A case of traumatic intrapleural foreign body with progressive supranuclear palsy removed by thoracoscopic surgery
Traumatic intrathoracic foreign bodies are said to occur in many cases when the patient himself/herself is aware of the trauma. However, at the time of injury, the patient may sometimes be accompanied by loss of consciousness. We report a case of traumatic intrathoracic foreign body that was difficu...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-02-01
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| Series: | Trauma Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644023000092 |
| _version_ | 1811168389671944192 |
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| author | Muneyuki Koyama Kazuo Matai Akiyoshi Kinoshita Shunta Ishizaki Kouhei Okazaki Masaya Inoue Keita Kodera Yuki Hiramoto Toshihiko Arima Nobuhiro Saito Miki Kobayashi Satoshi Yamazaki Ken Eto |
| author_facet | Muneyuki Koyama Kazuo Matai Akiyoshi Kinoshita Shunta Ishizaki Kouhei Okazaki Masaya Inoue Keita Kodera Yuki Hiramoto Toshihiko Arima Nobuhiro Saito Miki Kobayashi Satoshi Yamazaki Ken Eto |
| author_sort | Muneyuki Koyama |
| collection | DOAJ |
| description | Traumatic intrathoracic foreign bodies are said to occur in many cases when the patient himself/herself is aware of the trauma. However, at the time of injury, the patient may sometimes be accompanied by loss of consciousness. We report a case of traumatic intrathoracic foreign body that was difficult to diagnose due to loss of consciousness at the time of injury.A 51-year-old female was brought to our emergency department with a fall trauma due to loss of consciousness while bathing. The head computed tomography and electrocardiogram showed no abnormalities, and the laceration of approximately 3 cm in length was found on the left side thorax, and it was sutured and the patient was sent home. Four days later, she returned to our hospital with a complaint of left anterior chest pain, and chest X-ray showed a left degree pneumothorax and mediastinal emphysema. She underwent semi-emergency thoracoscopic removal of the foreign body, and was discharged from the hospital on the fourth postoperative day.She had progressive supranuclear palsy, and her memory at the time of injury was not clear due to loss of consciousness caused by central autonomic neuropathy, and she also had dementia, making it difficult to interview her. She had no thoracic symptoms, and the glass fragment that had strayed into the thoracic cavity was not exposed outside the body, making the diagnosis difficult at the time of initial examination.When a patient with loss of consciousness is difficult to interview at the time of injury, it is advisable to perform an imaging examination appropriate for the site of injury, taking into consideration the presence of foreign bodies. |
| first_indexed | 2024-04-10T16:26:33Z |
| format | Article |
| id | doaj.art-22d4c29c894443a0997226039d3e242d |
| institution | Directory Open Access Journal |
| issn | 2352-6440 |
| language | English |
| last_indexed | 2024-04-10T16:26:33Z |
| publishDate | 2023-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj.art-22d4c29c894443a0997226039d3e242d2023-02-09T04:14:17ZengElsevierTrauma Case Reports2352-64402023-02-0143100761A case of traumatic intrapleural foreign body with progressive supranuclear palsy removed by thoracoscopic surgeryMuneyuki Koyama0Kazuo Matai1Akiyoshi Kinoshita2Shunta Ishizaki3Kouhei Okazaki4Masaya Inoue5Keita Kodera6Yuki Hiramoto7Toshihiko Arima8Nobuhiro Saito9Miki Kobayashi10Satoshi Yamazaki11Ken Eto12Department of Surgery, Kumagaya Geka Hospital, 3811-1, Sayada, Kumagaya city, Saitama 360-0023, Japan; Department of Gastrointestinal Surgery, The Jikei University School of Medicine, 3-19-18, Nishishinbashi, Minato-ku, Tokyo 105-8471, Japan; Corresponding author at: Department of Gastrointestinal Surgery, The Jikei University School of Medicine, 3-19-18, Nishishinbashi, Minato-ku, Tokyo 105-8471, Japan.Department of Surgery, Kumagaya Geka Hospital, 3811-1, Sayada, Kumagaya city, Saitama 360-0023, JapanDepartment of Gastroenterology & Hepatology, The Jikei University Daisan Hospital, 4-11-1, Izumihoncho, Komae City, Tokyo 201-8601, JapanDepartment of Gastrointestinal Surgery, The Jikei University School of Medicine, 3-19-18, Nishishinbashi, Minato-ku, Tokyo 105-8471, JapanDepartment of Surgery, Kumagaya Geka Hospital, 3811-1, Sayada, Kumagaya city, Saitama 360-0023, JapanDepartment of Surgery, Kumagaya Geka Hospital, 3811-1, Sayada, Kumagaya city, Saitama 360-0023, JapanDepartment of Surgery, Kumagaya Geka Hospital, 3811-1, Sayada, Kumagaya city, Saitama 360-0023, JapanDepartment of Surgery, Kumagaya Geka Hospital, 3811-1, Sayada, Kumagaya city, Saitama 360-0023, JapanSato Orthopedic Clinic, 1-7-3, Misuji, Daito-ku, Tokyo 111-0055, JapanDepartment of Surgery, Kumagaya Geka Hospital, 3811-1, Sayada, Kumagaya city, Saitama 360-0023, JapanDepartment of Surgery, Kumagaya Geka Hospital, 3811-1, Sayada, Kumagaya city, Saitama 360-0023, JapanDepartment of Surgery, Kumagaya Geka Hospital, 3811-1, Sayada, Kumagaya city, Saitama 360-0023, JapanDepartment of Gastrointestinal Surgery, The Jikei University School of Medicine, 3-19-18, Nishishinbashi, Minato-ku, Tokyo 105-8471, JapanTraumatic intrathoracic foreign bodies are said to occur in many cases when the patient himself/herself is aware of the trauma. However, at the time of injury, the patient may sometimes be accompanied by loss of consciousness. We report a case of traumatic intrathoracic foreign body that was difficult to diagnose due to loss of consciousness at the time of injury.A 51-year-old female was brought to our emergency department with a fall trauma due to loss of consciousness while bathing. The head computed tomography and electrocardiogram showed no abnormalities, and the laceration of approximately 3 cm in length was found on the left side thorax, and it was sutured and the patient was sent home. Four days later, she returned to our hospital with a complaint of left anterior chest pain, and chest X-ray showed a left degree pneumothorax and mediastinal emphysema. She underwent semi-emergency thoracoscopic removal of the foreign body, and was discharged from the hospital on the fourth postoperative day.She had progressive supranuclear palsy, and her memory at the time of injury was not clear due to loss of consciousness caused by central autonomic neuropathy, and she also had dementia, making it difficult to interview her. She had no thoracic symptoms, and the glass fragment that had strayed into the thoracic cavity was not exposed outside the body, making the diagnosis difficult at the time of initial examination.When a patient with loss of consciousness is difficult to interview at the time of injury, it is advisable to perform an imaging examination appropriate for the site of injury, taking into consideration the presence of foreign bodies.http://www.sciencedirect.com/science/article/pii/S2352644023000092Intrathoracic foreign bodyThoracoscopic surgeryLoss of consciousness |
| spellingShingle | Muneyuki Koyama Kazuo Matai Akiyoshi Kinoshita Shunta Ishizaki Kouhei Okazaki Masaya Inoue Keita Kodera Yuki Hiramoto Toshihiko Arima Nobuhiro Saito Miki Kobayashi Satoshi Yamazaki Ken Eto A case of traumatic intrapleural foreign body with progressive supranuclear palsy removed by thoracoscopic surgery Trauma Case Reports Intrathoracic foreign body Thoracoscopic surgery Loss of consciousness |
| title | A case of traumatic intrapleural foreign body with progressive supranuclear palsy removed by thoracoscopic surgery |
| title_full | A case of traumatic intrapleural foreign body with progressive supranuclear palsy removed by thoracoscopic surgery |
| title_fullStr | A case of traumatic intrapleural foreign body with progressive supranuclear palsy removed by thoracoscopic surgery |
| title_full_unstemmed | A case of traumatic intrapleural foreign body with progressive supranuclear palsy removed by thoracoscopic surgery |
| title_short | A case of traumatic intrapleural foreign body with progressive supranuclear palsy removed by thoracoscopic surgery |
| title_sort | case of traumatic intrapleural foreign body with progressive supranuclear palsy removed by thoracoscopic surgery |
| topic | Intrathoracic foreign body Thoracoscopic surgery Loss of consciousness |
| url | http://www.sciencedirect.com/science/article/pii/S2352644023000092 |
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