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Imagen Clínica
Rotura bronquial secundaria a la colocación de un drenaje pleural
Bronchial Rupture Secondary to Placing a Drainage
María del Carmen Vera Sancheza,
Corresponding author
maricarmenvera46@gmail.com

Autora para correspondencia.
, Manuel Blanco Diazb, Jose Luis Velasco Garridoa
a Servicio de Neumología, Hospital Universitario Virgen de la Victoria, Málaga, España
b Servicio de Urgencias, Hospital Universitario Virgen de la Victoria, Málaga, España
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Presentamos el caso de una paciente de 64 a&#241;os que consulta por neumot&#243;rax izquierdo espont&#225;neo&#46; Tras anestesia local de la zona se coloca un drenaje pleural fino tipo pleurecath de tama&#241;o 10F a nivel axilar en s&#233;ptimo espacio intercostal&#46; Durante el procedimiento la paciente presenta episodio de taquicardia sinusal e hipotensi&#243;n debido a intenso dolor costal&#46; Tras el procedimiento se realiza radiograf&#237;a de t&#243;rax&#44; visualiz&#225;ndose la punta del cat&#233;ter a nivel traqueal&#46; Para confirmar la ubicaci&#243;n se realiza broncoscopia&#46; Como se puede observar en el video&#44; el drenaje rompe un bronquio subsegmentario de B8&#44; sigue ascendiendo por el bronquio lobar inferior&#44; bronquio principal izquierdo y tr&#225;quea&#44; estando la punta del cat&#233;ter a nivel del tercio superior de tr&#225;quea justo por debajo de las cuerdas vocales &#40;<a class="elsevierStyleCrossRef" href="#fig0005">fig&#46; 1</a>&#41;&#46; Mediante control endosc&#243;pico se retira el drenaje&#44; produci&#233;ndose leve sangrado que se controla mediante la instilaci&#243;n de adrenalina t&#243;pica diluida&#46; Posteriormente se coloca un nuevo drenaje pleural fino&#44; resolvi&#233;ndose el neumot&#243;rax&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Las complicaciones derivadas de la colocaci&#243;n de un drenaje pleural m&#225;s frecuentes son la colocaci&#243;n en el lugar inadecuado&#44; infecciones&#44; perforaci&#243;n pulmonar y hemorragias por laceraci&#243;n de vasos intercostales&#46; La rotura bronquial secundaria a la colocaci&#243;n de un drenaje pleural es una complicaci&#243;n muy rara&#44; no descrita en la literatura<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1&#44;2</span></a>&#46;</p></span>"
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Article information
ISSN: 03002896
Original language: Spanish
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