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General Thoracic and Cardiovascular Surgery

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01-05-2015 | Case Report

An unusual case of thoracic impalement injury with severe pleural adhesion

Authors: Tetsuya Yokosuka, Toshiko Kobayashi, Michimasa Fujiogi, Masayo Kawakami, Masamichi Yasuno

Published in: General Thoracic and Cardiovascular Surgery | Issue 5/2015

Abstract

Thoracic impalement injury is an uncommon form of trauma. In the present report, we describe the case of a 78-year-old man who was injured by 2 metal rods. We decided to remove the rod on the right side by performing video-assisted thoracic surgery. However, during this procedure, total pleural adhesion was identified. Therefore, a mini-thoracotomy was performed and the rod was removed safely; the patient’s postoperative course was uneventful. The rod on the left side did not pass through the thoracic cavity. There are only a few reports of thoracic impalement injury in literature, and cases with total pleural adhesion are very rare. Careful preoperative planning and a multidisciplinary approach are essential for managing this type of injury.

Cartwright AJ, Taams KO, Unsworth-White MJ, Mahmood N, Murphy PM. Suicidal nonfatal impalement injury of the thorax. Ann Thorac Surg. 2001;72:1364–6.CrossRefPubMed

Hyde MR, Schmidt CA, Jacobson JG, Vyhmeister EE, Laughlin LL. Impalement injuries to the thorax as a result of motor vehicle accidents. Ann Thorac Surg. 1987;43:189–90.CrossRefPubMed

Fradet G, Nelems B, Muller NL. Penetrating injury of the torso with impalement of the thoracic aorta: pre-operative value of the computed tomographic scan. Ann Thorac Surg. 1988;45:680–1.CrossRefPubMed

Chui WH, Cheung DL, Chiu SW, Lee WT, He GW. A non-fatal impalement injury of the thorax. J R Coll Surg Edinb. 1998;43:419–21.PubMed

Lang-Lazdunski L, Mouroux J, Pons F, Grosdidier G, Martinod E, Elkaim D, et al. Role of videothoracoscopy in chest trauma. Ann Thorac Surg. 1997;63:327–33.CrossRefPubMed

Manlulu AV, Lee TW, Thung KH, Wong R, Yim APC. Current indications and results of VATS in the evaluation and management of hemodynamically stable thoracic injuries. Eur J Cardiothorac Surg. 2004;25:1048–53.CrossRefPubMed

Title: An unusual case of thoracic impalement injury with severe pleural adhesion
Authors: Tetsuya Yokosuka
Toshiko Kobayashi
Michimasa Fujiogi
Masayo Kawakami
Masamichi Yasuno
Publication date: 01-05-2015
Publisher: Springer Japan
Published in: General Thoracic and Cardiovascular Surgery / Issue 5/2015
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI: https://doi.org/10.1007/s11748-013-0296-3

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Springer Medicine

An unusual case of thoracic impalement injury with severe pleural adhesion

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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