{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T22:12:16Z","timestamp":1788473536687,"version":"build-2803163510"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2021,7,23]],"date-time":"2021-07-23T00:00:00Z","timestamp":1626998400000},"content-version":"vor","delay-in-days":203,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance<\/jats:title>\n                    <jats:p>Prolonged air leakage after pulmonary resection is a common complication, and fibrin glue is used as a sealant to reduce this. Fibrin glue-induced adverse events are generally rare. Herein, we describe a rare case of fibrin glue-induced eosinophilic pleural effusion (EPE).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>A 77-year-old man underwent partial pulmonary resection for right lower lobe lung cancer, and the pulmonary staple stump was subsequently covered with fibrin glue. Antibacterial drugs were administered for the treatment of postoperative pneumonia. However, re-elevation of the inflammatory cell number was observed, and computed tomography revealed an increase in right pleural effusion. Although thoracoscopy was performed based on a possibility of empyema, no empyema was observed. The eosinophil count in the pleural effusion was 11%; thus, the patient was diagnosed with EPE, which was resolved after thoracic drainage, without corticosteroid administration. Fibrin glue was identified as the causative agent, using a drug-induced lymphocyte stimulation test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion<\/jats:title>\n                    <jats:p>EPE is defined as an eosinophil count of \u226510% in the pleural effusion. If pleural effusion on the surgical side, with fever or an elevated inflammatory cell number, is observed in the early postoperative period after pulmonary resection, empyema should be considered foremost. In this case, the administration of antibacterial drugs was ineffective, and the patient was eventually diagnosed with EPE.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>EPE should be considered as a rare fibrin glue-induced adverse event after pulmonary resection. It is recommended that the leukocyte fraction be examined, if pleural effusion is collected for postoperative pleural effusion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2021.106239","type":"journal-article","created":{"date-parts":[[2021,7,27]],"date-time":"2021-07-27T05:51:12Z","timestamp":1627365072000},"page":"106239","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Fibrin glue-induced eosinophilic pleural effusion after pulmonary resection"],"prefix":"10.1097","volume":"85","author":[{"given":"Nobutaka","family":"Kawamoto","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riki","family":"Okita","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masanori","family":"Okada","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kosuke","family":"Ito","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katsutoshi","family":"Hirazawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hidetoshi","family":"Inokawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-80-20260114","doi-asserted-by":"crossref","first-page":"5399","DOI":"10.21037\/jtd.2017.11.15","article-title":"Chest drainage systems and management of air leaks after a pulmonary resection","volume":"9","author":"Baringer","year":"2017","journal-title":"J. Thorac. Dis"},{"key":"R2-80-20260114","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1007\/s00268-011-1355-5","article-title":"A unique method for repairing intraoperative pulmonary air leakage with both polyglycolic acid sheets and fibrin glue","volume":"36","author":"Yano","year":"2012","journal-title":"World J. Surg"},{"key":"R3-80-20260114","first-page":"170","article-title":"Routinary use of fibrin sealants to prevent prolonged air leak in thoracic surgery: our experience","volume":"40","author":"Porrello","year":"2019","journal-title":"G. Chir"},{"key":"R4-80-20260114","doi-asserted-by":"crossref","first-page":"741","DOI":"10.1016\/j.athoracsur.2004.03.072","article-title":"Forty years of clinical aprotinin use: a review of 124 hypersensitivity reactions","volume":"79","author":"Beierlein","year":"2005","journal-title":"Ann. Thorac. Surg"},{"key":"R5-80-20260114","doi-asserted-by":"crossref","first-page":"1088","DOI":"10.2169\/internalmedicine.44.1088","article-title":"Anaphylaxis to aprotinin in fibrin sealant","volume":"44","author":"Shirai","year":"2005","journal-title":"Intern. Med"},{"key":"R6-80-20260114","first-page":"605","article-title":"Anaphylaxis induced by fibrin glue during surgery for pneumothorax [article in Japanese]","volume":"72","author":"Inoue","year":"2019","journal-title":"Kyobu Geka"},{"key":"R7-80-20260114","first-page":"141","article-title":"Eosinophilic pleural effusion possibly induced by fibrin sealant [article in Japanese]","volume":"65","author":"Kambayashi","year":"2012","journal-title":"Kyobu Geka"},{"key":"R8-80-20260114","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.ijsu.2020.10.034","article-title":"The SCARE 2020 guideline: updating consensus surgical CAse REport (SCARE) guidelines","volume":"84","author":"Agha","year":"2020","journal-title":"Int. J. Surg"},{"key":"R9-80-20260114","doi-asserted-by":"crossref","first-page":"915","DOI":"10.1016\/0002-9343(84)90542-4","article-title":"Diagnostic utility of pleural fluid eosinophilia","volume":"77","author":"Adelman","year":"1984","journal-title":"Am. J. Med"},{"key":"R10-80-20260114","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1097\/00063198-200307000-00002","article-title":"Eosinophilic pleural effusions","volume":"9","author":"Kalomenidis","year":"2003","journal-title":"Curr. Opin. Pulm. Med"},{"key":"R11-80-20260114","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1186\/s12890-020-1108-z","article-title":"Diagnostic procedure for idiopathic eosinophilic pleural effusion: a single-center experience","volume":"20","author":"Luo","year":"2020","journal-title":"BMC Pulm Med"},{"key":"R12-80-20260114","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1183\/09059180.00005811","article-title":"Drug-induced eosinophilic pleural effusion","volume":"20","author":"Krenke","year":"2011","journal-title":"Eur. Respir. Rev"},{"key":"R13-80-20260114","doi-asserted-by":"crossref","first-page":"703","DOI":"10.1159\/000098870","article-title":"Propylthiouracil-associated eosinophilic pleural effusion: a case report","volume":"74","author":"Sen","year":"2007","journal-title":"Respiration"},{"key":"R14-80-20260114","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1016\/S0954-6111(96)90179-1","article-title":"Intrapleural corticosteroid injection therapy for post-traumatic eosinophilic pleural effusion","volume":"90","author":"Ishiura","year":"1996","journal-title":"Respir. Med"},{"key":"R15-80-20260114","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1016\/j.jpba.2010.07.048","article-title":"Pharmacokinetics, tissue distribution and excretion of porcine fibrinogen after intraperitoneal injection of a porcine-derived fibrin glue to rats","volume":"54","author":"Xie","year":"2011","journal-title":"J. Pharm. Biomed. Anal"},{"key":"R16-80-20260114","doi-asserted-by":"crossref","first-page":"29810","DOI":"10.18632\/oncotarget.25629","article-title":"Postoperative empyema following lung cancer surgery","volume":"9","author":"Matsutani","year":"2018","journal-title":"Oncotarget"},{"key":"R17-80-20260114","doi-asserted-by":"crossref","first-page":"635309","DOI":"10.1155\/2009\/635309","article-title":"Eosinophilic pleural effusion: a rare manifestation of hypereosinophilic syndrome","volume":"2009","author":"Okafor","year":"2009","journal-title":"Case Rep. Med"},{"key":"R18-80-20260114","doi-asserted-by":"crossref","first-page":"538","DOI":"10.1016\/j.arbres.2016.02.015","article-title":"Eosinophilic pleural effusion as a manifestation of idiopathic hypereosinophilic syndrome","volume":"52","author":"Lima \u00c1lvarez","year":"2016","journal-title":"Arch. Bronconeumol"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261221007410?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261221007410?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2021.106239","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:21:52Z","timestamp":1768396912000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2021.106239"}},"subtitle":["A case report"],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":18,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2021.106239","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2021,1]]}}}