ArticleAcute medicine & surgery
Elective surgery for liver injury and misinserted tube into the inferior vena cava associated with chest tube replacement: A case report.
Article in Acute medicine & surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Post-traumatic liver injury caused by chest tube placement: myths and controversies in conservative management.Journal of surgical case reports · 2026Article
- Elective surgery for liver injury and misinserted tube into the inferior vena cava associated with chest tube replacement: A case report.Acute medicine & surgeryArticle
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Authors and funding
8 authors.
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Abstract
Background: Several reports on organ injury and death due to incorrect chest tube insertion exist; however, reports on the chest tube penetrating the liver and reaching the inferior vena cava are limited. Case Presentation: A 79-year-old man presented with a clamped tube because of massive bleeding from the tube following right chest tube replacement in the hospital of origin. The tube entered the inferior vena cava from the hepatic parenchyma via the right hepatic vein and was removed 15 h later because his hemodynamics stabilized. A ruptured pseudoaneurysm necessitated further transcatheter arterial embolism on the second hospitalization day, and the patient was transferred back to the referring hospital on day 17. Conclusion: Liver injury caused by an inferior vena cava misinsertion-associated chest tube can be treated with elective surgery in anticipation of the tube's tamponade effect. However, due to the risk of rebleeding, imaging follow-up is necessary soon after surgery.
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