Retrograde Instillation of Methylene Blue in the Difficult Diagnosis of BPF
Joint Authors
Feo, C.
Avoscan, C.
Ravenna, F.
Cavallesco, Giorgio Narciso
Barbetta, C.
Calia, N.
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-10-04
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
We report two cases in which we were able to diagnose bronchopleural fistula through retrograde methylene blue instillation during bronchoscopy.
In the first case, methylene blue was injected through an abdominal drain, followed by air instillation and detected in the left bronchial tree, demonstrating the presence of a fistula in the lingula’s bronchus.
In the second case, methylene blue was injected into a pleural drain, through a breach on a surgical suture and detected in the right bronchial tree, demonstrating the presence of a fistula in the right inferior bronchus.
The retrograde instillation of methylene blue, through a drain in the abdomen or the thoracic wall, is a safe, cheap, and practical method that allows the bronchoscopist to identify the presence of a fistula and, more importantly, to identify the exact point on the bronchial tree where a fistula is located.
This provides the possibility of sealing the fistula with a variety of devices.
It is our opinion that this procedure should be considered a primary method of diagnosis when a bronchopleural fistula is suspected and a drain on the thoracic or abdominal wall is positioned such that effusions are able to drain.
American Psychological Association (APA)
Ravenna, F.& Feo, C.& Calia, N.& Avoscan, C.& Barbetta, C.& Cavallesco, Giorgio Narciso. 2012. Retrograde Instillation of Methylene Blue in the Difficult Diagnosis of BPF. Case Reports in Medicine،Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-492735
Modern Language Association (MLA)
Ravenna, F.…[et al.]. Retrograde Instillation of Methylene Blue in the Difficult Diagnosis of BPF. Case Reports in Medicine No. 2012 (2012), pp.1-4.
https://search.emarefa.net/detail/BIM-492735
American Medical Association (AMA)
Ravenna, F.& Feo, C.& Calia, N.& Avoscan, C.& Barbetta, C.& Cavallesco, Giorgio Narciso. Retrograde Instillation of Methylene Blue in the Difficult Diagnosis of BPF. Case Reports in Medicine. 2012. Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-492735
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-492735