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Case Reports: Reminder of important clinical lesson
Indwelling pleural catheter for malignant pleural effusion with persistent air leak
  1. Boon Hau Ng1,
  2. Andrea Yu-Lin Ban1,
  3. Hsueh Jing Low2 and
  4. Mohamed Faisal1
  1. 1Respiratory Unit, Department of Medicine, Pusat Perubatan Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia
  2. 2Department of Anaesthesiology and Intensive Care, Pusat Perubatan Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia
  1. Correspondence to Dr Andrea Yu-Lin Ban; andreaban{at}gmail.com

Abstract

Malignant pleural effusion with persistent air leak (PAL) is a rare manifestation of lung malignancy. We present a woman in her 50s with postpleuroscopy PAL. Pleural biopsy confirmed adenocarcinoma with detection of epidermal growth factor receptor mutation in exon 19. An indwelling pleural catheter (IPC) was inserted and connected to an Atrium Express Mini ambulatory drain. This procedure reduced the length of hospital stay. Autopleurodesis with resolution of PAL occurred at week 3 of IPC insertion.

  • Pneumothorax
  • Cancer intervention

https://doi.org/10.1136/bcr-2021-248574

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    Footnotes

    • Contributors BHN wrote the case under continuous supervision of AY-LB and MF. BHN and HJL discussed the case presentation, investigations and management. AY-LB and MF supervised and provided guidance on the management of the patient.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.