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KMID : 0364020100430060816
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Korean Journal of Thoracic and Cardiovascular Surgery
2010 Volume.43 No. 6 p.816 ~ p.819
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Horner’s Syndrome: A Rare Complication of Tube Thoracostomy - A case report -
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Choi Jae-Woong
Kim Joo-Hyun
Yoo Byung-Su
Kang Chang-Hyun
Kim Young-Tae
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Abstract
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We report one case of Horner’s syndrome, a rare complication of closed thoracostomy. A 17 year-old girl with a second attack of left side primary spontaneous pneumothorax visited an emergency room. After closed tube thoracostomy, she was admitted to a general ward for elective video-assisted thoracosopic bullectomy, which was delayed due to incidental right side acute otitis media. On the third day of admission, she presented with pain and discomfort in the left eye. Further examination revealed left side ptosis and miosis and led to a diagnosis of Horner’s syndrome. The chest tube was pulled back 2 to 3 cm for repositioning. After two days she underwent video-assisted thoracoscopic bullectomy and mechanical pleurodesis and was discharged at postoperative day 7. Symptoms and signs of Horner’s syndrome gradually resolved, and she had fully recovered at the 2 month postoperative outpatient follow-up.
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KEYWORD
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Pneumothorax, Chest tubes, Horner’s syndrome
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