A bronchopleural fistula (BPF) consists of a direct communication between the bronchial tree and the pleural space, which can develop secondary to (pleuro) pneumonia. Thoracotomy has been reported as a viable treatment option in cases of nonresponsive pleuropneumonia, pleural abscess formation and necrotising pneumonia. The presence of a BPF can delay and even prevent healing of the thoracotomy site, with clinical signs of coughing and putrid purulent nasal discharge often seen. In this case report, we describe the diagnosis and localisation of a bronchopleural fistula using retrograde instillation of methylene blue through the thoracotomy site, followed by the successful closure of the BPF using endoscopic application of acrylate co-monomer glue (Glubran 2^®).

中文翻译：

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使用丙烯酸酯共聚单体胶对慢性支气管胸膜瘘进行内窥镜密封

支气管胸膜瘘 (BPF) 由支气管树和胸膜腔之间的直接连通组成，可继发于（胸膜）肺炎。据报道，在无反应性胸膜肺炎、胸膜脓肿形成和坏死性肺炎病例中，开胸手术是一种可行的治疗选择。BPF 的存在会延迟甚至阻止开胸手术部位的愈合，临床症状包括咳嗽和腐烂的脓性鼻涕。在本病例报告中，我们描述了使用亚甲蓝通过开胸手术部位逆行滴注支气管胸膜瘘的诊断和定位，然后使用内窥镜应用丙烯酸酯共聚单体胶 (Glubran 2 ^® )成功闭合 BPF 。