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Bilateral Pneumothoraces in a Trauma Patient After Dobhoff Tube Insertion.
Ali Abidali1, Alicia Mangram1,2, Gina R Shirah1,2
1Department of General Surgery, HonorHealth John C. Lincoln Medical Center, Phoenix, AZ, USA.
The American Journal of Case Reports
|March 6, 2018
Summary
Dobhoff tube insertion for enteral nutrition can lead to rare complications. This case report details bilateral pneumothoraces, highlighting the need for accurate tube placement verification.
Area of Science:
- Medicine
- Gastroenterology
- Pulmonology
Background:
- Dobhoff tube insertion is a common procedure for enteral nutrition.
- Potential complications, including tracheobronchial insertion, are often underestimated.
- Accurate tube placement is crucial to avoid adverse events.
Observation:
- A 74-year-old male with orthopedic injuries underwent multiple Dobhoff tube placement attempts.
- Initial X-rays showed malposition in the left pleural space.
- Following removal, bilateral pneumothoraces were diagnosed.
Findings:
- The case represents the first reported instance of bilateral pneumothoraces secondary to Dobhoff tube insertion.
- Iatrogenic bilateral pneumothoraces led to acute hypoxemic respiratory failure.
- The patient required bilateral chest tube placement for treatment.
Implications:
- This case underscores the critical importance of rigorous diagnostic techniques for confirming Dobhoff tube placement.
- Understanding risk factors for malposition is essential for preventing severe complications.
- Ensuring proper tube placement minimizes risks like pneumothorax and respiratory compromise.
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