective exchange to a larger size catheter for a lung abscess with initial percutaneous drainage failure: a case report Oh, Maki Mori, Shohei Noda, Yuki Kato, Daiki Ohtsuka, Takashi Surg Case Rep Case Report BACKGROUND: Percutaneous catheter drainage is an effective therapy for antibiotic-refractory lung abscesses. Pulmonary resection is usually considered in cases of drainage failure, although it remains controversial. CASE PRESENTATION: A 42-year-old man with antibiotic-refractory lung abscess underwent percutaneous abscess drainage with a 10-Fr pigtail catheter. However, adequate evacuation of the abscess content was not achieved, and his respiratory condition worsened and he required a ventilator. To achieve and maintain effective drainage, insertion of a larger size 28-Fr catheter to replace the 10-Fr catheter was performed under general anesthesia and one-lung ventilation with a double-lumen tube to isolate the left lung. Exchange with a larger size catheter was effective and achieved adequate drainage. The procedure was performed safely by expanding the route of the old catheter as a guide for accessing the abscess cavity. His condition immediately improved and he was discharged on day 40 post-catheter exchange with no complications and cured with a small residual thin wall cavity. CONCLUSIONS: Small size catheters are generally recommended for initial percutaneous drainage; however, we argue that exchange with larger size catheters should be primarily considered instead of pulmonary resection in cases of initial drainage failure. This may avoid the need for pulmonary resection. Springer Berlin Heidelberg 2020-04-03 /pmc/articles/PMC7125289/ /pubmed/32246299 http://dx.doi.org/10.1186/s40792-020-00828-7 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Case Report
Oh, Maki
Mori, Shohei
Noda, Yuki
Kato, Daiki
Ohtsuka, Takashi
Effective exchange to a larger size catheter for a lung abscess with initial percutaneous drainage failure: a case report
title Effective exchange to a larger size catheter for a lung abscess with initial percutaneous drainage failure: a case report
title_full Effective exchange to a larger size catheter for a lung abscess with initial percutaneous drainage failure: a case report
title_fullStr Effective exchange to a larger size catheter for a lung abscess with initial percutaneous drainage failure: a case report
title_full_unstemmed Effective exchange to a larger size catheter for a lung abscess with initial percutaneous drainage failure: a case report
title_short Effective exchange to a larger size catheter for a lung abscess with initial percutaneous drainage failure: a case report
title_sort effective exchange to a larger size catheter for a lung abscess with initial percutaneous drainage failure: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7125289/
https://www.ncbi.nlm.nih.gov/pubmed/32246299
http://dx.doi.org/10.1186/s40792-020-00828-7
work_keys_str_mv AT ohmaki effectiveexchangetoalargersizecatheterforalungabscesswithinitialpercutaneousdrainagefailureacasereport
AT morishohei effectiveexchangetoalargersizecatheterforalungabscesswithinitialpercutaneousdrainagefailureacasereport
AT nodayuki effectiveexchangetoalargersizecatheterforalungabscesswithinitialpercutaneousdrainagefailureacasereport
AT katodaiki effectiveexchangetoalargersizecatheterforalungabscesswithinitialpercutaneousdrainagefailureacasereport
AT ohtsukatakashi effectiveexchangetoalargersizecatheterforalungabscesswithinitialpercutaneousdrainagefailureacasereport