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Bronchostenosis Pin Hole (Endobronchial tuberculosis) complicated by lung

empyema,bronchopleuralfistula and post postolateral thoracotomy,lung decortication


and air plumbage
Melly Miranda1, Noni Novisari Soeroso1
1
Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas
Sumatera Utara, Medan, North Sumatera, Indonesia

ABSTRACT
Introduction: Endobronchial tubercolosis is defined as a tuberculous infection of the
tracheobronchial tree with microbial and histopathological evidence, which was difficult in
diagnosis because of nonspecific symptoms and there is no lesion detected on chest
radiograph. The most common complications were bronchostenosis and stricture.
Case: A 28-years old male with complaints of shortness of breath, cough, and chest pain for 1
month. He also reported fever, night sweat, and significant weight loss. Previously he was
admitted in another hospital for 3 weeks, where he had a chest tube inserted. In physical
examination, we found tachypnea and fever with 99% oxygen saturation. The right hemithorax
was dull and breath sound was diminished. Laboratory work-up revealed leukocytosis and
respiratory alkalosis. CT scan revealed right hydropneumothorax with pleuritic and specific
process at the right lower lobe. Bronchoscopy was done and we found endobronchial
tuberculosis. Intra-thoracotomy, we found pleural thickening and expansion failure of the right
lung with positive pressure. Therefore, we did parietal pleurectomy, right lung decortication, air
plumbage, and pleurodesis.
Conclusion: We reported a case of endobronchial tuberculosis presented with Lung empyema
,Bronchopleuralfistula and expansion failure of the right lung Post Posterolateral Thoracotomy
Lung Decortication with Air plumbage
Keywords: endobronchial tuberculosis, bronchostenosis, thoracotomy
PERSONAL DATA

Title of Research : Bronchostenosis Pin Hole (Endobronchial tuberculosis)


complicated by lung empyema,bronchopleuralfistula and
post postolateral thoracotomy,lung decortication and air
plumbage.

Full Name of Presenter : Melly Miranda

Presenter’s Phone Number : 081272123333

Presenter’s Institution : Department of Pulmonology and Respiratory Medicine,


Faculty of Medicine, Universitas Sumatera Utara,
Medan, North Sumatera, Indonesia

Complete Address : Jl Bunga Lau No.26, Kemenangan Tani, Medan


Tuntungan,Kota Medan,, Sumatera Utara,20136.

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