Unusual Malposition of a Chest Tube, Intrathoracic but Extrapleural

Chest tube malpositioning is reported to be the most common complication associated with tube thoracostomy. Intraparenchymal and intrafissural malpositions are the most commonly reported tube sites. We present a case about a 21-year-old patient with cystic fibrosis who was admitted due to bronchiect...

Full description

Saved in:
Bibliographic Details
Main Authors: Alqasem Fuad H. Al Mosa, Mohammed Ishaq, Mohamed Hussein Mohamed Ahmed
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Radiology
Online Access:http://dx.doi.org/10.1155/2018/8129341
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849406033992089600
author Alqasem Fuad H. Al Mosa
Mohammed Ishaq
Mohamed Hussein Mohamed Ahmed
author_facet Alqasem Fuad H. Al Mosa
Mohammed Ishaq
Mohamed Hussein Mohamed Ahmed
author_sort Alqasem Fuad H. Al Mosa
collection DOAJ
description Chest tube malpositioning is reported to be the most common complication associated with tube thoracostomy. Intraparenchymal and intrafissural malpositions are the most commonly reported tube sites. We present a case about a 21-year-old patient with cystic fibrosis who was admitted due to bronchiectasis exacerbation and developed a right-sided pneumothorax for which a chest tube was inserted. Partial initial improvement in the pneumothorax was noted on the chest radiograph, after which the chest tube stopped functioning and the pneumothorax remained for 19 days. Chest computed tomography was done and revealed a malpositioned chest tube in the right side located inside the thoracic cavity but outside the pleural cavity (intrathoracic, extrapleural). The removed chest tube was patent with no obstructing materials in its lumen. A new thoracostomy tube was inserted and complete resolution of the pneumothorax followed.
format Article
id doaj-art-4ec50ff451f14d9799d25a20227bded6
institution Kabale University
issn 2090-6862
2090-6870
language English
publishDate 2018-01-01
publisher Wiley
record_format Article
series Case Reports in Radiology
spelling doaj-art-4ec50ff451f14d9799d25a20227bded62025-08-20T03:36:31ZengWileyCase Reports in Radiology2090-68622090-68702018-01-01201810.1155/2018/81293418129341Unusual Malposition of a Chest Tube, Intrathoracic but ExtrapleuralAlqasem Fuad H. Al Mosa0Mohammed Ishaq1Mohamed Hussein Mohamed Ahmed2ATA, King Faisal Specialist Hospital & Research Centre (KFSH&RC), Riyadh, Saudi ArabiaSurgery, King Faisal Specialist Hospital & Research Centre (KFSH&RC), Riyadh, Saudi ArabiaOrgan Transplant Centre, King Faisal Specialist Hospital & Research Centre (KFSH&RC), Riyadh, Saudi ArabiaChest tube malpositioning is reported to be the most common complication associated with tube thoracostomy. Intraparenchymal and intrafissural malpositions are the most commonly reported tube sites. We present a case about a 21-year-old patient with cystic fibrosis who was admitted due to bronchiectasis exacerbation and developed a right-sided pneumothorax for which a chest tube was inserted. Partial initial improvement in the pneumothorax was noted on the chest radiograph, after which the chest tube stopped functioning and the pneumothorax remained for 19 days. Chest computed tomography was done and revealed a malpositioned chest tube in the right side located inside the thoracic cavity but outside the pleural cavity (intrathoracic, extrapleural). The removed chest tube was patent with no obstructing materials in its lumen. A new thoracostomy tube was inserted and complete resolution of the pneumothorax followed.http://dx.doi.org/10.1155/2018/8129341
spellingShingle Alqasem Fuad H. Al Mosa
Mohammed Ishaq
Mohamed Hussein Mohamed Ahmed
Unusual Malposition of a Chest Tube, Intrathoracic but Extrapleural
Case Reports in Radiology
title Unusual Malposition of a Chest Tube, Intrathoracic but Extrapleural
title_full Unusual Malposition of a Chest Tube, Intrathoracic but Extrapleural
title_fullStr Unusual Malposition of a Chest Tube, Intrathoracic but Extrapleural
title_full_unstemmed Unusual Malposition of a Chest Tube, Intrathoracic but Extrapleural
title_short Unusual Malposition of a Chest Tube, Intrathoracic but Extrapleural
title_sort unusual malposition of a chest tube intrathoracic but extrapleural
url http://dx.doi.org/10.1155/2018/8129341
work_keys_str_mv AT alqasemfuadhalmosa unusualmalpositionofachesttubeintrathoracicbutextrapleural
AT mohammedishaq unusualmalpositionofachesttubeintrathoracicbutextrapleural
AT mohamedhusseinmohamedahmed unusualmalpositionofachesttubeintrathoracicbutextrapleural