Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Ascaris worm in the intercostal drainage bag: inadvertent intercostal tube insertion into jejunum: a case report. | Mohite et al. Journal of Cardiothoracic Surgery 2010 5 125 http content 5 1 125 CASE REPORT JCTS JOURNAL OF CARDIOTHORACIC SURGERY Open Access Ascaris worm in the intercostal drainage bag inadvertent intercostal tube insertion into jejunum a case report Prashant N Mohite Jitendra H Mistry Harshad Mehta BS Patra Abstract Inadvertent insertion of the intercostal tube into abdomen is not rare. It can present by different ways. In the present case an Ascaris worm crept into the intercostal drainage bag to reveal the false passage of the tube. Case report A middle age man presented in the emergency department late night with the history of recent blunt trauma over left chest complaining of breathlessness and chest pain. Air entry was absent on the left side of chest and x-ray chest showed left pneumothorax with collapsed lung. Emergency intercostal tube drainage was planned. One and half centimeter skin was incised at fifth intercostal space in anterior axillary line. An artery forceps was inserted through the incision making its way through intercostal muscles till parietal pleura gave way. The forceps was removed and the index finger was inserted into the wound to confirm its entry into pleural cavity. The 32 French intercostal tube was held into the artery forceps and thrust through the incision into the left pleural cavity. Approximately half liter of blood was drained through the tube. Tube was fixed after confirming the air fluid column movement in the tube. Another half liter of dark blood was drained overnight. Next morning chest x-ray showed the tube in the left chest directing downward into the costophrenic angle above the diaphragm. The left lung was well expanded and there was no air under diaphragm. In the afternoon an Ascaris worm was noticed in the intercostals drainage bag along with fifty milliliters of blood mixed with bile See Figure 1 . The patient had no abdominal complaints no air was noticed under diaphragm on erect .
