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Two foreign bodies embedded in the intraventricular septum: A case report
Sotirios Moraitis1, Apostolos Perelas, Panagiotis Hountis
1Athens Naval and Veterans Hosp. panos_hountis@hotmail.com.
A young male with chest foreign bodies, including intramyocardial needles, remained asymptomatic. Conservative management was successful, with regular follow-up showing no adverse effects after five years.
Area of Science:
- Cardiology
- Traumatology
- Radiology
Background:
- Foreign body insertion in the chest is a rare occurrence.
- Intramyocardial foreign bodies pose unique diagnostic and management challenges.
Observation:
- A 23-year-old male presented with a history of foreign body insertion in the chest.
- Physical examination revealed no abnormalities.
- Imaging demonstrated two subcutaneous anterior chest wall foreign bodies and two needle-shaped intramyocardial foreign bodies within the intraventricular septum.
Findings:
- The patient was asymptomatic despite the presence of deeply embedded foreign bodies.
- Conservative management was chosen due to the late presentation, location, and lack of symptoms.
Implications:
- This case highlights the possibility of successful conservative management for asymptomatic intramyocardial foreign bodies.
- Long-term follow-up is crucial for patients with retained foreign bodies in critical cardiac structures.
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