Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Surgical Management for Incidental Finding of an Intrapulmonary Foreign Body - A case report

우연히 발견된 폐내 이물의 수술적 치료 -1예 보고-

  • Ko, Moo-Sung (Department of Thoracic and Cardiovascular Surgery, School of Medicine, Catholic University of Daegu) ;
  • Lee, Sub (Department of Thoracic and Cardiovascular Surgery, School of Medicine, Catholic University of Daegu) ;
  • Park, Ki-Sung (Department of Thoracic and Cardiovascular Surgery, School of Medicine, Catholic University of Daegu)
  • 고무성 (대구가톨릭대학교 의과대학 흉부외과학교실) ;
  • 이섭 (대구가톨릭대학교 의과대학 흉부외과학교실) ;
  • 박기성 (대구가톨릭대학교 의과대학 흉부외과학교실)
  • Published : 2006.03.01
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Abstract

A 48-years-old woman was visited to our hospital because of incidental finding of intrapulmonary foreign body. Chest X-ray showed a 4cm sized foreign body in left upper lung field without adjacent fibrosis. Chest CT showed a sewing needle shaped foreign body of metallic density, located in the 113ft upper lobe. The foreign bodies including the needle were removed surgically using a wedge resection. The extracted needle was divided into three 4 cm pieces. Patient was discharged without other respiratory symptoms after surgery. We report a case of wedge resection in a patient with intrapulmonary needle in the left upper lobe, with review of literatures.

48세 여자 환자로 건강검진에서 우연히 발견된 폐내 이물로 내원하였다. 단순흉부촬영에서 좌상엽폐야에 약 4 cm 크기의 금속성 이물이 발견되었고, 흉부단층촬영에서 좌상엽 내에 바느질 바늘로 추정되는 이물이 확인되었다. 바늘 주위에 섬유화 및 염증 소견은 보이지 않았다. 수술은 개흉 후 이물을 포함한 쐐기절제를 시행하였고, 이물은 3조각으로 분절된 바늘이었다. 술 후 환자는 별다른 경과나 합병증 없이 퇴원하였다. 이에 저자들은 폐내 이물, 바늘의 수술적 제거를 경험하였기에 문헌고찰과 함께 보고한다.

Keywords

References

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