{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T08:09:28Z","timestamp":1779178168129,"version":"3.51.4"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T00:00:00Z","timestamp":1779148800000},"content-version":"vor","delay-in-days":18,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>This case report describes the conservative management of an iatrogenic hepatic injury secondary to chest tube thoracostomy in a 54-year-old male with severe thoracic polytrauma. A right-sided chest tube inserted in the seventh intercostal space for hemothorax resulted in transhepatic malposition. Given hemodynamic stability and absence of active hemorrhage, non-operative management (device removal and primary suture) was undertaken with strict monitoring and favorable evolution. This case underscores the feasibility of conservative management in selected patients and cautions against automatic classification as impalement trauma requiring laparotomy.<\/jats:p>","DOI":"10.1093\/jscr\/rjag372","type":"journal-article","created":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T11:17:48Z","timestamp":1777893468000},"source":"Crossref","is-referenced-by-count":0,"title":["Post-traumatic liver injury caused by chest tube placement: myths and controversies in conservative management"],"prefix":"10.1093","volume":"2026","author":[{"given":"David S","family":"\u00c1lvarez Gahona","sequence":"first","affiliation":[{"name":"Department of General Surgery Hospital de Especialidades Eugenio Espejo, Pontificia Universidad Cat\u00f3lica del Ecuador , Av. Gran Colombia s\/n y Yaguachi, 170403 Quito ,","place":["Ecuador"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5442-7905","authenticated-orcid":false,"given":"Erika D","family":"Montenegro Garcia","sequence":"additional","affiliation":[{"name":"Pontificia Universidad Cat\u00f3lica del Ecuador, Department of General Surgery Hospital Padre Carollo, Av. Rumichaca S33-10 , 170702 Quito,","place":["Ecuador"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph D","family":"Valdivieso V\u00e9lez","sequence":"additional","affiliation":[{"name":"Pontificia Universidad Cat\u00f3lica del Ecuador, Department of General Surgery Hospital Northospital, Av. de la Prensa , 170104 Quito ,","place":["Ecuador"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erick G","family":"Chiriboga Bomb\u00f3n","sequence":"additional","affiliation":[{"name":"Department of General Surgery Hospital de Especialidades Eugenio Espejo, Pontificia Universidad Cat\u00f3lica del Ecuador , Av. Gran Colombia s\/n y Yaguachi, 170403 Quito ,","place":["Ecuador"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2006-2263","authenticated-orcid":false,"given":"David I","family":"Narv\u00e1ez Salas","sequence":"additional","affiliation":[{"name":"Department of General Surgery Hospital Vozandes Quito, Av. Juan Jos\u00e9 de Villalengua Oe2-37 , 170521 Quito, \u00a0","place":["Ecuador"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernando I","family":"Zum\u00e1rraga L\u00f3pez","sequence":"additional","affiliation":[{"name":"Pontificia Universidad Cat\u00f3lica del Ecuador, Department of General Surgery Hospital de Especialidades Carlos Andrade Mar\u00edn, Av. Ayacucho N19-63 , 170103 Quito ,","place":["Ecuador"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda F","family":"Piedra Cevallos","sequence":"additional","affiliation":[{"name":"Universidad de las Am\u00e9ricas, Av. de los Granados E12-41 , 170513 Quito ,","place":["Ecuador"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valeria A","family":"Rivera Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Department of General Surgery Hospital de Especialidades Eugenio Espejo, Pontificia Universidad Cat\u00f3lica del Ecuador , Av. 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