Document Type : Case Series
Authors
- Alireza Rasekhi 1
- Haleh Bozorgi 1
- Seyed Masoom Masoompour 2
- Parviz Mardani 3
- Mohammad Reza Azimi Aval 1
1 Department of Radiology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
2 Department of Internal Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
3 Department of Surgery, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
Abstract
Bronchopleural fistula (BPF), a sinus tract between the bronchial system and the pleural space, is associated with COVID-19 and can lead to pneumothorax, which increases the mortality rate. Due to the analytical status of COVID-19 patients, sealing the BPF necessitates the least minimal invasive treatment. Herein, we demonstrated a technique of sealing post-COVID-19 BPF with direct injection of cyanoacrylate glue under the guidance of a computed tomography scan. Following glue injection, the BPF was completely sealed in all four patients. In conclusion, in COVID-19 patients with small and distal BPF, percutaneous glue injection is recommended for BPF closure.
Keywords
- Borczuk AC. Pulmonary pathology of COVID-19: a review of autopsy studies. Curr Opin Pulm Med. 2021;27:184-92. doi: 10.1097/MCP.0000000000000761. PubMed PMID: 33399353.
- Grotberg JC, Hyzy RC, De Cardenas J, Co IN. Bronchopleural Fistula in the Mechanically Ventilated Patient: A Concise Review. Crit Care Med. 2021;49:292-301. doi: 10.1097/CCM.0000000000004771. PubMed PMID: 33372747.
- Marques P, Andrade G, Granadas J, Joao P, Abreu N. Iatrogenic Bronchopleural Fistula. Cureus. 2020;12:e12187. doi: 10.7759/cureus.12187. PubMed PMID: 33489597; PubMed Central PMCID: PMCPMC7815289.
- Talon A, Arif MZ, Mohamed H, Khokar A, Saeed AI. Bronchopleural Fistula as a Complication in a COVID-19 Patient Managed With Endobronchial Valves. J Investig Med High Impact Case Rep. 2021;9:23247096211013215. doi: 10.1177/23247096211013215. PubMed PMID: 33928804; PubMed Central PMCID: PMCPMC8114316.
- Lois M, Noppen M. Bronchopleural fistulas: an overview of the problem with special focus on endoscopic management. Chest. 2005;128:3955-65. doi: 10.1378/chest.128.6.3955. PubMed PMID: 16354867.
- Ravikanth R, Mathew S, Pinto DS. Management of acquired bronchopleural fistula due to chemical pneumonia. Ci Ji Yi Xue Za Zhi. 2018;30:116-8. doi: 10.4103/tcmj.tcmj_98_17. PubMed PMID: 29875593; PubMed Central PMCID: PMCPMC5968739.
- Karimi M, Bozorgi H, Zarei T, Bordbar M, Amanati A, Safaei A, et al. Antithrombotic prophylaxis in children and adolescents’ patients with SARS-CoV-2 (COVID-19) infection: A practical guidance for clinicians. Acta Biomed. 2020;91:e2020170. doi: 10.23750/abm.v91i4.10720. PubMed PMID: 33525215; PubMed Central PMCID: PMCPMC7927562.
- Ozturk A, Sener MU, Yilmaz A. Bronchoscopic procedures during COVID-19 pandemic: Experiences in Turkey. J Surg Oncol. 2020;122:1020-6. doi: 10.1002/jso.26164. PubMed PMID: 32783207; PubMed Central PMCID: PMCPMC7436898.
- Lu W, Zhang S, Chen B, Chen J, Xian J, Lin Y, et al. A Clinical Study of Noninvasive Assessment of Lung Lesions in Patients with Coronavirus Disease-19 (COVID-19) by Bedside Ultrasound. Ultraschall Med. 2020;41:300-7. doi: 10.1055/a-1154-8795. PubMed PMID: 32294796.
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