Post-resection empyema

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Post-resection empyema

• 29 yr male pt
• PTB 9yrs ago
• Haemoptysis
• Post TB bronchiectasis RUL/ApL

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Pre-op CXR
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Surgery

• Right upper lobectomy and apical lower
  segmentectomy
• Intra-operatively
• Adhesions
• Bleeding
• Post-operatively
• Pneumonia
• Persistent BPF

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Case 2

• 23 yr female pt
• PTB (2009)
• RVD on HAART
• Bronchiectasis and Empyema
• Open drainage

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Concerns

• Post pneumonectomy empyema
• With or without a BPF
• ?Space obliteration procedures