Progressive iatrogenic pneumothorax from incorrectly connected Heimlich valve

Case contributed by Jayanth Keshavamurthy , 19 Apr 2016
Diagnosis certain
Changed by Henry Knipe, 23 Apr 2016

Updates to Case Attributes

Title was changed:
Iatrogeny-pneumothorax got worse by connecting theProgresssive iatrogenic pneumothorax from incorrectly connected Heimlich valve wrong ways
Suitable For Quiz was set to .
Presentation was changed:
Follow up chest X rayx-ray to assess pneumothorax.
Age changed from 59 to 60 years.

Updates to Study Attributes

Findings was changed:

Iatrogenic pneumothorax from port placement.

IatrogenyIatrogenic tension  pneumothoraxpneumothorax from wrong HemilichHeimlich valve connection.

Caption was removed:
Why did pneumothorax get worse?
Images Changes:

Image X-ray (Frontal) ( update )

Description was changed:
24 hours follow up complete left lung collapse due to connecting the Heimlich one way-way valve wrong waysway.

Updates to Quizquestion Attributes

Question was changed:
Which end of Heimlich valve is closer to patient- blue or clear end?

Updates to Quizquestion Attributes

Question was added:
Why did the pneumothorax get worse?
Answer was added:
In this case, the cause was not seen on the x-ray and the Heimlich valve was noted to be connected the wrong way.

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