scholarly journals Life Threatening Hemoperitoneum and Liver Injury as a Result of Chest Tube Thoracostomy

2015 ◽  
Vol 8 ◽  
pp. CCRep.S23139 ◽  
Author(s):  
Jung-Min Bae
Keyword(s):  
Liver Injury ◽  
Chest Wall ◽  
Subcutaneous Emphysema ◽  
Chest Tube ◽  
Rare Case ◽  
Rare Complication ◽  
Tube Thoracostomy ◽  
Review Of Literature ◽  
Life Threatening ◽  
Emergent Laparotomy

Common complications of chest tube thoracostomy (CTT) include lung laceration, chest wall bleeding, improper position of tube, subcutaneous emphysema, and so on. Although intra-abdominal injury because of CTT was possible in stomach, spleen, and liver, published reports are rare and no case of life-threatening hemoperitoneum because of CTT has been published in the literature. Here, we present a rare case of life-threatening hemoperitoneum and liver injury because of CTT. We successfully treated the case with emergent laparotomy. Owing to great rarity and particular rare complication of CTT, we report this case with a review of literature.

scholarly journals Bradycardia after Tube Thoracostomy for Spontaneous Pneumothorax

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Yomi Fashola ◽  
Sanjeev Kaul ◽  
Douglas Finefrock
Keyword(s):  
Elderly Patient ◽  
Chest Tube ◽  
Spontaneous Pneumothorax ◽  
Rare Complication ◽  
Tube Thoracostomy ◽  
Shortness Of Breath ◽  
Tube Insertion ◽  
Chest Tube Insertion ◽  
Severe Bradycardia ◽  
Life Threatening

We present the case of an elderly patient who became bradycardic after chest tube insertion for spontaneous pneumothorax. Arrhythmia is a rare complication of tube thoracostomy. Unlike other reported cases of chest tube induced arrhythmias, the bradycardia in our patient responded to resuscitative measures without removal or repositioning of the tube. Our patient, who had COPD, presented with shortness of breath due to spontaneous pneumothorax. Moments after tube insertion, patient developed severe bradycardia that responded to Atropine. In patients requiring chest tube insertion, it is important to be prepared to provide cardiopulmonary resuscitative therapy in case the patient develops a life-threatening arrhythmia.

Intra-Peritoneal Pseudocyst as a Rare Complication After Peritoneal Dialysis: The Use of a Staged Surgical Approach in Management

2021 ◽  
pp. 000313482110474
Author(s):  
Ahmad Kharsa ◽  
Kayla Colvill ◽  
Heather Stevenson ◽  
Jeffrey Fair ◽  
Rupak Kulkarni ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Surgical Approach ◽  
Rare Case ◽  
Diagnostic Laparoscopy ◽  
Rare Complication ◽  
Cyst Excision ◽  
Neoplastic Processes ◽  
Life Threatening ◽  
Pseudocyst Formation

Despite its numerous benefits, peritoneal dialysis (PD) can rarely result in dangerous and even life-threatening complications, including peritonitis, hernias, encapsulating peritoneal sclerosis (EPS), and rarely peritoneal pseudocysts. Herein, we present a rare case of a giant intra-peritoneal pseudocyst that presented four months following the discontinuation of a 5-year course of complicated PD. Despite the initially successful drainages, the patient’s symptoms continued to recur, and the imaging findings were concerning for underlying neoplastic processes. As such, a staged surgical approach was performed, starting with a diagnostic laparoscopy and was subsequently followed with cyst excision and marsupialization to the peritoneal cavity. While previous reports of such rare pseudocyst have been documented in the literature as a complication of PD, to our knowledge, this is the second case of pseudocyst formation to occur months after the discontinuation of PD therapy. This case emphasizes the importance of close follow-up in PD patients and showcases how a staged surgical approach can be utilized to accurately diagnose and manage such complicated cases.

scholarly journals Dicephalus parapagus conjoined twin: a rare case with review of literature

2018 ◽  
Vol 7 (8) ◽  
pp. 3410
Author(s):  
Meenakshi Gothwal ◽  
Charu Sharma ◽  
Garima Yadav ◽  
Pratibha Singh ◽  
Sunil Raikar
Keyword(s):  
Crucial Role ◽  
Rare Case ◽  
Rare Complication ◽  
Primitive Streak ◽  
Termination Of Pregnancy ◽  
Early Termination ◽  
Review Of Literature ◽  
Monochorionic Twins ◽  
Sonographic Diagnosis ◽  
Severe Morbidity

Conjoined twin is a rare complication seen in 1% of monochorionic twins and associated with severe morbidity and mortality. It occurs due to a division event at the primitive streak stage of the human embryonic development at about 13-14 days after fertilisation, in monochorionic monoamniotic gestations.  Early prenatal diagnosis of conjoined twin plays a very crucial role in the management and allows appropriate and timely counselling of couple regarding the different modes of management like early termination of pregnancy or continuation of pregnancy with post-natal surgery. Late diagnoses present with difficult options for parents and obstetrician too. Ultrasound plays a very crucial role in diagnosis of conjoined twin. We are reporting a case of 27 years old primigravida referred to our institute at 13 weeks of gestation with ultra-sonographic diagnosis of dicephalus parapagus conjoined twin and further confirmed after termination of pregnancy.

Thin Chest Wall is an Independent Risk Factor for the Development of Pneumothorax after Chest Tube Removal

2012 ◽  
Vol 78 (4) ◽  
pp. 478-480 ◽  
Author(s):  
Rahul J. Anand ◽  
James F. Whelan ◽  
Paula Ferrada ◽  
Therese M. Duane ◽  
Ajai K. Malhotra ◽  
...  
Keyword(s):  
Risk Factor ◽  
Chest Wall ◽  
Scale Score ◽  
Wall Thickness ◽  
Chest Tube ◽  
Independent Risk Factor ◽  
Tube Thoracostomy ◽  
Abbreviated Injury Scale ◽  
Tube Removal ◽  
Chest Tube Removal

The factors contributing to the development of pneumothorax after removal of chest tube thoracostomy are not fully understood. We hypothesized that development of post pull pneumothorax (PPP) after chest tube removal would be significantly lower in those patients with thicker chest walls, due to the “protective” layer of adipose tissue. All patients on our trauma service who underwent chest tube thoracostomy from July 2010 to February 2011 were retrospectively reviewed. Patient age, mechanism of trauma, and chest Abbreviated Injury Scale score were analyzed. Thoracic CTs were reviewed to ascertain chest wall thickness (CW). Thickness was measured at the level of the nipple at the midaxillary line, as perpendicular distance between skin and pleural cavity. Chest X-ray reports from immediately prior and after chest tube removal were reviewed for interval development of PPP. Data are presented as average ± standard deviation. Ninety-one chest tubes were inserted into 81 patients. Patients who died before chest tube removal (n = 11), or those without thoracic CT scans (n = 13) were excluded. PPP occurred in 29.9 per cent of chest tube removals (20/67). When PPP was encountered, repeat chest tube was necessary in 20 per cent of cases (4/20). After univariate analysis, younger age, penetrating mechanism, and thin chest wall were found to be significant risk factors for development of PPP. Chest Abbreviated Injury Scale score was similar in both groups. Logistic regression showed only chest wall thickness to be an independent risk factor for development of PPP.

Constrictive pericarditis with a life-threatening giant pericardial cyst and pectus excavatum as unusual cause for malign cardiac arrhythmias

Perfusion ◽  
2019 ◽  
Vol 34 (6) ◽  
pp. 516-518
Author(s):  
Stephen Gerfer ◽  
Georg Schlachtenberger ◽  
Kaveh Eghbalzadeh ◽  
Jens Wippermann ◽  
Thorsten Wahlers
Keyword(s):  
Chest Wall ◽  
Constrictive Pericarditis ◽  
Cardiac Arrhythmias ◽  
Congenital Anomalies ◽  
Pectus Excavatum ◽  
Rare Case ◽  
Pericardial Cyst ◽  
Life Threatening ◽  
Pericardial Cysts

Pericardial cysts are rare, abnormal, benign and usually congenital anomalies with an estimated incidence of 1:100.000 and are caused by an incomplete coalescence of foetal lacunae of pericardium development. The size of pericardial cysts varies from 1 to 5 cm and generally do not cause any symptoms. Pectus excavatum is one of the most frequent chest wall abnormalities with a caved-in appearance of the chest and mostly of unknown pathogenesis. We present a rare case of constrictive pericarditis with a huge pericardial cyst (11.6 × 8.7 × 7.1 cm) and pectus excavatum which led to compression of the heart and life-threatening cardiac arrhythmias.

scholarly journals Liver injury secondary to chest tube placement: a case report of conservative management and review of literature

2017 ◽  
Vol 6 (1) ◽  
pp. 45-48
Author(s):  
Badr Serji ◽  
Houda Mirali ◽  
Mohammed Chablou ◽  
Imane Kamaoui ◽  
Tijani El Harroudi
Keyword(s):  
Case Report ◽  
Liver Injury ◽  
Conservative Management ◽  
Chest Tube ◽  
Tube Placement ◽  
Review Of Literature ◽  
Chest Tube Placement

Bronchocutaneous fistula after chest-tube placement: A rare complication of tube thoracostomy

Heart & Lung ◽  
2005 ◽  
Vol 34 (4) ◽  
pp. 279-281 ◽  
Author(s):  
Sinoj K. John ◽  
Sony Jacob ◽  
Thomas Piskorowski
Keyword(s):  
Chest Tube ◽  
Rare Complication ◽  
Tube Thoracostomy ◽  
Tube Placement ◽  
Chest Tube Placement

scholarly journals Tension Pneumothorax, Pneumoperitoneum, and Cervical Emphysema following a Diagnostic Colonoscopy

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Ali Pourmand ◽  
Hamid Shokoohi
Keyword(s):  
Rare Case ◽  
Tension Pneumothorax ◽  
Colonic Perforation ◽  
Tube Thoracostomy ◽  
Diagnostic Colonoscopy ◽  
Rare Case Report ◽  
Initial Injury ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Anatomical Connection

Colonoscopy is currently a widespread procedure used in screening for colorectal cancer. Iatrogenic colonic perforation during colonoscopy is a serious and potentially life-threatening complication that can cause significant morbidity and mortality. “Triple pneumo” (a combination of pneumothorax, pneumomediastinum, and pneumoperitoneum) following colonoscopy is a rare but a serious condition requiring immediate diagnosis and emergent intervention. In majority of these cases a colonic perforation is the initial injury that is followed by pneumothorax and pneumomediastinum through the potential anatomical connection with retroperitoneal and mediastinal spaces. In this rare case report we are presenting a case of “triple pneumo” with no evidence of colonic perforation. This patient developed a simultaneous pneumoperitoneum, pneumomediastinum, and a tension pneumothorax requiring immediate tube thoracostomy. This case may raise the awareness on the likelihood of these serious complications after colonoscopy.

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