Document Detail


Horner's syndrome: a delayed complication after thoracostomy tube removal.
MedLine Citation:
PMID:  16093114     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Description of a complication from tube thoracostomy. METHODS: Case report from experience at an Air Force tertiary care hospital in a 50-year-old female smoker undergoing left upper lobectomy for lung cancer. RESULTS: Horner's syndrome resulted 18 hours after removal of an apical thoracostomy tube. CONCLUSIONS: Horner's syndrome caused by tube thoracostomy is a rare but real complication. One should avoid placing the tip of the tube in the medial thoracic apex with the intent of avoiding second-order sympathetic chain pathways. As evidenced by our patient with a delayed onset of presentation, malpositioned tubes should be repositioned before symptoms develop. Long-term prognosis is poor once Horner's syndrome develops.
Authors:
Dennis F Zagrodnik; A Letch Kline
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Current surgery     Volume:  59     ISSN:  0149-7944     ISO Abbreviation:  Curr Surg     Publication Date:    2002 Jan-Feb
Date Detail:
Created Date:  2005-08-11     Completed Date:  2008-04-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7802123     Medline TA:  Curr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  96-8     Citation Subset:  -    
Affiliation:
Keesler Medical Center, Keesler Air Force Base, Mississippi, USA; Gulf Coast Veterans Health Care System, Biloxi, Mississippi, USA.
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