Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지

Treatment of a Nail in the Intestine after a Neck Injury from Accidental Firing of the Nail Gun - A case report -

네일 건(Nail Gun) 사고에 의해 전경부 기도 손상은 있었으나 식도 손상 없이 장 내로 유입된 못에 대한 치험 - 1예 보고 -

  • Yang, Jin-Sung (Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine) ;
  • Shin, Hwa-Kyun (Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine) ;
  • Lee, Jae-Wook (Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine) ;
  • Won, Yong-Soon (Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine) ;
  • Park, Young-Woo (Department of Thoracic and Cardiovascular Surgery, Soonchunhyang Gumi University Hospital, Soonchunhyang University College of Medicine)
  • 양진성 (순천향대학교 의과대학 부천병원 흉부외과학교실) ;
  • 신화균 (순천향대학교 의과대학 부천병원 흉부외과학교실) ;
  • 이재욱 (순천향대학교 의과대학 부천병원 흉부외과학교실) ;
  • 원용순 (순천향대학교 의과대학 부천병원 흉부외과학교실) ;
  • 박영우 (순천향대학교 의과대학 구미병원 흉부외과학교실)
  • Published : 2008.10.05
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Abstract

A 42-year-old male was admitted because of an anterior neck injury due to accidental firing of a nail gun. On chest X-ray, the nail was stuck in the anterior neck, migrated to the chest, and then to the abdomen. Only the trachea was damaged, leaving no injury in the esophagus. The nail in the intestine was removed by colonoscopy. The patient showed complete recovery without complications after fasting and conservative treatment. We report this case with a literature review.

42세 남자 환자가 건축 현장에서 작업 도중 네일 건(nail gun)의 못이 목의 앞면에 발사되는 사고로 내원하였다. 처음 시행한 흉부 방사선 사진에서 못은 전경부에 있었고, 점차 흉부에서 복부로 이동하였다. 전경부 기도 손상은 보였으나 식도 손상은 관찰되지 않았고, 못은 장내에 위치하여 내시경을 이용하여 제거하였다. 금식 및 항생제 투여 등 보존적 치료를 시행하였으며, 특별한 합병증 없이 치유되었기에 문헌 고찰과 함께 보고하는 바이다.

Keywords

References

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