Empyema Thoracis with Breast Abscess and Surgical Blade in Thorax
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 7
Abstract
Introduction: ICD placement in fatty patients and, females with heavy breasts is difficult Here we describe a case of empyema thoracis with breast abscess in whom surgical blade was slipped into thoracic cavity during ICD insertion. Case report: 28 yr. lady presented with breathlessness, heaviness in right chest, fever with history of intra uterine foetal death. Incision and drainage of breast abscess, twice was done in another hospital. Inter coastal drain (ICD) was attempted for empyema, but it failed and blade accidentally slipped in pleural cavity. X-ray chest and CECT thorax showed metallic foreign body (surgical blade) in the thoracic cavity with empyema for which exploratory thoracotomy and decortication was done done. Conclusion: Care should be taken during the insertion of ICD especially in obese patients and female, female with heavy breasts. The blade should not be loosely fitted to the handle. Proper lighting of the operating field is necessary and if some mishappening occurs then patient should be timely referred to higher centre so that complications can be prevented.
Authors and Affiliations
Siddharth Lakhotia, Narendra Nath Das, Anupama Kumari
Keywords
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