We recommended that the patient undergo an eloesser flap or thoracoplasty however, he refused and was discharged 21 days postoperatively with a Heimlich bag. The infection was irrigated with betadine solutions for 2 weeks, though the infection was not cleared. A postoperative chest X-ray revealed a dead space in the left upper lung field, potentially due to an incomplete expansion of the left lower lobe.īy day 8, the drainage fluid had changed from clear to turbid, identified by in vitro culture as Pseudomonas aeruginosa. Based on these findings, we performed a left upper lobectomy with left lower lobe superior segmentectomy. ![]() A dense adhesion was detected in the whole lung field, and the major fissure of the left lung was absent, characterized by a consolidation of left upper lobe, which extended to the superior segment of the left lower lobe. A fungal ball with cicatrization atelectasis can be seen in the left upper lobe.Īfter general anesthesia, we performed a serratus-sparing posterolateral thoracotomy at the fifth intercostal space. Preoperative chest computed tomography (CT) scan.
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