Intrathoracic Needle Migration from the Mediastinum into the Thoracic Cavity.

Tomo Sato, Yasufumi Kato, Hiroaki Kataba, Koichi Yoshida, Hiroki Hayashi, Masatoshi Kakihana, Norihiko Ikeda
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Abstract

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.

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胸腔内针头从纵隔移入胸腔。
临床上很少使用胸腔内针。它们可能会在体内移位,伤及大血管和其他器官,并引起严重的并发症。我们报告了一例利用视频辅助胸腔镜手术取出胸腔内针的有趣病例。针头从左锁骨下插入,穿透纵隔,移入右胸腔。虽然在病程中出现了气胸,但没有观察到严重的并发症。这一罕见病例说明了针头从纵隔移入胸腔的过程。对于胸腔内异物病例,有必要及时进行影像学检查和手术取出异物。
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