naa a22 4500 510728324 CHVBK 20180411082943.0 cr unu---uuuuu 180411e20131001xx s 000 0 eng 10.1007/s11748-012-0162-8 doi (NATIONALLICENCE)springer-10.1007/s11748-012-0162-8 Intractable pneumothorax with empyema in a patient with interstitial pneumonia [Elektronische Daten] [Shinichiro Miyoshi, Motohiko Tamura, Osamu Araki, Yasunori Ikeda, Masayuki Chida] Secondary pneumothorax occurring in interstitial lung disease cases is a refractory and life-threatening condition, because of compromised lung function. A 70-year-old woman with interstitial pneumonia was referred to our hospital after treatment failure for pneumothorax associated with empyema. An open window thoracostomy was created, and mechanical irrigation and dressing changes of the pleural cavity were performed. Then, the lung was widely covered with the latissimus dorsi and serratus anterior muscles because there were multiple fistulae on the lung surface. After the covering muscles were completely adhered to the lung surface and stopped air leaking, the chest was successfully closed. The wide covering technique of the lung with chest wall muscles is effective for intractable pneumothorax with multiple fistulae. The Japanese Association for Thoracic Surgery, 2012 Pneumothorax nationallicence Interstitial pneumonia nationallicence Empyema nationallicence Muscle flap transposition nationallicence Miyoshi Shinichiro Department of General Thoracic Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, 700-8558, Okayama, Japan aut Tamura Motohiko Department of General Thoracic Surgery, Dokkyo Medical University, 880 Kitakobayashi, Mibu, 321-0293, Tochigi, Japan aut Araki Osamu Department of General Thoracic Surgery, Dokkyo Medical University, 880 Kitakobayashi, Mibu, 321-0293, Tochigi, Japan aut Ikeda Yasunori Department of Surgery, Utsunomiya Memorial Hospital, 1-3-16 Odohri, 320-0811, Utsunomiya, Tochigi, Japan aut Chida Masayuki Department of General Thoracic Surgery, Dokkyo Medical University, 880 Kitakobayashi, Mibu, 321-0293, Tochigi, Japan aut General Thoracic and Cardiovascular Surgery Springer Japan 61/10(2013-10-01), 574-577 1863-6705 61:10<574 2013 61 11748 https://doi.org/10.1007/s11748-012-0162-8 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11748-012-0162-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Miyoshi Shinichiro Department of General Thoracic Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, 700-8558, Okayama, Japan aut NATIONALLICENCE 700 1- Tamura Motohiko Department of General Thoracic Surgery, Dokkyo Medical University, 880 Kitakobayashi, Mibu, 321-0293, Tochigi, Japan aut NATIONALLICENCE 700 1- Araki Osamu Department of General Thoracic Surgery, Dokkyo Medical University, 880 Kitakobayashi, Mibu, 321-0293, Tochigi, Japan aut NATIONALLICENCE 700 1- Ikeda Yasunori Department of Surgery, Utsunomiya Memorial Hospital, 1-3-16 Odohri, 320-0811, Utsunomiya, Tochigi, Japan aut NATIONALLICENCE 700 1- Chida Masayuki Department of General Thoracic Surgery, Dokkyo Medical University, 880 Kitakobayashi, Mibu, 321-0293, Tochigi, Japan aut NATIONALLICENCE 773 0- General Thoracic and Cardiovascular Surgery Springer Japan 61/10(2013-10-01), 574-577 1863-6705 61:10<574 2013 61 11748 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer