A case of entry-site unknown foreign body migrating in the mediastinum

• Tamura Motohiko

  Depaertment of Cardiothoracic Surgery, Dokkyo University School of Medicine

• Araki Osamu

  Depaertment of Cardiothoracic Surgery, Dokkyo University School of Medicine

• Aoki Hidekazu

  Depaertment of Cardiothoracic Surgery, Dokkyo University School of Medicine

• Karube Yoko

  Depaertment of Cardiothoracic Surgery, Dokkyo University School of Medicine

• Yoshii Naoko

  Depaertment of Cardiothoracic Surgery, Dokkyo University School of Medicine

• Seki Norio

  Depaertment of Cardiothoracic Surgery, Dokkyo University School of Medicine

• Umezu Hideo

  Depaertment of Cardiothoracic Surgery, Dokkyo University School of Medicine

• Kobayashi Satoru

  Depaertment of Cardiothoracic Surgery, Dokkyo University School of Medicine

• Ishihama Hiromi

  Depaertment of Cardiothoracic Surgery, Dokkyo University School of Medicine

• Ikeda Yasunori

  Depaertment of Cardiothoracic Surgery, Dokkyo University School of Medicine

• Nagai Sensuke

  Depaertment of Cardiothoracic Surgery, Dokkyo University School of Medicine

• Miyoshi Shinichiro

  Depaertment of Cardiothoracic Surgery, Dokkyo University School of Medicine

Bibliographic Information

Other Title

• 侵入経路が不明な縦隔内伏針の一例

Abstract

Our patient was a 53 year-old male, who consulted an ophthalmologist, complaining of visual disturbance. Since the patient had uveitis, sarcoidosis was suspected and a chest X-ray was taken to investigate the lungs. His chest X-ray incidentally demonstrated a foreign body in the mediastinum and the patient was referred to our hospital. His chest CT confirmed a needle-like shadow in the mediastinum close to A-P window. Although VATS was applied to the extirpation under radiological guidance, it was difficult to find the foreign body, which was finally removed through axillary thoracotomy. The patient did not have any history of trauma, surgery or psycogenic disease. Therefore, the entry site of the foreign body was not determined. The entry site was also unknown in more than half of those cases reported in literature. Only 2 cases including our case were reported to have a foreign body in the mediastinum.

Journal

• The Journal of the Japanese Association for Chest Surgery

  The Journal of the Japanese Association for Chest Surgery 19 (6), 766-769, 2005

  The Japanese Association for Chest Surgery

Keywords

• foreign body
• mediastinum
• surgical treatment

Details

• CRID: 1390282679337496832
• NII Article ID: 110001845008
• NII Book ID: AN10467885
• DOI: 10.2995/jacsurg.19.766
• ISSN: 18814158
• ISSN: 09190945
• Web Site: https://search.jamas.or.jp/link/ui/2006050913
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed