The safe removal of a superior mediastinal foreign body by mediastinoscopy: a case report

Abstract

Background Mediastinal foreign bodies might cause mediastinal organ injury or mediastinal abscess. The prompt removal surgery of mediastinal foreign bodies is needed to prevent those complications. We report a case in which a mediastinal foreign body was removed by video-mediastinoscopy. Case presentation The patient, a 74-year-old man with a chief complaint of hoarseness, was referred to our department for surgical management of a wooden foreign body that had traumatically migrated into the superior mediastinum. During the surgery, the video-mediastinoscopy was introduced under the pneumomediastinal pressure. We could dissect the scar tissue and remove the azalea tree branch safely and carefully, without damaging the other mediastinal organs. He was discharged on postoperative day 5, with no complications. Conclusions Video-mediastinoscopic approach under pneumomediastinal pressure is minimally invasive and could provide wide surgical view. Therefore, we consider it useful and effective for removal of foreign bodies in the mediastinum.

Migrated subcutaneous sharp foreign body in the anterior chest wall: An unusual presentation

“…7 In order to prevent the damage to the surrounding organs, it is advised to not remove the foreign body forcibly rather to dissect the surrounding tissues carefully. 7 A multidisciplinary approach is required; some foreign bodies may not be visible only via conventional imaging and may require advanced technologies for the further management. 3,4,8,9 Sharma et al presents and labels a case of retained Stienman pins interesting for how the pin remained undetected even after "removal" of the pin.…”

“…Sakuma et al. reports the effective removal of a superior mediastinal foreign body in a 74‐year‐old male, by video‐assisted mediastinoscopy 7 . In order to prevent the damage to the surrounding organs, it is advised to not remove the foreign body forcibly rather to dissect the surrounding tissues carefully 7 .…”

“…reports the effective removal of a superior mediastinal foreign body in a 74‐year‐old male, by video‐assisted mediastinoscopy 7 . In order to prevent the damage to the surrounding organs, it is advised to not remove the foreign body forcibly rather to dissect the surrounding tissues carefully 7 . A multidisciplinary approach is required; some foreign bodies may not be visible only via conventional imaging and may require advanced technologies for the further management 3,4,8,9 .…”