Iatrogenic bronchopleural fistula from a Dobhoff tube
The patient is in the intensive care unit with chronic tracheostomy, underwent a bed side Dobhoff tube placement with the stylette still in it. A chest radiograph was obtained to verify the placement of the tube.
Name all the findings on the radiograph. What went wrong?
Loading Stack -
0 images remaining
The tube had been advanced through the right lower lobe bronchus into the right pleural space and into the deep cardio phrenic sulcus. This is an iatrogenic pneumothorax.
1 case question available
The feeding tube was taken out and a large bore chest tube was placed. There was good lung re-expansion. Fortunately for the patient the fistula likely sealed itself with just the chest tube in place which was removed one week later without recurrence of an air leak or pneumothorax.