Department of Thoracic Surgery, Kanto Central Hospital, Tokyo, Japan.
Yoshida Medical Clinic, Kimitsu, Chiba, Japan.
Ann Thorac Cardiovasc Surg. 2024;30(1). doi: 10.5761/atcs.cr.24-00039.
Intrathoracic needles are rarely used in clinical practice. They can migrate within the body, injure large blood vessels and other organs, and cause severe complications. We report an interesting case of intrathoracic needle removal using video-assisted thoracoscopic surgery. The needle was inserted under the left clavicle, penetrated the mediastinum, and migrated into the right thoracic cavity. Although pneumothorax developed during the disease course, no severe complications were observed. This rare case illustrates the course of needle migration from the mediastinum into the thoracic cavity. Prompt imaging and surgical removal of foreign bodies are necessary in cases of intrathoracic foreign bodies.
胸腔内的针很少用于临床实践。它们可能会在体内移动,损伤大血管和其他器官,并引起严重的并发症。我们报告了一例使用电视辅助胸腔镜手术取出胸腔内针的有趣病例。针从左锁骨下插入,穿过纵隔,迁移到右侧胸腔。虽然在疾病过程中发生了气胸,但没有观察到严重的并发症。这个罕见的病例说明了针从纵隔迁移到胸腔的过程。对于胸腔内异物,需要及时进行影像学检查和手术取出异物。