Tube thoracostomy (TT) placement belongs among the most commonly performed procedures. Despite many benefits of TT drainage, potential for significant morbidity and mortality exists. Abdominal or thoracic injury, fistula formation and vascular trauma are among the most serious, but more common complications such as recurrent pneumothorax, insertion site infection and nonfunctioning or malpositioned TT also represent a significant source of morbidity and treatment cost. Awareness of potential complications and familiarity with associated preventive, diagnostic and treatment strategies are fundamental to satisfactory patient outcomes. This review focuses on chest tube complications and related topics, with emphasis on prevention and problem-oriented approaches to diagnosis and treatment. The authors hope that this manuscript will serve as a valuable foundation for those who wish to become adept at the management of chest tubes.
Benign peripheral nerve sheath tumors occur uncommonly in the gastrointestinal (GI) tract. Perineurioma located in the GI tract is an extremely rare entity, and only 14 cases have been reported in colon, 1 in jejunum, and 1 in stomach. However, perineurioma of the esophagus presenting with dysphagia has not been reported before, and we describe, to our knowledge, the first case in the literature. We suggest that localization of such submucosal tumors can be challenging, and injection of the lesion with dye preoperatively can increase the chances of localization and successful resection of such tumors. Perineuriomas should be included in the complete differential diagnosis of GI tumors.
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