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Omental Pedicled Flap for Pulmonary Tuberculosis Sequelae

Wamalwa Alex Okello, Nangole Ferdinand Wanjala

School of Medicine, University of Nairobi

Correspondence to: Dr. Wamalwa Alex, P.O. Box 2212- 00202, Nairobi. Kenya. Email: aleoke@gmail.com

Summary

The omental flap should be prophylactically used in post-pneumonectomy bronchial stump reinforcement where the underlying chronic inflammatory condition poses high risk for bronchial dehiscence. We present a unique case of pulmonary tuberculosis (TB) complicated by empyema, chronic pulmonary aspergillosis and extensive pulmonary destruction that necessitated a pneumonectomy. The patient developed a broncho-atmospheric fistula. Despite initial closure of the resulting bronchopleural fistula with an omental pedicled flap; subsequent complications highlight the missed opportunity at preventing its occurrence.

 

Key words: Prophylactic, Omental Flap, Tuberculosis, Pneumonectomy

Ann Afr Surg. 2017; 14(2):108-112 DOI:http://dx.doi.org/10.4314/aas.v14i2.12