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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2020
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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 |
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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 |
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