Interactive cardiovascular and thoracic surgery · 2006
Intraoperative migration of a nail from the left B10b to the main bronchus.
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Kikuchi Ryutaro, Isowa Noritaka, Tokuyasu Hirokazu, Kawasaki Yuji
Аннотация
OBJECTIVES: We report a rare case in which an intrapulmonary foreign body underwent a large intraoperative migration.
METHOD: A 57-year-old man with an intrapulmonary nail in the left S(10) was admitted into our hospital. Since the removal by a flexible bronchoscopy was unsuccessful, a thoracotomy was performed.
RESULT: Preoperative chest roentgenograms and a bronchoscopy after an endotracheal intubation confirmed that the nail had not migrated. During the operation, however, the nail moved from the periphery of B(10)b to the main bronchus.
CONCLUSION: It is mandatory to confirm the precise location of a foreign body even during an operation to avoid unnecessary pulmonary resections.
METHOD: A 57-year-old man with an intrapulmonary nail in the left S(10) was admitted into our hospital. Since the removal by a flexible bronchoscopy was unsuccessful, a thoracotomy was performed.
RESULT: Preoperative chest roentgenograms and a bronchoscopy after an endotracheal intubation confirmed that the nail had not migrated. During the operation, however, the nail moved from the periphery of B(10)b to the main bronchus.
CONCLUSION: It is mandatory to confirm the precise location of a foreign body even during an operation to avoid unnecessary pulmonary resections.