{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T13:59:23Z","timestamp":1768917563872,"version":"3.49.0"},"reference-count":7,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,7,1]],"date-time":"2020-07-01T00:00:00Z","timestamp":1593561600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,7,1]],"date-time":"2020-07-01T00:00:00Z","timestamp":1593561600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n<jats:title>Background<\/jats:title>\n<jats:p>Secondary pneumothorax after chemotherapy for a malignant pulmonary tumor is a complication from a large cavity causing refractory pneumothorax.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Case presentation<\/jats:title>\n<jats:p>A 61-year-old man was referred due to prolonged air leakage from a pulmonary cavity that developed after treatment for pulmonary metastases from renal cell carcinoma. As air leakage continued after thoracic drainage and endobronchial occlusion, we planned thoracoscopy-assisted surgery. Intraoperatively, a large cavity opening to the pulmonary cavity was found in the left upper lobe. As it was difficult to repair the fistula using staplers or direct sutures because the pleura around the cavity was thick and hard, we attempted to plombage the cavity with a pericardial fat pad. After the operation, air leakage immediately disappeared and no recurrence of the pneumothorax was found.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusion<\/jats:title>\n<jats:p>This novel method can be useful to seal a large bronchopleural fistula that causes refractory pneumothorax.<\/jats:p>\n<\/jats:sec>","DOI":"10.1186\/s40792-020-00917-7","type":"journal-article","created":{"date-parts":[[2020,7,1]],"date-time":"2020-07-01T07:53:05Z","timestamp":1593589985000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Pericardial fat pad plombage for pulmonary cavity causing massive air leakage"],"prefix":"10.1186","volume":"6","author":[{"given":"Tomoyuki","family":"Nakano","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroyoshi","family":"Tsubochi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kentaro","family":"Minegishi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shunsuke","family":"Endo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,7,1]]},"reference":[{"key":"917_CR1","doi-asserted-by":"publisher","first-page":"887","DOI":"10.1023\/A:1008323632078","volume":"11","author":"S Srinivas","year":"2000","unstructured":"Srinivas S, Varadhachary G. Spontaneous pneumothorax in malignancy: a case report and review of the literature. Ann Oncol. 2000;11:887\u20139.","journal-title":"Ann Oncol"},{"key":"917_CR2","doi-asserted-by":"publisher","first-page":"2616","DOI":"10.1200\/JCO.2007.11.0130","volume":"25","author":"M Lee","year":"2007","unstructured":"Lee M, Kim E, Kim MJ, Kwak JY, Hong SW, Park CS. Spontaneous pneumothorax in metastasis thyroid papillary carcinoma. J Clin Oncol. 2007;25:2616\u201323.","journal-title":"J Clin Oncol"},{"key":"917_CR3","doi-asserted-by":"crossref","unstructured":"Socola F, Loaiza-Bonilla A, Benedetto Pl. Axitinib induced recurrent pneumothorax following near-complete response of renal cell carcinoma lung metastasis: an unexpected complication. 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Ann Thorac Surg. 2015;99:1170\u20135.","journal-title":"Ann Thorac Surg"},{"key":"917_CR6","doi-asserted-by":"publisher","first-page":"811","DOI":"10.1007\/BF00311458","volume":"25","author":"Y Ichinose","year":"1995","unstructured":"Ichinose Y, Asoh H, Yano T, Yokoyama H, Tayama K, Ueda T, et al. Use of a pericardial fat pad flap for preventing bronchopleural fistula: an experimental study focusing on the angiogenesis and cytokine production of the fat pad. Surg Today. 1995;25:811\u20139.","journal-title":"Surg Today"},{"key":"917_CR7","doi-asserted-by":"publisher","first-page":"324","DOI":"10.1093\/ejcts\/ezt608","volume":"46","author":"Y Shintani","year":"2014","unstructured":"Shintani Y, Inoue M, Nakagiri T, Okumura M. Use of free subcutaneous fat pad for reduction of intraoperative air leak in thoracoscopic pulmonary resection cases with lung cancer. Eur J Cardiothorac Surg. 2014;46:324\u20136.","journal-title":"Eur J Cardiothorac Surg"}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-020-00917-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40792-020-00917-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-020-00917-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,1]],"date-time":"2021-07-01T00:12:42Z","timestamp":1625098362000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-020-00917-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,1]]},"references-count":7,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["917"],"URL":"https:\/\/doi.org\/10.1186\/s40792-020-00917-7","relation":{},"ISSN":["2198-7793"],"issn-type":[{"value":"2198-7793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7,1]]},"assertion":[{"value":"9 May 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 June 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 July 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Not applicable.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The patient has provided permission to publish the features of the case, and the identity of the patient has been protected.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"156"}}