Case Report


Pleural space infection and air leak due to non-expandable lung post-VATS managed with stoma bags and ambulatory chest drainage in a patient with malignant pleural mesothelioma

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1 Department of Respiratory Medicine, Northumbria Healthcare NHS Trust, Northumbria Way, Cramlington NE23 6NZ, UK

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Muhammad Hashim Naseer

Department of Respiratory Medicine, Northumbria Healthcare NHS Trust, Northumbria Way, Cramlington NE23 6N,

UK

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Article ID: 101517Z01NM2025

doi: 10.5348/101517Z01NM2025CR

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How to cite this article

Muhammad NH, Jackson K, Aujayeb A. Pleural space infection and air leak due to non-expandable lung post-VATS managed with stoma bags and ambulatory chest drainage in a patient with malignant pleural mesothelioma. Int J Case Rep Images 2025;16(2):25–30.

ABSTRACT


Video-assisted thoracoscopy surgery (VATS) is a well-established approach used in the investigation of unexplained exudative pleural effusions and in the treatment of pleural space infection. We describe a case of a patient who presented with a presumed pleural space infection which was actually due to a malignant pleural mesothelioma (MPM) who developed a prolonged air leak and pleural space infection post-VATS and managed with ambulatory chest drainage and stoma bags.

Keywords: Empyema, Large bore drain, Mesothelioma, Pleural effusion, Pleural infection, Prolonged air leak, Stoma bag

SUPPORTING INFORMATION


Author Contributions

Muhammad Hashim Naseer - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Karl Jackson - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Avinash Aujayeb - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Guarantor of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2025 Naseer Hashim Muhammad et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.