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J Korean Soc Emerg Med > Volume 26(5); 2015 > Article
Journal of The Korean Society of Emergency Medicine 2015;26(5): 487-489.
Iatrogenic Bronchial Injury: A Rare Complication of Tube Thoracostomy with a Small Bore Catheter
Sung Wook Chang, Kyoung Min Ryu, Jae-Wook Ryu
1Trauma Center, Dankook University Hospital, Cheonan, Republic of Korea
2Department of Thoracic and Cardiovascular Surgery, Dankook University Hospital, Cheonan, Republic of Korea
Correspondence  Jae-Wook Ryu ,Tel: 041) 550-6195, Fax: 041) 550-7050, Email: j3thorax@chol.com,
Received: June 3, 2015; Revised: June 3, 2015   Accepted: August 12, 2015.  Published online: October 30, 2015.
ABSTRACT
A 69-year-old male was admitted for dyspnea and chest pain. The patient had undergone coronary artery bypass graft surgery and tube thoracostomy three years ago. The chest radiograph showed pleural effusion, which was drained using a percutaneous catheter with CT guidance. However, residual pneumothorax was observed four days later. Despite insertion of the 12 Fr trocar-type tube, pneumothorax did not improve and air leaks were observed. Chest CT showed that the tube was placed in the left main bronchus. After removal of the tube, the patient recovered uneventfully from pulmonary hemorrhage and bronchial perforation without complications.
Key words: Iatrogenic disease, Bronchus, Thoracostomy
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