Report of Massive Bleed after Chest-drain Insertion in a Case of Job's (hyper-IgE) Syndrome

Chest-drain insertion is considered to be a benign procedure. A 6-year-old girl who is a known case of hyper-IgE/Job's syndrome presented to us following three episodes of fresh bleed following chest-drain insertion for the left lung abscess. The site of bleed was localized to be the ruptured p...

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Main Authors: Prabudh Goel, Vishesh Jain, Sanjeev Kumar, Sanjiv Sharma, Minu Bajpai
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Journal of Indian Association of Pediatric Surgeons
Subjects:
Online Access:http://www.jiaps.com/article.asp?issn=0971-9261;year=2018;volume=23;issue=4;spage=225;epage=227;aulast=Goel
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author Prabudh Goel
Vishesh Jain
Sanjeev Kumar
Sanjiv Sharma
Minu Bajpai
author_facet Prabudh Goel
Vishesh Jain
Sanjeev Kumar
Sanjiv Sharma
Minu Bajpai
author_sort Prabudh Goel
collection DOAJ
description Chest-drain insertion is considered to be a benign procedure. A 6-year-old girl who is a known case of hyper-IgE/Job's syndrome presented to us following three episodes of fresh bleed following chest-drain insertion for the left lung abscess. The site of bleed was localized to be the ruptured pseudoaneurysm of the anterior segmental branch of the left pulmonary artery. For successful management, various pitfalls and gray areas have been highlighted: (a) the procedure of chest-drain insertion has a potential for many complications some of which may be life-threatening, (b) the importance of proper history taking and a complete evaluation of all patients before surgical intervention, (c) role of ultrasound-guided chest-drain insertion, and (d) the importance of lateral and pragmatic approach with multidisciplinary involvement in such unusual and challenging cases cannot be overemphasized.
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spelling doaj.art-586dd4b0bf4c4c5d8eef74572db00f4b2022-12-21T23:42:50ZengWolters Kluwer Medknow PublicationsJournal of Indian Association of Pediatric Surgeons0971-92611998-38912018-01-0123422522710.4103/jiaps.JIAPS_72_17Report of Massive Bleed after Chest-drain Insertion in a Case of Job's (hyper-IgE) SyndromePrabudh GoelVishesh JainSanjeev KumarSanjiv SharmaMinu BajpaiChest-drain insertion is considered to be a benign procedure. A 6-year-old girl who is a known case of hyper-IgE/Job's syndrome presented to us following three episodes of fresh bleed following chest-drain insertion for the left lung abscess. The site of bleed was localized to be the ruptured pseudoaneurysm of the anterior segmental branch of the left pulmonary artery. For successful management, various pitfalls and gray areas have been highlighted: (a) the procedure of chest-drain insertion has a potential for many complications some of which may be life-threatening, (b) the importance of proper history taking and a complete evaluation of all patients before surgical intervention, (c) role of ultrasound-guided chest-drain insertion, and (d) the importance of lateral and pragmatic approach with multidisciplinary involvement in such unusual and challenging cases cannot be overemphasized.http://www.jiaps.com/article.asp?issn=0971-9261;year=2018;volume=23;issue=4;spage=225;epage=227;aulast=GoelAngioembolizationchest-drain insertionhyper-IgE syndromeintercostal tube-drain insertionJob's syndromelung abscesspseudoaneurysm
spellingShingle Prabudh Goel
Vishesh Jain
Sanjeev Kumar
Sanjiv Sharma
Minu Bajpai
Report of Massive Bleed after Chest-drain Insertion in a Case of Job's (hyper-IgE) Syndrome
Journal of Indian Association of Pediatric Surgeons
Angioembolization
chest-drain insertion
hyper-IgE syndrome
intercostal tube-drain insertion
Job's syndrome
lung abscess
pseudoaneurysm
title Report of Massive Bleed after Chest-drain Insertion in a Case of Job's (hyper-IgE) Syndrome
title_full Report of Massive Bleed after Chest-drain Insertion in a Case of Job's (hyper-IgE) Syndrome
title_fullStr Report of Massive Bleed after Chest-drain Insertion in a Case of Job's (hyper-IgE) Syndrome
title_full_unstemmed Report of Massive Bleed after Chest-drain Insertion in a Case of Job's (hyper-IgE) Syndrome
title_short Report of Massive Bleed after Chest-drain Insertion in a Case of Job's (hyper-IgE) Syndrome
title_sort report of massive bleed after chest drain insertion in a case of job s hyper ige syndrome
topic Angioembolization
chest-drain insertion
hyper-IgE syndrome
intercostal tube-drain insertion
Job's syndrome
lung abscess
pseudoaneurysm
url http://www.jiaps.com/article.asp?issn=0971-9261;year=2018;volume=23;issue=4;spage=225;epage=227;aulast=Goel
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