Asian Annals
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Seyda Ors Kaya
Gokhan Yuncu
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Asian Cardiovasc Thorac Ann 2001;9:342-343
© 2001 Asia Publishing EXchange Pte Ltd

CASE STUDY

Epigastric Pain After Tube Thoracostomy: a Case of Vagal Irritation

Seyda Ors Kaya, MD, Gokhan Yuncu, MD, Alpaslan Cakan, MD

Department of Thoracic Surgery Chest Diseases and Thoracic Surgery Training Hospital Izmir, Turkey
For reprint information contact: Alpaslan Cakan, MD Tel: 90 232 433 3333 Fax: 90 232 339 0002 email: alpcakan{at}gohip.com Mithatpasa Caddesi No. 739, Daire: 1, Göztepe, Izmir 35290, Turkey.
A 58-year-old man with spontaneous pneumothorax experienced severe burning pain in the epigastric region after insertion of a chest tube. Chest radiography showed malposition of the tube, abutting the mediastinum. On suspecting that the vagus nerve had been stimulated by the tip of the tube, the tube was withdrawn 3 cm, and the pain disappeared completely.






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