Massive hemothorax from injury of an anonymous vein after intercostal chest drain placement: A case report

The mortality rate from descending necrotising mediastinitis (DNM) has declined since its first description in 1938. The decline in mortality has been attributed to earlier diagnosis by way of contrast-enhanced computed tomographic (CT) scanning and aggressive surgical intervention in the form of transthoracic drainage. We describe a case of DNM with involvement of anterior and posterior mediastinum down to the diaphragm, managed by cervicotomy and transverse cervical drainage with placement of corrugated drains and a pleural chest drain, with a delayed mediastinoscopy and mediastinal drain placement. We advocate a conservative approach with limited debridement and emphasis on drainage of infection in line with published case series.

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Spontaneous massive hemothorax following snakebite envenomation: a case report

10.22541/au.162832115.54017557/v1 ◽

2021 ◽

Author(s):

Yosief Yemane ◽

Mulugeta Russom

Keyword(s):

Case Report ◽

Respiratory Distress ◽

Unusual Case ◽

Severe Respiratory Distress ◽

Close Observation ◽

Massive Hemothorax

This unusual case of massive hemothorax developed following snakebite envenomation resulted in massive drop in hemoglobin, from 13.2 to 3.1g/dL, in three-days, and severe respiratory distress that required a number of thoracocentesis. He was stable until day-two of admission, then fully-deteriorated on day-three which reflects the need for close observation.

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Abducens Nerve Palsy Following Lumbar Subarachnoid Drain Placement: A Case Report and Review of the Literature

Journal of Neurological Surgery Part B Skull Base ◽

10.1055/s-0032-1314363 ◽

2012 ◽

Vol 73 (S 02) ◽

Author(s):

R. Cain ◽

N. Patel ◽

D. Lal ◽

R. Hayden ◽

M. Lyons

Keyword(s):

Case Report ◽

Nerve Palsy ◽

Abducens Nerve ◽

Abducens Nerve Palsy ◽

Review Of The Literature ◽

Drain Placement

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Delayed massive hemothorax due to diaphragm injury with rib fracture: A case report

International Journal of Surgery Case Reports ◽

10.1016/j.ijscr.2020.10.125 ◽

2020 ◽

Vol 77 ◽

pp. 133-137

Author(s):

Tomohiro Muronoi ◽

Akihiko Kidani ◽

Kazuyuki Oka ◽

Madoka Konishi ◽

Shunsuke Kuramoto ◽

...

Keyword(s):

Case Report ◽

Rib Fracture ◽

Diaphragm Injury ◽

Massive Hemothorax

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A case of pneumothorax following bougie-guided intubation in a patient undergoing excision of an intraventricular space occupying lesion

Journal of Neuroanaesthesiology and Critical Care ◽

10.4103/jnacc-jnacc-62.16 ◽

2017 ◽

Vol 04 (02) ◽

pp. 117-119

Author(s):

Ramanan Rajagopal ◽

Veena Jayaseelan ◽

Mathew George

Keyword(s):

Patient Outcome ◽

Case Report ◽

Intracranial Pressure ◽

Clinical Suspicion ◽

Chest Drain ◽

Tight Control ◽

Airway Pressures ◽

Radio Imaging ◽

The Right ◽

Space Occupying Lesion

AbstractA 46-year-old female with intraventricular space occupying lesion was posted for craniotomy and excision of the same. Immediately following routine induction of general anaesthesia and a bougie-guided intubation, she developed increased airway pressures and desaturation associated with a decreased air entry on the right side of the chest suggestive of a right-sided pneumothorax which was confirmed with radio imaging and following the placement of chest drain the saturation improved and airway pressures decreased. To be faced with a pneumothorax following an intubation could be surprising for a non-suspecting anaesthesiologist and it can have important implications especially in neurosurgical cases where a tight control of intracranial pressure is warranted. Hence, this case report emphasises the need for a high index of clinical suspicion for proper management and safe patient outcome.

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