Internal dislocation of scapula following thoracotomy for lung transplantation - a case report

Abstract

Introduction: The diagnosis of chest pain at times can be challenging and requires a detailed history, thorough physical examination and investigations including imaging in post transplantation patients. This case is an example of a rare cause of pleuritic chest pain, which was initially misdiagnosed as a haemothorax. The correct diagnosis of dislocated scapula was delayed for three days resulting in considerable discomfort for the patient.

Case presentation: We present a case of dislocation of scapula following thoracotomy for single lung transplantation. This complication should be considered in the list of differential diagnosis for the pleuritic chest pain after thoracotomy.

Conclusion: This case highlights the importance of careful positioning of the patient perioperatively and when they are sedated and ventilated after the surgical procedure.

Figure 1

Chest radiograph showing a right peripheral density following dislocation of the scapula.

Figure 2

Computer reconstructions of CT scan of chest and chest x-ray showing internal dislocation of the scapula through the thoracotomy incision.