Cheng Wen-Chien, Wu Biing-Ru, Chen Chia-Hung, Liao Wei-Chih, Tu Chih-Yen
Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, China Medical University Hospital, Taichung.
School of Medicine, China Medical University, Taichung.
J Thorac Dis. 2018 May;10(5):3054-3058. doi: 10.21037/jtd.2018.05.33.
Pleuroscopy, also known as medical thoracoscopy (MT), is an important tool for pleural disease management. Removal of foreign body (FB) by MT was reported in a few reports because it can identify the position of a FB in the pleural cavity and can be used for its urgent removal. In this study, we describe the case of a male patient with a ruptured lung abscess and a rare complication of self-expandable metallic stent (SEMS) migration into the pleural cavity via a bronchopleural fistula after the management of obstructive airway disease. An experienced pulmonologist successfully removed the SEMS from the pleural cavity using semi-rigid pleuroscopy under local anesthesia and conscious sedation in a bronchoscopy suite.
胸腔镜检查，也称为医用胸腔镜检查（MT），是胸膜疾病管理的重要工具。少数报告中提到了通过MT取出异物（FB），因为它可以确定FB在胸腔中的位置，并可用于紧急取出。在本研究中，我们描述了一名男性患者的病例，该患者患有肺脓肿破裂，在阻塞性气道疾病治疗后出现了一种罕见的并发症，即自膨式金属支架（SEMS）通过支气管胸膜瘘迁移至胸腔。一名经验丰富的肺科医生在支气管镜检查室的局部麻醉和清醒镇静下，使用半刚性胸腔镜成功地从胸腔中取出了SEMS。
