A case report of a bleeding case after removal of chest drain after lung surgery

• Published in: Medicine (Baltimore) Vol. 103; no. 35; p. e39279
• Main Authors: Liang, Qichen, He, Baoyu, Zhang, Bin, Zhang, Ziteng
• Format: Journal Article
• Language: English
• Published: United States Lippincott Williams & Wilkins 30.08.2024
• Subjects: Chest Tubes - adverse effects; Clinical Case Report; Device Removal - methods; Drainage - methods; Humans; Lung Neoplasms - surgery; Male; Pneumonectomy - adverse effects; Pneumonectomy - methods; Postoperative Hemorrhage - etiology; Postoperative Hemorrhage - therapy; Shock, Hemorrhagic - etiology; Thoracoscopy - adverse effects; Thoracoscopy - methods; Tomography, X-Ray Computed
• ISSN: 1536-5964; 0025-7974; 1536-5964
• DOI: 10.1097/MD.0000000000039279

Postoperative bleeding after lobectomy is relatively rare. By analyzing and discussing the case history and management of hemorrhagic shock caused by chest tube removal after lobectomy, we can achieve the purpose of preventing postoperative bleeding after thoracic surgery and reducing postoperative complications, which can help avoid the risk of second surgery, shorten the patient's hospital stay, reduce the cost of medical care, and improve the patient's quality of life. A case of bleeding from tube removal after lobectomy. The bleeding from chest drain removal on the 3rd day after thoracoscopic lobectomy resulted in hemorrhagic shock, which was stopped by thoracoscopic exploration again under active antishock, and there was no recurrence of bleeding after the operation, and the patient was discharged from the hospital after chest drain removal. Enhanced computed tomography of the chest revealed a space-occupying lesion in the middle lobe of the right lung. Thoracoscopy was performed again on the condition of active anti-shock. On the third day after thoracoscopic lobectomy, the patient underwent removal of the chest drain and subsequently experienced hemorrhagic shock. Given the necessity of maintaining anti-shock measures, the patient was subjected to a second thoracoscopic exploration with the objective of halting the hemorrhage. Following this procedure, the patient did not present with any further episodes of bleeding. Subsequently, a new chest drain was placed, and once the drainage flow had diminished to an acceptable level, the chest drain was removed. The patient subsequently made a full recovery and was discharged from the hospital. Even if the safely inserted drain tube is removed, the thoracic surgeon must be aware of possible vascular bleeding.