A Case Report: Trans-Thoracic Pigtail Catheter with Diaphragm Perforation

Abstract

Pigtail catheters are commonly used as effective alternative to traditional large bore chest tubes. However, the pigtail catheter placement does not come without possible complications. Pneumothorax, hemothorax and rarely visceral or vascular injury were all reported previously. Here we report a case of an 80-year-old patient who presented with right-sided rib fractures and right hemothorax post mechanical fall. A pigtail drainage catheter (PC) was placed; however, minimal drainage was obtained and there was no resolution of hemothorax. CT evaluation showed the PC located between the liver and the underside of right hemidiaphragm.