Iatrogenic Horner syndrome after tube thoracostomy

Robert Baird*, Zainab Al-Balushi, Jeff Wackett, Sarah Bouchard

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

8 Citations (Scopus)


Iatrogenic Horner syndrome is a rare complication of chest tube insertion, with little information available on this topic in the pediatric literature. We present a case of a 13-month-old boy with a left-sided pneumonia and an associated pleural effusion for which a chest tube was inserted. His respiratory and septic parameters improved, but he was noted to have ptosis, miosis, and anhydrosis of the left side. These resolved in the days after chest tube removal. Although tube thoracostomy is a common procedure in surgical practice, little is written about the potential for injury to the ipsilateral sympathetic chain. This report reviews the available literature, with an emphasis on complication avoidance.

Original languageEnglish
Pages (from-to)2012-2014
Number of pages3
JournalJournal of Pediatric Surgery
Issue number10
Publication statusPublished - Oct 2009
Externally publishedYes


  • Complication
  • Horner syndrome
  • Iatrogenic
  • Tube thoracostomy

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery


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