Video-assisted thoracic surgery(VATS)for a rare iatrogenic pneumothorax from ileus tube Gaku SAITO 1 , Hideki NISHIMURA 1 , Yasushi SEKINO 2 , Masahiro SAKON 2 , Koichi OKITA 2 , Hitoshi SEKI 2 , Yasuhiro MUNAKATA 2 1Department of General Thoracic Surgery, Nagano Municipal Hospital 2Gastroenterological Surgery, Nagano Municipal Hospital Keyword: 医原性気胸 , 外傷性気胸 , 気管支損傷 , 胸腔鏡手術 pp.575-579
Published Date 2009/10/15
DOI https://doi.org/10.11477/mf.4426100388
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 We experienced a rare case of iatrogenic pneumothorax caused by an ileus tube. A 68-year-old man was admitted to our hospital due to iatrogenic pneumothorax. In September 2006,when an ileus tube was inserted for intestinal obstruction at a nearby hospital, his lung was injured by the tube. The patient was diagnosed as having a traumatic lung injury and was referred to our hospital. Thoracic drainage tube was inserted into the right thoracic cavity. and partial resection of the injured lung through video-assisted thoracoscopic surgery(VATS)was performed. I Operative findings revealed an injured area in the right lower lobe S 8-S 9.The chest drain was removed one day after the operation . THe patient recovered without any complication and was soon discharged. VATS is recommended as one of the treatment choices for iatrogenic pneumothorax with contamination.

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