Figure 3.

An example of hepatic injury secondary to thoracostomy tube. This elderly patient underwent a thoracoscopic-assisted right lower lobectomy and developed a symptomatic right-sided loculated pleural effusion several weeks later. An attempt to place right-sided chest tube at the bedside resulted in an iatrogenic injury to the hepatic parenchyma. The tube was removed in a monitored setting, with interventional radiology and surgical teams standing-by for possible hepatic parenchymal bleeding. Following tube removal, the patient remained asymptomatic and showed no signs or symptoms of bleeding