Delayed Pneumothorax after Thoracic Paravertebral Block
10.4055/jkoa.2023.58.1.62
- Author:
Dae Moo SHIM
1
;
Ki Yong AN
;
Ki Hyun KWON
;
Young Woo CHUNG
Author Information
1. Department of Orthopedic Surgery, Gwangju Veterans Hospital, Gwangju, Korea
- Publication Type:Case Report
- From:The Journal of the Korean Orthopaedic Association
2023;58(1):62-66
- CountryRepublic of Korea
- Language:English
-
Abstract:
This paper reports a case of a patient aged 63 years who developed a delayed pneumothorax after thoracic paravertebral block (TPVB). TPVB is a non-invasive procedure that is known to be relatively safe. A 63-year-old female was admitted with back pain. TPVB T9–10 left was then performed. Two days after the procedure, she complained of dyspnea in the emergency room. X-ray showed a pneumothorax in her left side with partial left lung collapse. The pneumothorax was managed by surgical intervention, and an intercostal tube was inserted. The post-procedural X-ray showed a fully expanded lung. A chest tube was taken out after 72 hours. A delayed pneumothorax can occur after TPVB. Therefore, careful observation is required after this procedure.