A case of inferior phrenic artery injury after chest drainage treated laparoscopically

Chest drainage is a commonly performed surgical procedure. However, caution is required when performing this procedure because of its serious complications. One complication is vascular injury. Endovascular treatment has been prioritized in patients requiring hemostasis. We report the case of an 87-...

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Main Authors: Yohei Sanmoto, Naoyuki Hanari, Shunji Kinuta
Format: Article
Language:English
Published: Elsevier 2023-02-01
Series:Trauma Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352644023000110
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author Yohei Sanmoto
Naoyuki Hanari
Shunji Kinuta
author_facet Yohei Sanmoto
Naoyuki Hanari
Shunji Kinuta
author_sort Yohei Sanmoto
collection DOAJ
description Chest drainage is a commonly performed surgical procedure. However, caution is required when performing this procedure because of its serious complications. One complication is vascular injury. Endovascular treatment has been prioritized in patients requiring hemostasis. We report the case of an 87-year-old woman, who presented to our hospital with dyspnea caused by massive pleural effusion. We decided to perform chest tube placement for the purpose of diagnosis and treatment. The inferior phrenic artery was injured during chest drainage, resulting in hemorrhagic shock. Catheter embolization was considered, but it was deemed difficult due to the patient's abnormal blood vessel. Instead, hemostasis was induced via laparoscopy. This is the first report on the safety of laparoscopic hemostasis for inferior phrenic artery bleeding. By devising, we were able to perform hemostatsis safely under laparoscopy.
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spelling doaj.art-82cf1eb02e0f43f381b92e29a67dd3a92023-02-09T04:14:18ZengElsevierTrauma Case Reports2352-64402023-02-0143100763A case of inferior phrenic artery injury after chest drainage treated laparoscopicallyYohei Sanmoto0Naoyuki Hanari1Shunji Kinuta2Corresponding author at: Department of Surgery, Takeda General Hospital, 3-27 Yamagachou, Aizuwakamatsu-shi, Fukushima 965-8585, Japan.; Department of Gastrointestinal Surgery, Takeda General Hospital, 3-27 Yamagachou, Aizuwakamatsu-shi, Fukushima 965-8585, JapanDepartment of Gastrointestinal Surgery, Takeda General Hospital, 3-27 Yamagachou, Aizuwakamatsu-shi, Fukushima 965-8585, JapanDepartment of Gastrointestinal Surgery, Takeda General Hospital, 3-27 Yamagachou, Aizuwakamatsu-shi, Fukushima 965-8585, JapanChest drainage is a commonly performed surgical procedure. However, caution is required when performing this procedure because of its serious complications. One complication is vascular injury. Endovascular treatment has been prioritized in patients requiring hemostasis. We report the case of an 87-year-old woman, who presented to our hospital with dyspnea caused by massive pleural effusion. We decided to perform chest tube placement for the purpose of diagnosis and treatment. The inferior phrenic artery was injured during chest drainage, resulting in hemorrhagic shock. Catheter embolization was considered, but it was deemed difficult due to the patient's abnormal blood vessel. Instead, hemostasis was induced via laparoscopy. This is the first report on the safety of laparoscopic hemostasis for inferior phrenic artery bleeding. By devising, we were able to perform hemostatsis safely under laparoscopy.http://www.sciencedirect.com/science/article/pii/S2352644023000110HemostasisChest drainageLaparoscopyVascular injury
spellingShingle Yohei Sanmoto
Naoyuki Hanari
Shunji Kinuta
A case of inferior phrenic artery injury after chest drainage treated laparoscopically
Trauma Case Reports
Hemostasis
Chest drainage
Laparoscopy
Vascular injury
title A case of inferior phrenic artery injury after chest drainage treated laparoscopically
title_full A case of inferior phrenic artery injury after chest drainage treated laparoscopically
title_fullStr A case of inferior phrenic artery injury after chest drainage treated laparoscopically
title_full_unstemmed A case of inferior phrenic artery injury after chest drainage treated laparoscopically
title_short A case of inferior phrenic artery injury after chest drainage treated laparoscopically
title_sort case of inferior phrenic artery injury after chest drainage treated laparoscopically
topic Hemostasis
Chest drainage
Laparoscopy
Vascular injury
url http://www.sciencedirect.com/science/article/pii/S2352644023000110
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