Journal of Indian Association of Pediatric Surgeons
Journal of Indian Association of Pediatric Surgeons
                                                   Official journal of the Indian Association of Pediatric Surgeons                           
Year : 2018  |  Volume : 23  |  Issue : 4  |  Page : 225--227

Report of Massive Bleed after Chest-drain Insertion in a Case of Job's (hyper-IgE) Syndrome


Prabudh Goel1, Vishesh Jain1, Sanjeev Kumar2, Sanjiv Sharma2, Minu Bajpai1 
1 Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India
2 Department of Cardiac Radiology, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Prof. Minu Bajpai
All India Institute of Medical Sciences, New Delhi - 110 029
India

Chest-drain insertion is considered to be a benign procedure. A 6-year-old girl who is a known case of hyper-IgE/Job's syndrome presented to us following three episodes of fresh bleed following chest-drain insertion for the left lung abscess. The site of bleed was localized to be the ruptured pseudoaneurysm of the anterior segmental branch of the left pulmonary artery. For successful management, various pitfalls and gray areas have been highlighted: (a) the procedure of chest-drain insertion has a potential for many complications some of which may be life-threatening, (b) the importance of proper history taking and a complete evaluation of all patients before surgical intervention, (c) role of ultrasound-guided chest-drain insertion, and (d) the importance of lateral and pragmatic approach with multidisciplinary involvement in such unusual and challenging cases cannot be overemphasized.


How to cite this article:
Goel P, Jain V, Kumar S, Sharma S, Bajpai M. Report of Massive Bleed after Chest-drain Insertion in a Case of Job's (hyper-IgE) Syndrome.J Indian Assoc Pediatr Surg 2018;23:225-227


How to cite this URL:
Goel P, Jain V, Kumar S, Sharma S, Bajpai M. Report of Massive Bleed after Chest-drain Insertion in a Case of Job's (hyper-IgE) Syndrome. J Indian Assoc Pediatr Surg [serial online] 2018 [cited 2020 Jul 7 ];23:225-227
Available from: http://www.jiaps.com/article.asp?issn=0971-9261;year=2018;volume=23;issue=4;spage=225;epage=227;aulast=Goel;type=0