CTICasesEloesser flap revision for chronic empyema
Imaging findings
CT scan shows a large open channel in the right chest wall communicating with the outside pleural space (an Eloesser flap) containing packing material. Medial to this open space is a separate, persistent, walled-off fluid collection, along with severe pleural thickening and complete collapse of the right lung.
Key takeaways
An Eloesser flap is a surgical drainage procedure for chronic empyema and bronchopleural fistulas. Residual or partitioned collections may require surgical revision, often involving muscle transposition to obliterate the dead space.
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