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A Pictorial Review of Radiologic Findings of Foreign Bodies in the Thorax

흉부 이물의 영상의학적 소견

  • Hee Soo Won (Department of Radiology, Dongguk University Ilsan Hospital) ;
  • Yoon Ki Cha (Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Jeung Sook Kim (Department of Radiology, Dongguk University Ilsan Hospital) ;
  • Seo Jin Jang (Department of Radiology, Dongguk University Ilsan Hospital) ;
  • So Hyeon Bak (Department of Radiology, Kangwon National University Hospital, Kangwon National University School of Medicine) ;
  • Hyun Jung Yoon (Department of Radiology, Veterans Health Service Medical Center)
  • 원희수 (동국대학교 일산병원 영상의학과) ;
  • 차윤기 (성균관대학교 의과대학 삼성서울병원 영상의학과) ;
  • 김정숙 (동국대학교 일산병원 영상의학과) ;
  • 장서진 (동국대학교 일산병원 영상의학과) ;
  • 박소현 (강원대학교 의과대학 강원대학교병원 영상의학과) ;
  • 윤현정 (중앙보훈병원 영상의학과)
  • Received : 2021.05.11
  • Accepted : 2021.07.26
  • Published : 2022.03.01

Abstract

Thoracic foreign bodies (FBs) are serious and relatively frequent in emergency departments. Thoracic FBs may occur in association with aspiration, ingestion, trauma, or iatrogenic causes. Imaging plays an important role in the identification of FBs and their dimensions, structures, and locations, before the initiation of interventional treatment. To guide proper clinical management, radiologists should be aware of the radiologic presentations and the consequences of thoracic FBs. In this pictorial essay, we reviewed the optimal imaging settings to identify FBs in the thorax, classified thoracic FBs into four types according to their etiology, and reviewed the characteristic imaging features and the possible complications.

흉부 이물은 응급실에 내원한 환자들에게서 빈번하게 볼 수 있으며 심각한 문제를 일으킬 수 있다. 흉부 이물은 흡인, 섭취, 외상, 의인성 원인으로 발생할 수 있다. 영상 검사는 흉부 이물의 유무와 크기, 구조, 위치를 인지하는데 중요한 역할을 하기 때문에 영상의학과 의사는 중재적 시술 등 적절한 치료를 결정하기 위해 흉부 이물의 영상의학적 소견과 발생 가능한 합병증을 알아야 한다. 이 임상화보에서는 흉부 이물을 식별하기 위한 적절한 영상 검사 세팅, 원인에 따른 4가지 분류, 흉부 이물과 이로 인해 발생할 수 있는 합병증의 영상의학적 소견을 정리하였다.

Keywords

References

  1. Pugmire BS, Lim R, Avery LL. Review of ingested and aspirated foreign bodies in children and their clinical significance for radiologists. Radiographics 2015;35:1528-1538 
  2. Kim TJ, Goo JM, Moon MH, Im JG, Kim MY. Foreign bodies in the chest: how come they are seen in adults? Korean J Radiol 2001;2:87-96 
  3. Zissin R, Shapiro-Feinberg M, Rozenman J, Apter S, Smorjik J, Hertz M. CT findings of the chest in adults with aspirated foreign bodies. Eur Radiol 2001;11:606-611 
  4. Guelfguat M, Kaplinskiy V, Reddy SH, DiPoce J. Clinical guidelines for imaging and reporting ingested foreign bodies. AJR Am J Roentgenol 2014;203:37-53 
  5. Ikenberry SO, Jue TL, Anderson MA, Appalaneni V, Banerjee S, Ben-Menachem T, et al. Management of ingested foreign bodies and food impactions. Gastrointest Endosc 2011;73:1085-1091 
  6. Yang XJ, Xing GF, Shi CW, Li W. Value of 3-dimensional CT virtual anatomy imaging in complex foreign body retrieval from soft tissues. Korean J Radiol 2013;14:269-277 
  7. Sengupta A, Page P. Window manipulation in diagnosis of body packing using computed tomography. Emerg Radiol 2008;15:203-205 
  8. Mu LC, Sun DQ, He P. Radiological diagnosis of aspirated foreign bodies in children: review of 343 cases. J Laryngol Otol 1990;104:778-782 
  9. Wang L, Liu ZS, Wang CA. Malposition of central venous catheter: presentation and management. Chin Med J (Engl) 2016;129:227-234