Jacob Jayakar, Sanjay Theodore, Sampath Kumar.
Massive diaphragmatic hernia following tube thoracostomy.
J Surg Pak Jan ;15(3):163-4.

A case of iatrogenic diaphragmatic rupture with a large hernia including bowel loops, omentum and spleen following tube thoracostomy (TT) is reported. The tube perforated the diaphragm and entered abdominal cavity. Low insertion of the tube in 9th intercostals space, inappropriate surgical technique and choice of chest tube were the reasons for this complication. In this report an early diagnosis and treatment of this rare complication of chest tube insertion are emphasised.

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