High negative pressure subcutaneous suction drain for managing debilitating subcutaneous emphysema secondary to tube thoracostomy for an iatrogenic post Computed tomography guided transthoracic needle biopsy pneumothorax: Case Report and Review of literature

Highlights • Iatrogenic pneumothorax should be anticipated during and after a CT guided transthoracic needle biopsy and actively treated. • Chest tube malposition is a common complication of tube thoracostomy. • Chest tubes should always be inserted in the triangle of safety described by the British thoracic society. • Debilitating subcutaneous emphysema which causes distress, anxiety, palpebral closure, dyspnoea or dysphagia requires intervention. • High negative pressure subcutaneous suction drains provide immediate and sustained relief in extensive and debilitating SE.