Current Thoracic Surgery

Catheter thoracostomy is a common method of pleural effusion; however, complications can occur. This case study describes a rare complication where the catheter extended from the bronchial system into the trachea, with management performed through an endobronchial approach. During catheter thoracostomy, insertion of the catheter under ultrasound guidance at the site of the highest pleural fluid accumulation minimized complications. With hemoptysis, selective bronchial block application with a balloon catheter is a reliable method for treatment.