Delayed perforation of the esophagus by a closed thoracostomy tube.

Abstract:

:We report on a previously undocumented complication of a trocar-free thoracostomy tube--delayed perforation of a normal esophagus. The complication presented clinically with fever and copious enteric drainage four days after thoracostomy tube insertion. Diagnosis was established by a contrast study of the esophagus. Retrospectively, the postinsertion chest radiograph showed the offending thoracostomy tube tip impinging on the posterior mediastinum, displacing an indwelling nasogastric tube. Early recognition and repositioning of the thoracostomy tube is the key in preventing this rare but serious complication.

journal_name

Chest

journal_title

Chest

authors

Shapira OM,Aldea GS,Kupferschmid J,Shemin RJ

doi

10.1378/chest.104.6.1897

subject

Has Abstract

pub_date

1993-12-01 00:00:00

pages

1897-8

issue

6

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(15)42468-7

journal_volume

104

pub_type

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