Stab to second intercostal space: a bubbling extrapleural wound.


A 37 year old man was found collapsed at the roadside and taken to the emergency department. Communication was difficult, as the patient could not speak English. There was a wound in the left second intercostal space on the midclavicular line, which was bleeding and was bubbling air. A drain was inserted, bleeding controlled, and his wounds sutured. Chest x ray later confirmed satisfactory placement of the drain. The following day, swelling and discharge indicated oesophageal damage, which was later confirmed by gastrografin swallow. With conservative management in hospital for 2 weeks, he made a full recovery and was discharged.

Cite this paper

@article{Jabbar2005StabTS, title={Stab to second intercostal space: a bubbling extrapleural wound.}, author={Abid Jabbar and J. V. Reynolds and Patrick Plunkett}, journal={Emergency medicine journal : EMJ}, year={2005}, volume={22 12}, pages={916-8} }