title: Perforation of the cecum, as a complication of pleural biopsy.
abstract: A case of a rupture of the cecum following pleural biopsy in a patient with lung carcinoma complicated by inappropriate secretion of antidiuretic hormone is reported. We hypothesized that this unusual complication was caused by a neurogenic effect caused by the trauma of the biopsy causing an imbalance in the autonomic nervous system producing a sympathetic predominance leading to adynamic ileus and subsequent perforation.
mesh_terms: D000368:Aged; D001707:Biopsy, Needle / Q000009:adverse effects*; D002283:Carcinoma, Bronchogenic / Q000150:complications; D002432:Cecum / Q000293:injuries*; D006801:Humans; D007177:Inappropriate ADH Syndrome / Q000150:complications; D007416:Intestinal Perforation / Q000209:etiology*; D008175:Lung Neoplasms / Q000150:complications; D008297:Male; D010994:Pleura / Q000473:pathology; D011030:Pneumothorax / Q000209:etiology