The benefit of indwelling pleural catheter with ambulatory pneumothorax device and autologous blood patch pleurodesis in lymphangioleiomyomatosis with persistent air leak

© 2023 The Authors. Respirology Case Reports published by John Wiley & Sons Australia, Ltd on behalf of The Asian Pacific Society of Respirology..

We report a 35-year-old woman who presented with dyspnoea and chest pain for 1 week. High-resolution computed tomography (HRCT) thorax revealed bilateral pneumothoraces with diffuse lung cysts. Bilateral intercostal chest tubes were inserted, and there was a persistent air leak (PAL) bilaterally. We performed an autologous blood patch pleurodesis (ABPP) for the left PAL. For the right PAL, she underwent a successful right video-assisted thoracic (VATS) surgery, wedge biopsy, and surgical pleurodesis. Histopathology examination confirmed the diagnosis of lymphangioleiomyomatosis (LAM). The left pneumothorax recurred. An indwelling pleural catheter (Rocket® IPC™; Rocket Medical plc; WASHINGTON) was inserted and the patient was discharged after 1 day with an atrium pneumostat (Pneumostat™; Atrium Medical Corporation, Hudson, NH, USA) chest drain valve. The patient was initiated on Sirolimus 2 mg daily. The left PAL resolved at 6 weeks. This case highlights the benefit of IPC with an ambulatory pneumothorax device in a patient with LAM with PAL.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:11

Enthalten in:

Respirology case reports - 11(2023), 5 vom: 11. Mai, Seite e01143

Sprache:

Englisch

Beteiligte Personen:

Ng, Boon Hau [VerfasserIn]
Low, Hsueh Jing [VerfasserIn]
Nik Abeed, Nik Nuratiqah [VerfasserIn]
Jailaini, Mas Fazlin Mohamad [VerfasserIn]
Abdul Hamid, Mohamed Faisal [VerfasserIn]
Ban Yu-Lin, Andrea [VerfasserIn]

Links:

Volltext

Themen:

Blood patch pleurodesis
Case Reports
Indwelling pleural catheter
Lymphangioleiomyomatosis
Persistent air leak
Pneumothorax

Anmerkungen:

Date Revised 18.04.2023

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1002/rcr2.1143

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM35569221X