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Journal of Postgraduate Medicine
Medknow Publications and Staff Society of Seth GS Medical College and KEM Hospital, Mumbai, India
ISSN: 0022-3859 EISSN: 0022-3859
Vol. 54, No. 2, 2008, pp. 138-139
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Bioline Code: jp08046
Full paper language: English
Document type: Case Report
Document available free of charge
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Journal of Postgraduate Medicine, Vol. 54, No. 2, 2008, pp. 138-139
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Chilaiditi's sign possibly associated with malposition of chest tube placement
Gulati, MS; Wafula, J & Aggarwal, S
Abstract
Although diaphragmatic paralysis is a rare recognized complication of chest tube malposition, Chilaiditi′s sign occurring as a result of this complication has never been reported in literature to the best of our knowledge. We describe one such case, which had an interesting clinical sequence of events and radiographic findings and suggest that the medial end of the chest tube should be positioned at least 2 cm from the mediastinum on the frontal chest radiograph to avoid these complications.
Keywords
Chest tubes, Chilaiditi′s syndrome, phrenic nerve, respiratory paralysis, viscerohepatodiaphragmatic interposition
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