An Unexpected 12.6 Centimeter Nail in the Thorax Damaging Vital Structures: A Case Report “Nailed It”

We report a patient who was referred to the emergency room with pulmonary complaints and where a computed tomography (CT) scan showed an unexpected 12.6 cm nail in the thorax penetrating part of the left pulmonary upper lobe, the left pulmonary artery, the left main bronchus, and the descending aort...

Full description

Bibliographic Details
Main Authors: Thomas H. Avedissian, Daniel J. F. M. Thuijs, Lucas Timmermans, Alexander P. W. M. Maat, Edris A. F. Mahtab
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:Surgeries
Subjects:
Online Access:https://www.mdpi.com/2673-4095/4/1/6
_version_ 1797608889962725376
author Thomas H. Avedissian
Daniel J. F. M. Thuijs
Lucas Timmermans
Alexander P. W. M. Maat
Edris A. F. Mahtab
author_facet Thomas H. Avedissian
Daniel J. F. M. Thuijs
Lucas Timmermans
Alexander P. W. M. Maat
Edris A. F. Mahtab
author_sort Thomas H. Avedissian
collection DOAJ
description We report a patient who was referred to the emergency room with pulmonary complaints and where a computed tomography (CT) scan showed an unexpected 12.6 cm nail in the thorax penetrating part of the left pulmonary upper lobe, the left pulmonary artery, the left main bronchus, and the descending aorta, which had been in situ for at least three days. The quickly deteriorating patient had to be transferred to a tertiary academic hospital where the nail was successfully surgically removed. The comprehensive description of this unique case with a discussion of the critical decision moments could render insights into the management of challenging trauma cases.
first_indexed 2024-03-11T05:54:00Z
format Article
id doaj.art-0e9ce22f8fec4a739bd043ff387f87af
institution Directory Open Access Journal
issn 2673-4095
language English
last_indexed 2024-03-11T05:54:00Z
publishDate 2023-01-01
publisher MDPI AG
record_format Article
series Surgeries
spelling doaj.art-0e9ce22f8fec4a739bd043ff387f87af2023-11-17T13:54:40ZengMDPI AGSurgeries2673-40952023-01-0141384510.3390/surgeries4010006An Unexpected 12.6 Centimeter Nail in the Thorax Damaging Vital Structures: A Case Report “Nailed It”Thomas H. Avedissian0Daniel J. F. M. Thuijs1Lucas Timmermans2Alexander P. W. M. Maat3Edris A. F. Mahtab4Department of Emergency Medicine, Albert Schweitzer Hospital, Albert Schweitzerplaats 25, 3318 AT Dordrecht, The NetherlandsDepartment of Cardiothoracic Surgery, Erasmus University Medical Center, Dr. Molewaterplein 40, 3000 CA Rotterdam, The NetherlandsDepartment of Trauma Surgery, Erasmus University Medical Center, Dr. Molewaterplein 40, 3000 CA Rotterdam, The NetherlandsDepartment of Cardiothoracic Surgery, Erasmus University Medical Center, Dr. Molewaterplein 40, 3000 CA Rotterdam, The NetherlandsDepartment of Cardiothoracic Surgery, Erasmus University Medical Center, Dr. Molewaterplein 40, 3000 CA Rotterdam, The NetherlandsWe report a patient who was referred to the emergency room with pulmonary complaints and where a computed tomography (CT) scan showed an unexpected 12.6 cm nail in the thorax penetrating part of the left pulmonary upper lobe, the left pulmonary artery, the left main bronchus, and the descending aorta, which had been in situ for at least three days. The quickly deteriorating patient had to be transferred to a tertiary academic hospital where the nail was successfully surgically removed. The comprehensive description of this unique case with a discussion of the critical decision moments could render insights into the management of challenging trauma cases.https://www.mdpi.com/2673-4095/4/1/6thoracic traumapenetrating injuryforeign bodythoracic surgeryradiology
spellingShingle Thomas H. Avedissian
Daniel J. F. M. Thuijs
Lucas Timmermans
Alexander P. W. M. Maat
Edris A. F. Mahtab
An Unexpected 12.6 Centimeter Nail in the Thorax Damaging Vital Structures: A Case Report “Nailed It”
Surgeries
thoracic trauma
penetrating injury
foreign body
thoracic surgery
radiology
title An Unexpected 12.6 Centimeter Nail in the Thorax Damaging Vital Structures: A Case Report “Nailed It”
title_full An Unexpected 12.6 Centimeter Nail in the Thorax Damaging Vital Structures: A Case Report “Nailed It”
title_fullStr An Unexpected 12.6 Centimeter Nail in the Thorax Damaging Vital Structures: A Case Report “Nailed It”
title_full_unstemmed An Unexpected 12.6 Centimeter Nail in the Thorax Damaging Vital Structures: A Case Report “Nailed It”
title_short An Unexpected 12.6 Centimeter Nail in the Thorax Damaging Vital Structures: A Case Report “Nailed It”
title_sort unexpected 12 6 centimeter nail in the thorax damaging vital structures a case report nailed it
topic thoracic trauma
penetrating injury
foreign body
thoracic surgery
radiology
url https://www.mdpi.com/2673-4095/4/1/6
work_keys_str_mv AT thomashavedissian anunexpected126centimeternailinthethoraxdamagingvitalstructuresacasereportnailedit
AT danieljfmthuijs anunexpected126centimeternailinthethoraxdamagingvitalstructuresacasereportnailedit
AT lucastimmermans anunexpected126centimeternailinthethoraxdamagingvitalstructuresacasereportnailedit
AT alexanderpwmmaat anunexpected126centimeternailinthethoraxdamagingvitalstructuresacasereportnailedit
AT edrisafmahtab anunexpected126centimeternailinthethoraxdamagingvitalstructuresacasereportnailedit
AT thomashavedissian unexpected126centimeternailinthethoraxdamagingvitalstructuresacasereportnailedit
AT danieljfmthuijs unexpected126centimeternailinthethoraxdamagingvitalstructuresacasereportnailedit
AT lucastimmermans unexpected126centimeternailinthethoraxdamagingvitalstructuresacasereportnailedit
AT alexanderpwmmaat unexpected126centimeternailinthethoraxdamagingvitalstructuresacasereportnailedit
AT edrisafmahtab unexpected126centimeternailinthethoraxdamagingvitalstructuresacasereportnailedit