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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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2018-01-01
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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. |
first_indexed | 2024-12-13T13:58:02Z |
format | Article |
id | doaj.art-586dd4b0bf4c4c5d8eef74572db00f4b |
institution | Directory Open Access Journal |
issn | 0971-9261 1998-3891 |
language | English |
last_indexed | 2024-12-13T13:58:02Z |
publishDate | 2018-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Journal of Indian Association of Pediatric Surgeons |
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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