Broken chest tube: a rare complication treated by video-assisted thoracic surgery

Girish D. Bakhshi, Kushagra Rahul, Shraddha S. Gangawane, Ashwini S. Borade, Dinesh S. Pawar, Atish K. Parikh


Intercostal chest drain (ICD) or chest tube is a simple device used very frequently in medical, surgical and critical care specialties to drain air, blood or pus from the pleural cavity. Fracture of ICD and displacement of fractured segment within the pleural cavity is a rare complication. Minimal invasive approaches via video-assisted thoracic surgery (VATS) have been demonstrated predominantly in traumatic thoracic foreign body removal cases in a primary surgical setting. Here we present a case of a broken chest tube in the pleural cavity removed using VATS. A brief case report, review of literature and prevention of this complication is described.


Video assisted thoracoscopic surgery, Fractured chest drain

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Hippocrates. Genuine work of Hippocrates. Sydenham Society; 1847.

Hewett FC. Thoracocentesis: the plan of continuous aspiration. Br Med J. 1876;1:317.

Liu N, Gikeson R, Markowitz A, Schroder C. Thoracoscopic removal of a suture needle from the posterior pericardium after coronary artery bypass. Interac Cardio Thoracic Surg. 2011;13:341-3.

Paddle A, Elahi M, Newcomb A. Retained foreign body following pleural drainage with a small-bore catheter. Gen Thorac Cardiovasc Surg. 2010;58:42-4.

Raza A, Woo E. Video Assisted Thoracoscopic surgery versus thoracotomy in thymectomy for thymoma Myasthenia Gravis. Ann Cardiothoracic Surg. 2016;5:33-7.