Lung herniation post-removal of thoracostomy tube

Autor: Megha Priyadarshi, Ved Prakash Meena, Animesh Ray
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: The Egyptian Journal of Bronchology, Vol 16, Iss 1, Pp 1-4 (2022)
Druh dokumentu: article
ISSN: 1687-8426
2314-8551
DOI: 10.1186/s43168-022-00126-w
Popis: Abstract A 30-year-old gentleman presented with complaints of fever, productive cough, and shortness of breath for 10 days. On presentation, he had a right intercostal drainage tube (ICD) in situ in view of chest radiograph findings where hydropneumothorax was suspected. He had a past history of pulmonary tuberculosis 3 years back for which he self-discontinued anti-tubercular therapy after 3 months. He was also diagnosed 2 years back with right pulmonary aspergilloma for which he was receiving anti-fungal therapy. Contrast-enhanced computed tomography (CECT) of the chest suggested right destroyed lung with multiple cavitations, ICD inserted in the right-sided lung cavity, and intracavitatory aspergilloma in the left lung. Hence, it was confirmed that the patient had a lung abscess with pus in a large cavity in the right lung which on chest radiograph had mimicked hydropneumothorax. The patient was subsequently diagnosed with a case of chronic cavitatory pulmonary aspergillosis, and the thoracostomy tube was removed. Post-tube removal, the patient developed lung herniation from the suture site which was confirmed on a CT scan for which the patient was successfully managed conservatively. Follow-up at 3 months did not reveal any evidence of lung herniation.
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