”Reversed” Latissimus Dorsi Musculocutaneous Flap for Closure of Large Bronchopleural Fistula

Abstract

The patient was a 54-year-old male with diabetes mellitus and liver abscess perforating into the right lung through the dia-phragm. After right lower lobectomy of the lung, S³-segmentectomy of the liver, and debridement of the subdiaphragmatic abscess a bronchopleural fistula appeared. After open-drainage thoractomy, secondary Operation for closure of a large bronchopleural fistula and obliteration of the empyema cavities was per-formed with a “reversed” latissimus dorsi musculocutaneous flap.

Postoperative empyema - Myoplasty - Reversed latissimus dorsi - Musculocutaneous flap