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[A case of traumatic intrapulmonary foreign body]
A Tatsumi1, S Hanaoka, Y Yamamoto
1Department of Thoracic and Cardiovascular Surgery, Kochi Municipal Hospital, Japan.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|March 1, 1994
Summary
A man sustained a traumatic intrapulmonary foreign body from a circular saw injury. The steel wire was successfully removed via median sternotomy and partial lung resection.
Area of Science:
- Thoracic Surgery
- Trauma Surgery
- Medical Case Reports
Background:
- Intrapulmonary foreign bodies are typically inhaled.
- Penetrating chest trauma can introduce foreign objects into the lung.
Observation:
- A 60-year-old man experienced a chest wall injury from a circular saw.
- Symptoms included chest pain, cough, and bloody sputum.
- Initial examination revealed no external chest wall abnormalities.
Findings:
- Chest X-ray and CT scan identified a metallic foreign body in the right lung, near major vascular structures.
- The foreign body was a steel wire fragment.
Implications:
- This case highlights a rare non-inhaled intrapulmonary foreign body presentation.
- Surgical intervention (median sternotomy, partial lung resection) is effective for removal.
- Emphasizes the importance of advanced imaging in diagnosing penetrating chest trauma.