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

Marina Kawaguchi, Hirotsugu Yamamoto, Taihei Yamada, Tetsuya Yumoto, Toshiyuki Aokage, Hiromi Ihoriya, Koki Eto, Takanori Suezawa, Hiromichi Naito, Atsunori Nakao

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1 Citation (Scopus)

Abstract

Introduction: Penetrating thoracic traumas have a wide spectrum, ranging from mild traumas to life-threatening injuries. Presentation of case: This paper illustrates a 40-year-old male with a penetrating pulmonary artery injury that was successfully treated with emergency surgery. The patient visited local hospital by foot complaining of moving object on his chest and was found that an ice pick was penetrating the man's left chest. An ambulance took the patient to our emergency department. Computed tomography of the chest showed linear metallic density in the pulmonary trunk and a small amount of pericardial fluid. Emergency surgery for removal of the object and repair of the pulmonary artery was performed. The ice pick had been stuck in the main pulmonary artery through the pericardium without any injury to the left lung or internal thoracic artery. Postoperative course was uneventful. Discussion: A multidisciplinary team designed our treatment strategy, enabling us to select the optimal treatment, including diagnostic techniques and surgical approach. A successful trauma management depends on whether a life-threatening conditionexists. Major vascular injury should be rapidly assessed in these cases. Psychiatric aspects of the case are also discussed. Conclusion: Early removal of the foreign body is recommended to prevent further damage to the heart.

Original languageEnglish
Pages (from-to)63-66
Number of pages4
JournalInternational Journal of Surgery Case Reports
Volume52
DOIs
Publication statusPublished - Jan 1 2018

Fingerprint

Ice
Pulmonary Artery
Thorax
Wounds and Injuries
Surgical Diagnostic Techniques
Emergencies
Lung
Ambulances
Mammary Arteries
Vascular System Injuries
Pericardium
Lung Injury
Foreign Bodies
Psychiatry
Hospital Emergency Service
Foot
Tomography
Therapeutics

Keywords

  • Case report
  • Emergency surgery
  • Penetrating chest injury
  • Pulmonary artery

ASJC Scopus subject areas

  • Surgery

Cite this

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abstract = "Introduction: Penetrating thoracic traumas have a wide spectrum, ranging from mild traumas to life-threatening injuries. Presentation of case: This paper illustrates a 40-year-old male with a penetrating pulmonary artery injury that was successfully treated with emergency surgery. The patient visited local hospital by foot complaining of moving object on his chest and was found that an ice pick was penetrating the man's left chest. An ambulance took the patient to our emergency department. Computed tomography of the chest showed linear metallic density in the pulmonary trunk and a small amount of pericardial fluid. Emergency surgery for removal of the object and repair of the pulmonary artery was performed. The ice pick had been stuck in the main pulmonary artery through the pericardium without any injury to the left lung or internal thoracic artery. Postoperative course was uneventful. Discussion: A multidisciplinary team designed our treatment strategy, enabling us to select the optimal treatment, including diagnostic techniques and surgical approach. A successful trauma management depends on whether a life-threatening conditionexists. Major vascular injury should be rapidly assessed in these cases. Psychiatric aspects of the case are also discussed. Conclusion: Early removal of the foreign body is recommended to prevent further damage to the heart.",
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AU - Kawaguchi, Marina

AU - Yamamoto, Hirotsugu

AU - Yamada, Taihei

AU - Yumoto, Tetsuya

AU - Aokage, Toshiyuki

AU - Ihoriya, Hiromi

AU - Eto, Koki

AU - Suezawa, Takanori

AU - Naito, Hiromichi

AU - Nakao, Atsunori

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N2 - Introduction: Penetrating thoracic traumas have a wide spectrum, ranging from mild traumas to life-threatening injuries. Presentation of case: This paper illustrates a 40-year-old male with a penetrating pulmonary artery injury that was successfully treated with emergency surgery. The patient visited local hospital by foot complaining of moving object on his chest and was found that an ice pick was penetrating the man's left chest. An ambulance took the patient to our emergency department. Computed tomography of the chest showed linear metallic density in the pulmonary trunk and a small amount of pericardial fluid. Emergency surgery for removal of the object and repair of the pulmonary artery was performed. The ice pick had been stuck in the main pulmonary artery through the pericardium without any injury to the left lung or internal thoracic artery. Postoperative course was uneventful. Discussion: A multidisciplinary team designed our treatment strategy, enabling us to select the optimal treatment, including diagnostic techniques and surgical approach. A successful trauma management depends on whether a life-threatening conditionexists. Major vascular injury should be rapidly assessed in these cases. Psychiatric aspects of the case are also discussed. Conclusion: Early removal of the foreign body is recommended to prevent further damage to the heart.

AB - Introduction: Penetrating thoracic traumas have a wide spectrum, ranging from mild traumas to life-threatening injuries. Presentation of case: This paper illustrates a 40-year-old male with a penetrating pulmonary artery injury that was successfully treated with emergency surgery. The patient visited local hospital by foot complaining of moving object on his chest and was found that an ice pick was penetrating the man's left chest. An ambulance took the patient to our emergency department. Computed tomography of the chest showed linear metallic density in the pulmonary trunk and a small amount of pericardial fluid. Emergency surgery for removal of the object and repair of the pulmonary artery was performed. The ice pick had been stuck in the main pulmonary artery through the pericardium without any injury to the left lung or internal thoracic artery. Postoperative course was uneventful. Discussion: A multidisciplinary team designed our treatment strategy, enabling us to select the optimal treatment, including diagnostic techniques and surgical approach. A successful trauma management depends on whether a life-threatening conditionexists. Major vascular injury should be rapidly assessed in these cases. Psychiatric aspects of the case are also discussed. Conclusion: Early removal of the foreign body is recommended to prevent further damage to the heart.

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KW - Penetrating chest injury

KW - Pulmonary artery

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