Intrathoracic but extra-pleural chest tube placement; an unusual case of chest tube malposition in the trauma setting

Jessica D. Roberts; Christopher Groombridge; Mark Fitzgerald

Trauma Case Reports (Apr 2021)

Intrathoracic but extra-pleural chest tube placement; an unusual case of chest tube malposition in the trauma setting

Jessica D. Roberts,
Christopher Groombridge,
Mark Fitzgerald

Affiliations

Jessica D. Roberts: Emergency & Trauma Centre, The Alfred Hospital, Melbourne, Australia; Corresponding author at: The Alfred Emergency & Trauma Centre, Ground floor, 55 Commercial Road, Melbourne, VIC 3004, Australia.
Christopher Groombridge: Emergency & Trauma Centre, The Alfred Hospital, Melbourne, Australia; National Trauma Research Institute, Alfred Health, Melbourne, Australia
Mark Fitzgerald: Emergency & Trauma Centre, The Alfred Hospital, Melbourne, Australia; National Trauma Research Institute, Alfred Health, Melbourne, Australia

Journal volume & issue: Vol. 32
p. 100461

Abstract

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We present the case of a 20-year-old male who was transferred to our Major Trauma Centre following a high-speed motor vehicle rollover. He arrived intubated with a right sided ICC in place. On arrival we elected to replace this ICC due to concerns regarding a superficial position, however 24 h after replacement, a large right sided pneumothorax developed. We suspect that both the pre-hospital ICC, as well as the ICC which we replaced it with, were unusually sited in the intrathoracic but extrapleural position.

Published in Trauma Case Reports

ISSN: 2352-6440 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery
Website: https://www.journals.elsevier.com/trauma-case-reports/

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