Omental Pedicled Flap for Pulmonary Tuberculosis Sequelae

Abstract

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 bronchoatmospheric fistula. Despite initial closure of the resulting bronchopleural fistula with an omental pedicled flap, subsequent complications highlight the missed opportunity at preventing its occurrence.