A case of fatal exsanguination due to perforation of the liver and the inferior caval
vein by an intercostal drain is described. The importance of personally studying the
X-rays preoperatively, of choosing the correct intercostal space, and of not withdrawing
more than 1,000 to 1,500 ml of fluid at one time, is stressed.
Hepatic damage - Malinsertion into inferior cava - Pleural drain