Abstract
Iatrogenic gastric perforation after chest tube implantation is rare but devastating. This can cause widespread thoracoabdominal contamination, fulminant sepsis, and acute respiratory distress syndrome, requiring immediate surgery and intensive care. For suspected tension pneumothorax, a 44-year-old man with traumatic thoracoabdominal injuries underwent urgent chest tube installation. Through an undiscovered traumatic diaphragmatic rupture, the surgery caused gastric perforation. In trauma, diaphragmatic injuries must be detected early, and anesthesiologists and intensivists must manage complex postoperative consequences using multidisciplinary, evidence-based critical care.
Zulfikar Loka Wicaksana, Kohar Hari Santoso, Naomi Rahmasena
