Open AccessHigh‐pressure leakage of pleural fluid through the healed entry site of the indwelling pleural catheter from undrained locules
Author(s) -
Chan Ka Pang,
Ng Ka Ching Joyce,
Li Chi To Kevin
Publication year - 2020
Publication title -
respirology case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.304
H-Index - 9
ISSN - 2051-3380
DOI - 10.1002/rcr2.587
Subject(s) - medicine , catheter , pleural effusion , surgery , fluid pressure , leakage (economics) , pleural fluid , economics , mechanical engineering , engineering , macroeconomics
The indwelling pleural catheter (IPC) is an established treatment for recurrent pleural effusion. Fluid leakage through the IPC insertion tract has been reported, but its occurrence is only limited to a short period after the procedure. Besides, the drainage efficacy of IPC may be limited by the presence of loculation in the pleural space, especially when intrapleural fibrinolytic is contraindicated. We report a case of fluid leakage through the healed entry site of IPC due to high pressure built from undrained pleural fluid locules, which was successfully treated with an additional drain targeting the largest undrained locule.