Evidence map›Paper›PMID 42164009›Full record

ArticleJournal of surgical case reports2026

Post-traumatic liver injury caused by chest tube placement: myths and controversies in conservative management.

David S Álvarez Gahona, Erika D Montenegro Garcia, Joseph D Valdivieso Vélez, Erick G Chiriboga Bombón, David I Narváez Salas, Fernando I Zumárraga López, María F Piedra Cevallos, Valeria A Rivera Rodríguez

Abstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

David S Álvarez GahonaDepartment of General Surgery Hospital de Especialidades Eugenio Espejo, Pontificia Universidad Católica del Ecuador, Av. Gran Colombia s/n y Yaguachi, 170403 Quito, Ecuador.
Erika D Montenegro GarciaPontificia Universidad Católica del Ecuador, Department of General Surgery Hospital Padre Carollo, Av. Rumichaca S33-10, 170702 Quito, Ecuador.ORCID https://orcid.org/0000-0001-5442-7905
Joseph D Valdivieso VélezPontificia Universidad Católica del Ecuador, Department of General Surgery Hospital Northospital, Av. de la Prensa, 170104 Quito, Ecuador.
Erick G Chiriboga BombónDepartment of General Surgery Hospital de Especialidades Eugenio Espejo, Pontificia Universidad Católica del Ecuador, Av. Gran Colombia s/n y Yaguachi, 170403 Quito, Ecuador.
David I Narváez SalasDepartment of General Surgery Hospital Vozandes Quito, Av. Juan José de Villalengua Oe2-37, 170521 Quito,  Ecuador.ORCID https://orcid.org/0000-0002-2006-2263
Fernando I Zumárraga LópezPontificia Universidad Católica del Ecuador, Department of General Surgery Hospital de Especialidades Carlos Andrade Marín, Av. Ayacucho N19-63, 170103 Quito, Ecuador.
María F Piedra CevallosUniversidad de las Américas, Av. de los Granados E12-41, 170513 Quito, Ecuador.
Valeria A Rivera RodríguezDepartment of General Surgery Hospital de Especialidades Eugenio Espejo, Pontificia Universidad Católica del Ecuador, Av. Gran Colombia s/n y Yaguachi, 170403 Quito, Ecuador.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This case report describes the conservative management of an iatrogenic hepatic injury secondary to chest tube thoracostomy in a 54-year-old male with severe thoracic polytrauma. A right-sided chest tube inserted in the seventh intercostal space for hemothorax resulted in transhepatic malposition. Given hemodynamic stability and absence of active hemorrhage, non-operative management (device removal and primary suture) was undertaken with strict monitoring and favorable evolution. This case underscores the feasibility of conservative management in selected patients and cautions against automatic classification as impalement trauma requiring laparotomy.

Indexed as

chest tubeconservative managementiatrogenic injuryliver traumatrauma

Identifiers

PMID42164009
PMCPMC13184519

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.