Management of chest tube migration into the trachea or esophagus

Accidental migration of the chest tube into the trachea or esophagus in pleural drainage is rare. Here we report two patients having different events. The first patient had a chest tube penetrating through an unhealthy right main bronchus into the distal trachea following a right thoracotomy for resecting a lately diagnosed perforating esophagus. The other patient had a chest tube migration into the esophagus following thoracoscopic esophagomyotomy for esophageal achalasia. In these two patients, we used step-by-step tube withdrawal successfully manage these rare events. Based on our experiences, when facing the accidental migration of a chest tube into the trachea or esophagus, the alternative option of step-by-step tube withdrawal could be used before considering aggressive surgical intervention.

關鍵字

tube thoracostomy ； chest tube migration ； trachea ； esophagus ； tube withdrawal

並列摘要

胸腔引流造成胸管意外移入氣管或食道是罕見。在此，我們報告兩位病人，各有不同的際遇。第一位病人因右側開胸手術，切除延遲診斷穿孔的食道，胸管穿過不健康的右主支氣管到遠端氣管。另一位病人因食道失弛症，接受胸腔鏡食道部份肌肉切除術後，發生了胸管移入食道的事件。這兩名病人，我們使用逐步把胸管往外拔，成功解決這兩起罕見意外事件。根據我們的經驗，當胸管意外移入氣管或食道時，在考慮積極手術之前，可以使用逐步拔管的替代方案。

並列關鍵字

胸管移位；氣管；食道；拔管

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