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Persistent air-leak after transhiatal oesophagectomy: A case report
Mashuk A Khan1, Shameen Jaunoo, Abheesh Prasad
1Warwickshire Surgical Research Group, University Hospital Coventry & Warwickshire NHS Trust, Clifford Bridge Road, Coventry CV2 2DX, UK.
Introduction:
Transhiatal oesophagectomy is a widely accepted technique for resection of tumours of the lower oesophagus. We present a life-threatening complication associated with the placement of a corrugated neck drain during this procedure.
Presentation Of Case:
Our patient underwent a transhiatal oesophagectomy for a lower oesophageal tumour. He developed persistent bilateral pneumothoraces despite chest drain insertions. Following removal of the corrugated neck drain, both lungs were successfully re-inflated.
Discussion:
To the authors' knowledge, this serious complication has been described only once before in the medical literature; other surgeons should be made aware of this problem.
Conclusion:
Alternative drainage systems should be considered to help prevent this injury. Exercise caution if positioning corrugated drains in the neck.
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