A CASE OF PNEUMOTHORAX FOLLOWING PERFORATION OF THE DIAPHRAGM CAUSED BY A SUBPHRENIC DRAIN FOR GENERALIZED PERITONITIS

• AKASHI Satoru

  Medical Center for Emergency and Critical Care, Nara Prefectural Nara Hospital

• DOH Jin

  Department of Surgery, Takai Hospital

• NISHIGORI Naoto

  Medical Center for Emergency and Critical Care, Nara Prefectural Nara Hospital

• MATSUYAMA Takeshi

  Medical Center for Emergency and Critical Care, Nara Prefectural Nara Hospital

• IMANISHI Masami

  Medical Center for Emergency and Critical Care, Nara Prefectural Nara Hospital

• KAWAGUCHI Shoichiro

  Medical Center for Emergency and Critical Care, Nara Prefectural Nara Hospital

Bibliographic Information

Other Title

• 腹腔ドレーンが横隔膜穿孔し気胸となった１例

Abstract

An 85-year-old female was admitted to the hospital with a diagnosis of peritonitis due to perforation of the sigmoid colon and underwent suture of the perforation site and intra-abdominal drainage in November 2005. Drains were placed in the bilateral subphrenic spaces and Douglas'pouch. Pus was drained through the drainplaced in the left subphrenic space, so that the drain was placed for a long term. On the 24th postoperative day, she suddenly complained of chest pain and dyspnea, and a lot of fluid was drained through the drain. Chest X-rayshowed left pneumothorax, and we inserted immediately a chest drainage tube. On the basis of fistulography and chest CT scanning, a cause of pneumothorax was considered to lie in that the placed drain had broken through the diaphragm.<br> Visceral injury by the drain mostly occurs in the gastrointestinal tract and diaphragmatic perforation with pneumothorax is uncommon. Although it is considered that the inflammation made the diaphragmatic tissue fragile which might be acausative factor for diaphragmatic perforation in this case, we should carefully manage drainage tubes and becareful for complications associated with the drain.

Journal

• Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)

  Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 67 (9), 2039-2042, 2006

  Japan Surgical Association

Keywords

• ドレーン
• 横隔膜穿孔
• 腹膜炎

Details

• CRID: 1390001204849662848
• NII Article ID: 130003605222
• NII Article ID: 10018391664
• NII Book ID: AA11189709
• DOI: 10.3919/jjsa.67.2039
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/67/9/67_9_2039/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2007060256
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed