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Updated: Apr 3, 2026
03:22
Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
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Thoracolithiasis diagnosed by thoracoscopy under local anesthesia
Hiroaki Nakagawa1, Masatsugu Ohuchi2, Takuya Fujita3
1Division of Respiratory Medicine, Department of Internal Medicine, Shiga University of Medical Science Otsu, Japan.
Respirology Case Reports
|September 23, 2015
Summary
A rare case of thoracolithiasis, or a pleural stone, was diagnosed using thoracoscopy under local anesthesia. This minimally invasive approach offers a useful and effective option for diagnosing this condition.
Area of Science:
- Pulmonology
- Thoracic Surgery
Background:
- A 68-year-old female presented with a calcified lung nodule detected via chest radiography.
- Computed tomography (CT) revealed a 10-mm calcified nodule in the left thoracic cavity.
Observation:
- Follow-up CT demonstrated the nodule had relocated within the left thoracic cavity.
- A pearl-like pleural stone was surgically removed via thoracoscopy under local anesthesia.
Findings:
- The patient was diagnosed with thoracolithiasis without complications.
- This represents the first reported case of thoracoscopy under local anesthesia for diagnosing thoracolithiasis.
Implications:
- Thoracoscopy under local anesthesia is a minimally invasive and effective diagnostic tool for suspected thoracolithiasis.
- This technique should be considered for definitive diagnosis in similar cases.
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