Ajoy Krishna Sarkar¹, Arindam Mukherjee², Sayan Das³, Bhaswati Dasgupta Nath⁴, Raja Basu⁵, Avijit Das⁶ and Abhraneel Guha⁷*

¹Clinical Director of Critical Care and Head of the Unit Pulmonary Medicine, Peerless Hospital and B.K. Roy Research Centre, Kolkata, West Bengal, India
²Consultant Respiratory Medicine, Peerless Hospital and B.K. Roy Research Centre, Kolkata, West Bengal, India
³Consultant Interventional Radiologist, Peerless Hospital and B.K. Roy Research Centre, Kolkata, West Bengal, India
⁴Consultant Internal Medicine, Peerless Hospital and B.K. Roy Research Centre, Kolkata, West Bengal, India
⁵Consultant Internal Medicine and Intensivist, Peerless Hospital and B.K. Roy Research Centre, Kolkata, West Bengal, India
⁶Consultant Tropical Medicine, Peerless Hospital and B.K. Roy Research Centre, Kolkata, West Bengal, India
⁷Senior Registrar, Internal Medicine, Peerless Hospital and B.K. Roy Research Centre, Kolkata, West Bengal, India

*Corresponding Author: Abhraneel Guha, Senior Registrar, Internal Medicine, Peerless Hospital and B.K. Roy Research Centre, Kolkata, West Bengal, India.

Received: May 17, 2021; Published: June 05, 2021

Abstract

60-year-old male patient with a background of post liver transplant from living donor 10 years back and also diagnosed interstitial lung disease (ILD) 2 years back presented with a left sided pneumothorax with bronchopleural fistula (BPF) in February this year. He was managed initially in a local hospital with intercostal chest drain. Because of persistent bronchopleural fistula, his left lung remained in a state of partial collapse. He was admitted in our hospital with respiratory distress due to surgical emphysema in addition to pneumothorax. After changing the intercostal drain, surgical emphysema got better but there was no sign of improvement of his bronchopleural fistula. A CT scan of the chest revealed moderate amounts of pneumothorax on left pleural space with ICD seen in situ. Three dimensional reconstruction of CT thorax suggested a possible fistula in the left anterior upper segmental bronchus. Localization of BPF was confirmed by inflating a 4F fagoti balloon followed by injecting Iohexol dye in the above subsagement through fibre optic bronchoscopy. Subsequently bronchoscopy guided endobronchial glueing and closure of the BPF was done. Repeat CT scan confirmed closure of the BPF and resolution of the pneumothorax was noted. Patient was discharged in a stable condition.

Keywords: Bronchopleural Fistula; Liver Transplant; Endobronchial Glueing; Fiberoptic Bronchoscopy; Interstitial Lung Disease

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Citation

Citation: Abhraneel Guha., et al. “A Case of Late Bronchopleural Fistula in a Patient of Liver Transplant and Interstitial Lung Disease". Acta Scientific Clinical Case Reports 2.7 (2021): 38-42.

Copyright

Copyright: © 2021 Abhraneel Guha., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.