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[Intrapulmonary aberrant needle; report of a case]
T Sakakibara1, S Seki, T Yaguchi
1Department of Surgery, Aichi Koseiren Kainan Hospital, Aichi, Japan.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|November 12, 2005
Summary
Intrapulmonary aberrant needles require prompt surgical removal. This case highlights the importance of intraoperative imaging to ensure complete removal and prevent complications.
Area of Science:
- Thoracic Surgery
- Medical Imaging
Background:
- Intrapulmonary aberrant needles are rare clinical findings.
- Prompt surgical intervention is recommended for intrathoracic aberrant needles.
Observation:
- A 47-year-old male presented with chest discomfort.
- An intrapulmonary aberrant needle was identified in the right middle lobe via chest X-ray and CT.
- Initial thoracoscopic removal left a residual fragment, necessitating further intervention.
Findings:
- Video-assisted thorascopic surgery (VATS) was employed for removal.
- Intraoperative X-ray revealed a residual needle fragment.
- Real-time fluoroscopy guided the localization and partial resection of the fragment from the right lower lobe.
- The patient recovered well and was discharged on postoperative day 10.
Implications:
- Intraoperative chest X-ray is crucial before chest closure to prevent retained fragments.
- Real-time fluoroscopy is a valuable tool for locating residual foreign bodies in the lung.
- Complete removal of aberrant needles is essential for favorable patient outcomes.