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Related Experiment Videos

Intercostal drain migration post esophagectomy.

J A Gossage1, A O Chukwuemeka, J E Dussek

  • 1Cardiothoracic Department, Guy's Hospital, London, United Kingdom. jgossage@doctors.org.uk

Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus
|December 4, 2003
PubMed
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An intercostal drain migrated into the stomach following an esophagectomy, causing a leak. This rare complication was successfully managed conservatively, highlighting the importance of drain monitoring after esophageal surgery.

Area of Science:

  • Gastroenterology
  • Thoracic Surgery
  • Surgical Complications

Background:

  • Ivor-Lewis esophagectomy is a standard procedure for esophageal cancer.
  • Postoperative complications can arise, necessitating careful patient monitoring.
  • Drainage management is crucial in the postoperative period.

Observation:

  • A patient developed a right-sided pleural effusion and turbid drainage post-esophagectomy.
  • Contrast swallow revealed a distal gastric staple line leak.
  • Gastroscopy identified the intercostal drain had eroded into the stomach.

Findings:

  • The gastric staple line leak was initially managed conservatively.
  • Persistent drainage despite negative contrast swallows indicated an unusual complication.

Related Experiment Videos

  • Intercostal drain migration into the stomach was confirmed via gastroscopy.

    • Implications:

    • This case represents the first reported instance of intercostal drain migration into the stomach after elective esophagectomy.
    • Conservative management of the leak was successful after drain repositioning.
    • Highlights the potential for rare drain-related complications following esophageal surgery and the need for vigilant assessment.