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Vol. 58. Issue 1.
Pages T82 (January 2022)
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Vol. 58. Issue 1.
Pages T82 (January 2022)
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[Translated article] Bronchial Rupture Secondary to Placing a Drainage
Rotura bronquial secundaria a la colocación de un drenaje pleural
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María del Carmen Vera Sancheza,
Corresponding author
maricarmenvera46@gmail.com

Corresponding author.
, Manuel Blanco Diazb, Jose Luis Velasco Garridoa
a Servicio de Neumología, Hospital Universitario Virgen de la Victoria, Málaga, Spain
b Servicio de Urgencias, Hospital Universitario Virgen de la Victoria, Málaga, Spain
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Arch Bronconeumol. 2022;58:8210.1016/j.arbres.2021.02.014
María del Carmen Vera Sanchez, Manuel Blanco Diaz, Jose Luis Velasco Garrido
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We report the case of a 64-year-old patient who presented with spontaneous left pneumothorax. Local anesthesia was applied to the area and a small-bore 10F Pleurocath chest tube was placed in the 7th intercostal space in the axillary line. During the procedure, the patient developed sinus tachycardia and hypotension associated with severe rib pain. A chest X-ray was performed after the procedure that revealed the tip of the catheter in the trachea. Bronchoscopy was performed to confirm the location. As can be seen in the video, the chest tube ruptured a subsegmental B8 bronchus and ascended through the lower lobar bronchus, the left main bronchus and the trachea until the tip of the catheter was observed in the upper third of the trachea just below the vocal cords (Fig. 1). The chest tube was removed under endoscopic control, causing minor bleeding that was managed by instillation of diluted topical adrenaline. A new small-bore chest tube was then placed, and the pneumothorax resolved.

Fig. 1.

Chest tube tip in the upper third of the trachea.

(0.05MB).

The most frequent complications of pleural drainage are inappropriate placement, infections, lung perforation, and bleeding from rupture of intercostal vessels. Bronchial rupture due to the placement of a pleural drainage is a very rare complication that has not been described in the literature1,2.

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References
[1]
P.L. Filosso, F. Guerrera, A. Sandri, M. Roffinella, P. Solidoro, E. Ruffini, et al.
Errors and complications in chest tube placement.
Thorac Surg Clin., 27 (2017), pp. 57-67
[2]
P.J. McElnay, E. Lim.
Modern techniques to insert chest drains.
Thorac Surg Clin., 27 (2017), pp. 29-34

Please cite this article as: Vera Sanchez MdC, Blanco Diaz M, Velasco Garrido JL. Bronchial Rupture Secondary to Placing a Drainage. Arch Bronconeumol. 2022;58:82.

Copyright © 2021. SEPAR
Archivos de Bronconeumología

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