A 58-year-old man with spontaneous pneumothorax experienced severe burning pain in the epigastric region after insertion of a chest tube. Chest radiography showed malposition of the tube, abutting the mediastinum. On suspecting that the vagus nerve had been stimulated by the tip of the tube, the tube was withdrawn 3 cm, and the pain disappeared completely.
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References
1.
FryWAPaapeK. Pneumothorax. In: ShieldsTW, editor. General thoracic surgery. Philadelphia: Williams & Wilkins, 1994:662–73.
2.
PearceSHReesCJSmithRH. Horner's syndrome: an unusual iatrogenic complication of pneumothorax. Br J Clin Pract1995;49: 48.
3.
SalonJE. Reversible diaphragmatic eventration following chest tube thoracostomy. Ann Emerg Med1995;25: 556–8.
4.
WardEWHughesTE. Sudden death following chest tube insertion: an unusual case of vagus nerve irritation. J Trauma1994;36: 258–9.
5.
GregoireJDeslauriersJ. Closed drainage and suction systems. In: PearsonFGDeslauriersJGinsbergRJHiebertCAMcKneallyMFUrschelHC, editors. Thoracic surgery. New York: Churchill-Livingstone, 1995: 1121–35.
6.
KubikS. Surgical anatomy of the thorax. Philadelphia: Saunders, 1970:173–83.
7.
GuytonAC. Textbook of medical physiology. Philadelphia: Saunders, 1986:160 & 776.
