Penetrating thoracic ice pick injury extending into pulmonary artery: Report of a case

Kawaguchi, Masashi; Yamamoto, Hirotsugu; Yamada, Taihei; Yumoto, Tetsuya; Aokage, Toshiyuki; Ihoriya, Hiromi; Eto, Kohei; Suezawa, Takanori; Naito, Hiromichi; Nakao, Atsunori

doi:10.1016/j.ijscr.2018.09.052

Cited by 5 publications

(4 citation statements)

References 7 publications

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“…Pulmonary artery foreign bodies are relatively rare and most of the pulmonary circulation foreign bodies reported in the literature are iatrogenic, including fragments of catheter materials and intravascular devices; 6 , 7 as well as various shrapnel and metals dissociated to blood vessels after trauma. 8 Reports of pulmonary artery foreign bodies caused by non-iatrogenic toothpicks are rare and even rarer is the case where the entry route of the toothpick foreign bodies was unclear. 5 Because of the different clinical manifestations and different properties of foreign bodies, it can be relatively difficult to diagnose foreign-body pulmonary embolism.…”

Section: Discussionmentioning

confidence: 99%

Value of multiplanar reconstruction in multi-slice computed tomography for the detection of foreign body in the pulmonary artery: a case report

Mao,

Lv,

Han

et al. 2024

J Int Med Res

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Multi-slice computed tomography (MSCT) is the primary method for the detection and visualization of foreign bodies in the pulmonary artery because it provides high sensitivity and accuracy. It is very difficult to diagnose a patient with a non-iatrogenic pulmonary artery foreign body who does not have a history of a penetrating trauma. This case report describes a 36-year-old male that presented with coughing and haemoptysis. Based on conventional coronal and cross-sectional CT, the foreign body was misdiagnosed as pulmonary tuberculosis and pulmonary artery thrombosis. During treatment of the bronchial artery embolization and anti-tuberculosis therapy, the patient continued to experience haemoptysis. After further analysis of the pulmonary artery CT angiography images and curved multiplane reconstruction, an approximately 6-cm long toothpick was identified in the pulmonary artery with an unclear entry route. After surgery to remove the toothpick, symptoms of coughing and haemoptysis were resolved. This current case demonstrated that multiplane reconstruction in MSCT can improve the detection and visualization of pulmonary artery foreign bodies, which can aid in the diagnosis of pulmonary artery diseases of unknown cause.

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Section: Discussionmentioning

confidence: 99%

Value of multiplanar reconstruction in multi-slice computed tomography for the detection of foreign body in the pulmonary artery: a case report

Mao,

Lv,

Han

et al. 2024

J Int Med Res

View full text Add to dashboard Cite

show abstract

“…In such cases, it is important to avoid iatrogenic injuries, especially those during transportation. Foreign bodies should be removed as soon as possible to prevent further damage to the heart [9] . If there is a possible or a de nite organ injury, liquid support should be given immediately and the patient should be moved to the operating room promptly.…”

Section: Discussionmentioning

confidence: 99%

Penetrating Thoracic Trauma Arising From Knife Injuries Into the Hemithorax: A Case Report

Liu¹,

Cheng²,

Zhang³

et al. 2021

Preprint

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BackgroundTrauma is associated with a high morbidity and mortality, and thoracic trauma accounts for a quarter of these deaths. This is due to the penetrating thoracic trauma that often causes serious injury to the heart and great vessels. Most penetrating thoracic wounds are caused by stabbing, which is usually caused by knives. Here, we report a patient who had penetrating thoracic trauma who was caused by a knife.Case presentationA 16-year-old girl was stabbed by a knife due to an accidental fall, which caused a penetrating injury in her left chest. Despite a decreased blood pressure (100/90 mmHg), the patient was conscious. The unenhanced CT at emergency clearly showed that the knife penetrated between the pericardium and the left lung without heart injury. Exploratory thoracotomy was performed in the fourth intercostal space in combination with thoracoscopy, confirmed that the knife penetrated between the pericardium and the left lung without causing any injury to the heart.ConclusionsCT can not only clearly display foreign bodies of knives, but also accurately judge the damage of important structures such as lungs, heart and great vessels. Therefore, CT can provide information for further diagnosis and intervention.

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“…Finally, Kawaguchi et al . illustrated a male with a penetrating pulmonary artery injury due to an ice pick [7].…”

Section: Discussionmentioning

confidence: 99%

Accidental neck and chest penetration by a metal sliver derived from an axe for wood chopping: a case report

et al. 2019

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Background Penetrating neck and chest trauma is a very common entity in emergency medicine that usually requires surgical treatment. Our case report illustrates the case of a 27-year-old Arabian man with hemopneumothorax associated with pneumomediastinum due to an unusual occupational injury. Case presentation A metal sliver, coming from an axe using for wood chopping, penetrated the neck of a 27-year-old Arabian man in the left supraclavicular region mimicking a gun bullet; the entrance hole was at the left pleural dome where the sliver had just penetrated the apex of the lung passing through the upper lobe of his left lung creating an exit wound in the dorsal segment of the same lobe arriving in the posterior thoracic wall. Biportal video-assisted thoracic surgery was performed to remove blood clots and the unusual foreign body. Conclusion In the literature, there are several case series about this topic, with some of them reporting unusual foreign bodies that lead to penetrating trauma. However, to the best of our knowledge, no cases like the one we have reported are described in the current literature.

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Penetrating thoracic ice pick injury extending into pulmonary artery: Report of a case

Cited by 5 publications

References 7 publications

Value of multiplanar reconstruction in multi-slice computed tomography for the detection of foreign body in the pulmonary artery: a case report

Value of multiplanar reconstruction in multi-slice computed tomography for the detection of foreign body in the pulmonary artery: a case report

Penetrating Thoracic Trauma Arising From Knife Injuries Into the Hemithorax: A Case Report

Accidental neck and chest penetration by a metal sliver derived from an axe for wood chopping: a case report

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