Thoracic Foreign Bodies Research Articles

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

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.

Anaesthetic management of a dog with a lung laceration: novel use of an oxygen fuel cell

A one‐year‐old male entire Bracco Italiano weighing 29.4 kg presented with a pyothorax secondary to a thoracic foreign body. During the procedure the patient became hypotensive, which stabilised after intervention. After closing the thoracic cavity, negative pressure could not be obtained through the thoracic drain. An oxygen fuel cell was used to quickly and non‐invasively determine that a lung laceration was the source of the pneumothorax. The declining physiological condition of the patient during anaesthesia led to the decision to attach a one‐way valve to the chest drain, and for recovery to position the dog in lateral recumbency with the affected lung on the dependent side. The recovery was uneventful.

Broken chest tube: a rare complication treated by video-assisted thoracic surgery

Intercostal chest drain (ICD) or chest tube is a simple device used very frequently in medical, surgical and critical care specialties to drain air, blood or pus from the pleural cavity. Fracture of ICD and displacement of fractured segment within the pleural cavity is a rare complication. Minimal invasive approaches via video-assisted thoracic surgery (VATS) have been demonstrated predominantly in traumatic thoracic foreign body removal cases in a primary surgical setting. Here we present a case of a broken chest tube in the pleural cavity removed using VATS. A brief case report, review of literature and prevention of this complication is described.

Impacted thoracic foreign bodies after penetrating chest trauma.

Retained foreign bodies in the chest may include shell fragments, bullets, shrapnel, pieces of clothing, bones, and rib fragments. The risks of removal of foreign bodies must be weighed against the complications of leaving them inside the chest. We treated 90 cases of retained intrathoracic foreign bodies in patients admitted to 3 tertiary centers in Saudi Arabia between March 2015 and March 2016. Sixty patients were injured by shrapnel, 26 had one or more bullets, 3 had broken rib fragments, and one had a metal screw. The chest wall was site of impaction in 48 cases, the lungs in 24, pleura in 14, and mediastinum in 4. Removal of the retained foreign body was carried out in 12 patients only: bullets in 9 cases, bone fragments in 2, and a metal screw in one. The predictors for removal were bullets, female sex, and mediastinal position with bilateral chest injury, especially with fracture ribs. Retained intrathoracic foreign bodies due to penetrating chest trauma are treated mainly conservatively unless there is another indication for chest exploration.

Myocardial perforation by a stick foreign body in a dog

AbstractObjective: To report a case of myocardial perforation by a stick foreign body in a dog.Case Summary: A 3‐year‐old castrated male Labrador Retriever was examined because of a puncture wound seen after an unsupervised run in the woods. The wound was suspected to penetrate into the thoracic cavity on the basis of physical exam and radiographs. Uniform ventricular premature complexes (VPCs) and junctional beats were noted on electrocardiogram (ECG). Thoracotomy was performed and a 6‐cm wooden stick was seen protruding from the right ventricle through the pericardium toward the sternum. The stick was removed while purse string sutures were tied around the resultant myocardial defect. Follow‐up echocardiography revealed intact intracardiac structures. VPCs were treated with lidocaine and resolved completely within 24 hours of presentation.New or Unique Information Provided: Thoracic trauma can result in myocardial injury; penetration into the myocardium represents a life‐threatening situation for the emergency clinician. Cardiac injury should be included in the differential diagnoses of penetrating thoracic foreign bodies.

CT Findings of Foreign Bodies in the Chest: A Pictorial Essay

The most common causes of tracheobronchial foreign bodies are peanuts in children, and meat and dentures in adults. The most common causes of esophageal foreign bodies are coins in children and meat in adults. It is possible to diagnose a foreign body by visualization on a chest radiograph, if the foreign bodies are radioopaque. However, if the foreign bodies are radiolucent and the patients do not remember the history of aspiration, it is important to evaluate CT findings for foreign bodies and their complications. We describe the CT findings of various thoracic foreign bodies in children and adults.

Foreign bodies in the chest: how come they are seen in adults?

The radiologic and clinical findings of foreign bodies in the chest of children are well recognized. Foreign bodies in adults are infrequent, however, and the radiologic findings of these unusual circumstances have rarely been described. We classified various thoracic foreign bodies into three types according to their cause: Type I, Aspiration, Type II, Trauma or Accident; Type III, Iatrogenic. This pictorial essay will illustrate the radiologic findings and consequences of thoracic foreign bodies in adults, which have rarely been described in the radiologic literature. The clinical significance of thoracic foreign bodies will be also be discussed.

Thoracic Foreign Bodies in Adults: Pictorial Review

AIM: The aim of this pictorial essay is to illustrate a range of imaging manifestations of thoracic foreign bodies.METHODS AND RESULTS: The essay includes documented intrathoracic foreign bodies introduced by inhalation, aspiration, penetrating trauma or ingestion. Imaging modalities include chest radiography and computed tomography (CT).CONCLUSIONS: The majority of foreign bodies are seen on the plain chest radiograph. CT is helpful in demonstrating the presence of radiolucent foreign bodies and determining the exact location of the foreign bodies within the airways or lung parenchyma.Kavanagh, P. V. (1999) Clinical Radiology54 , 353–360.

SOME EXPERIENCES IN THE TREATMENT OF FOREIGN BODIES IN THE CHEST

Summary.1. A series of twelve cases of thoracic foreign bodies is described2. These were consecutive cases observed at an Australiaii general3. Removal of the foreign bodies was undertaken and the results are