Foreign bodies in pleura and chest wall

The Annals of Thoracic Surgery
Dov Weissberg, Dorit Weissberg-Kasav

Abstract

In contrast to other locations, foreign bodies in pleura and chest wall have been rarely reported and there is no consensus with regard to treatment. Between 1971 and 2001, 22 patients with foreign bodies in pleura or chest wall were admitted to our department. Their charts were reviewed for preoperative diagnosis, history, kind and location of the foreign bodies, length of retention, management of patients, and complications. Three etiologic groups were identified: iatrogenic (11 patients), traumatic-intentional (10), and accidental (1). Foreign bodies were extracted in 21 patients: at thoracotomy in 6, direct pleuroscopy in 6, video-thoracoscopy in 4, and simple incision in 5. One foreign body was left behind because of objection of parents. There were no complications and no deaths. Follow-up lasted from one year to 7 years in 15 patients (68.2%). Seven patients did not show for follow-up. Foreign bodies should be removed from pleura and chest wall, when possible. Small, blunt, peripherally located foreign bodies may be left behind if difficulties at extraction are anticipated. Thoracotomy may be needed for treatment of associated injuries, and for removal of materials used in plombage, because of adhesions. In others the us...Continue Reading

References

May 1, 1992·The Annals of Thoracic Surgery·M D HorowitzH Bolooki
Jan 1, 1981·Anesthesiology·J B BrodskyJ B Mark
Apr 1, 1996·Chest·R B GundermanM Jain
Jun 1, 1997·The Annals of Thoracic Surgery·J P BartekS R Hazelrigg
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Sep 14, 2001·Chest·D Weissberg, D Weissberg
Oct 11, 2005·The Journal of Thoracic and Cardiovascular Surgery·Joshua H BurackRobert C Lowery
May 2, 2006·Journal of the American College of Surgeons·Christopher G WilliamsEdward E Cornwell
Mar 16, 2007·Chest·Wesley B von RiedenauerRobert J Brewer

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Citations

Dec 5, 2012·Journal of Bronchology & Interventional Pulmonology·Siew Teck TieJamalul Azizi Abdul Rahman
Jul 4, 2013·Cardiovascular and Interventional Radiology·Richard Hong, William Kwon
Apr 15, 2016·Journal of Surgical Case Reports·Nicola K OswaldRichard S Steyn
Nov 6, 2018·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Arkin AcarŞeyda Örs Kaya
May 10, 2016·Indian Pediatrics·V ManchandaA Mohta
Aug 30, 2019·Khirurgiia·O V VoskresenskiyE A Tarabrin

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