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Penetrating pulmonary injury due to a thrown rusty nail while using a lawn mower: a case report

Nobutaka Kawamoto1, Riki Okita1, Masashi Furukawa1

  • 1Department of Thoracic Surgery, National Hospital Organization Yamaguchi Ube Medical Center, Ube, Yamaguchi, Japan.

AME Case Reports
|November 12, 2020
PubMed

Insights

Lawn mower accidents can cause rare chest injuries. A rusty nail penetrating the lung led to a lung abscess, highlighting the need for foreign body removal in such cases.

Area of Science:

  • Trauma surgery
  • Pulmonary medicine
  • Thoracic surgery

Background:

  • Lawn mower accidents are common, but penetrating chest injuries are infrequent.
  • This case highlights a rare instance of a pulmonary injury caused by a lawn mower-propelled object.

Observation:

  • A 63-year-old male sustained a penetrating pulmonary injury from a rusty nail ejected by a lawn mower.
  • Initial computed tomography revealed left pneumothorax and a foreign body in the left upper lobe.
  • The patient developed a lung abscess secondary to the retained foreign body.

Findings:

  • Thoracic drainage successfully managed the pneumothorax.
  • Video-assisted thoracoscopic surgery was required to remove the rusty nail.
  • Partial pulmonary resection was necessary to address the infection and lung abscess.

Implications:

  • While most penetrating pulmonary injuries do not necessitate surgery, retained foreign bodies pose a significant risk of complications like lung abscesses.
  • Prompt identification and removal of foreign bodies are crucial for managing penetrating thoracic injuries.
  • Treatment strategies for penetrating pulmonary injuries should consider the nature of the foreign body and the injury characteristics to prevent infection.
Keywords:
Case reportlawn mowerlung abscesspenetrating pulmonary injurythrown object

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