Tait Paul, Waheed Umeer, Bell Suzanne
Department of Radiology, Hammersmith Hospital, Du Cane Road, London, W12 0HS, UK.
Cardiovasc Intervent Radiol. 2009 Jul;32(4):825-7. doi: 10.1007/s00270-008-9461-y. Epub 2008 Oct 30.
The insertion of a chest drain catheter for the management of a pneumothorax in an 82-year-old woman resulted in the unusual complication of liver penetration. The position of the drain was assessed by contrast-enhanced computed tomographic scan. Because the patient was hemodynamically stable and no damage to major vessels was seen on computed tomographic scan, the patient was treated in a nonoperative manner. A procedure was performed under controlled conditions using techniques used during transhepatic liver biopsies but with the addition of a balloon catheter. Embolization of the liver track was performed during chest drain removal. The drain was successfully removed without the complication of bleeding in a patient unsuitable for a general anesthetic.
一名82岁女性因气胸插入胸腔引流导管，结果出现了罕见的肝穿透并发症。通过对比增强计算机断层扫描评估引流管的位置。由于患者血流动力学稳定，计算机断层扫描未发现主要血管受损，因此对该患者进行了非手术治疗。在可控条件下采用经肝肝活检时使用的技术进行操作，但增加了球囊导管。在拔除胸腔引流管期间对肝通道进行了栓塞。在一名不适合全身麻醉的患者中，成功拔除了引流管，未发生出血并发症。
