case_images: PMC7166272_01
case_images: Preoperative chest radiograph for the patient showing normal lung fields with mild increase in bronchocovascular markings on the right lung.
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case_images: fig1
case_images: Chest X-ray was normal except for mild increase in the basal bronchovascular markings on the right lung (Figure 1).
case_images: Airway exchange catheter (AEC) used to change the endotracheal tube (ETT).
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case_images: PMC7166272_01_CRIA2020-9273903.002.jpg
case_images: fig2
case_images: It was presumed that there was a leak from the tube cuff, so the endotracheal tube was exchanged using an airway exchange catheter (AEC) (Figure 2), and the tube was fixed at the 22 cm mark.
case_images: Intraoperative chest radiograph showing right-sided pneumothorax.
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case_images: fig3
case_images: The intraoperative X-ray machine (The C-arm) was requested immediately to the operating room and the chest image confirmed the presence of right-sided pneumothorax (Figure 3).
case_images: Intraoperative chest radiograph showing normal left lung field.
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case_images: PMC7166272_01_CRIA2020-9273903.004.jpg
case_images: fig4
case_images: The surgeon then inserted an intercostal tube immediately on the right side, and another chest X-ray taken afterwards showed satisfactory lung expansion (Figure 4).
case_images: Intraoperative chest radiograph after insertion of intercostal tube showing normal lung expansion.
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case_images: PMC7166272_01_CRIA2020-9273903.005.jpg
case_images: fig5
case_images: The patient was discharged to the surgical ward, and follow-up chest X-ray was done on the following day, showing proper intercostal tube placement and proper lung expansion (Figure 5).
case_images: Postoperative computed tomography (CT) scan showing minimal right-side residual pneumothorax and the intercostal tube in place.
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case_images: PMC7166272_01_CRIA2020-9273903.006.jpg
case_images: fig6
case_images: Computed tomography (CT) scan was done on postoperative day 2 showing minimal pneumothorax, normal architecture of the trachea, and the bronchial tree, no evidence of bullae, no evidence of pneumomediastinum, and a right hepatic laceration (Figure 6).
case_images: Follow-up chest radiograph showing no evidence of recurrence of pneumothorax.
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case_images: PMC7166272_01_CRIA2020-9273903.007.jpg
case_images: fig7
case_images: The intercostal tube was removed on postoperative day 3 (Figure 7), and the patient was discharged home on day 4 postoperatively.