Horner's Syndrome: A Rare Complication of Tube Thoracostomy: A case report.
- Author:
Jae Woong CHOI
1
;
Joo Hyun KIM
;
Byung Su YOO
;
Chang Hyun KANG
;
Young Tae KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Korea. jhkim10@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Pneumothorax;
Chest tubes;
Horner's syndrome
- MeSH:
Chest Tubes;
Emergencies;
Eye;
Follow-Up Studies;
Horner Syndrome;
Humans;
Miosis;
Otitis Media;
Outpatients;
Patients' Rooms;
Pleurodesis;
Pneumothorax;
Quaternary Ammonium Compounds;
Thoracostomy
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2010;43(6):816-819
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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.
