Respir Case Rep. 2018; 7(2): 75-78 | DOI: 10.5505/respircase.2018.04900

Video-Assisted Thoracoscopic Removal of a Mysterious Foreign Body Causing Pneumothorax

Serkan Yazgan, Banu Yoldaþ, Soner Gürsoy
Department of Thoracic Surgery, University of Health Sciences, Dr Suat Seren Chest Diseases and Thoracic Surgery, Medical Practice and Research Center

The removal of foreign bodies from the pleural cavity via video-assisted thoracoscopic surgery (VATS) has seldom been reported in the literature. This is a description of the case of a 31-year-old female patient who presented with secondary pneumothorax due to a foreign body. The patient did not have any information about the foreign body. The metallic object was successfully removed with VATS, and it was discovered that the object was a broken injection needle. This inexplicable circumstance issue was referred to the legal department of the hospital. Videothoracoscopic removal is the safest procedure for intrapleural foreign objects.

Keywords: Foreign body, needle, pneumothorax, video-assisted thoracic surgery (VATS)

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Pnömotoraksa Neden Olan Gizemli Yabancý Cismin Video-Yardýmlý Torakoskopik Cerrahi ile Çýkarýlmasý

Serkan Yazgan, Banu Yoldaþ, Soner Gürsoy
Saðlýk Bilimleri Üniversitesi, Dr Suat Seren Göðüs Hastalýklarý ve Göðüs Cerrahisi Cerrahisi SUAM, Göðüs Cerrahisi Bölümü

Plevral kaviteden videotorakoskopik olarak yabancý cisim çýkarýlmasý literatürde oldukça nadirdir. Bu sunuda etiyolojisi aydýnlatýlamamýþ olan intraplevral yabancý cisme baðlý pnömotoraks olgusu ve tedavisine yer verilmiþtir. Radyolojik olarak sol plevrada ve karaciðerde metalik objeler görülen, 31 yaþýndaki bayan hasta, bu yabancý cisimler hakkýnda herhangi bir bilgiye sahip deðildi. Metalik obje video-yardýmlý torakoskopi (VATS) ile baþarýlý biçimde çýkarýldý ve kýrýlmýþ bir enjektör iðnesi olduðu anlaþýldý. Bu açýklanamayan durum hastanenin hukuk birimine bildirildi. Plevral aralýkta saptanan yabancý cisimlerin çýkarýlmasýnda, VATS’ýn güvenle uygulanabileceðinin altýný çizmek isteriz.

Anahtar Kelimeler: Yabancý cisim, iðne, pnömotoraks, video-yardýmlý torakoskopik cerrahi (VATS)

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