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CT scan before installing the ocluder.
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Fig. 2 on the day of hospitalization, a diagnostic bronchoscopy was performed, the examination revealed the failure of the suture of the stump of the main bronchus up to 0.3 cm, there is a metal bracket at the mouth of the fistula, and Muco-purulent, cloudy contents actively enter from the mouth.
Ehe bronchopleural fistula.
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The diameter of the fistula lumen is 0, 2x0, 3 cm, from which a large amount of turbid mucus of a purulent nature enters the bronchial lumen during active aspiration(Fig. 3).
Installation steps of occluder.
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Made a thorough debridement of the cavity, then through the instrument channel of the bronchoscope endoscopic forceps, with which the produced fixation of silicone brooklyner, the latest work was installed in the lumen of the fistula with a tight fit. (Fig. 4).
CT and bronchoscopy control after 6 months.
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A six month later, a control study was performed on a computer tomography and bronchoscopy, the dynamics in the pleural cavity of the fluid is not determined (Fig. 5).