ABSTRACT
We report a case of a young man who presented with a left-sided pneumothorax after suffering an accidental penetrating injury by a sewing needle to the anterior chest wall. Chest radiograph and the computed tomography of the thorax revealed that the needle was in the pleural cavity and there was an associated pneumothorax. An attempt at retrieval by direct incision failed. The sewing needle was successfully retrieved by a medical pleuroscopy. The patient recovered without any consequences and was discharged home after 24 hours of observation.
Subject(s)
Foreign Bodies/surgery , Pleural Cavity/injuries , Pneumothorax/surgery , Thoracoscopy/methods , Wounds, Penetrating/surgery , Accidental Falls , Adult , Conscious Sedation , Foreign Bodies/diagnostic imaging , Humans , Male , Needles/adverse effects , Pleural Cavity/diagnostic imaging , Pneumothorax/diagnostic imaging , Pneumothorax/etiology , Tomography, X-Ray Computed , Wounds, Penetrating/diagnostic imaging , Young AdultABSTRACT
Tracheal stenosis is a known complication of prolonged intubation. It is difficult to treat and traditional surgical approach is associated with significant risk and complications. Recurrent stenosis due to granulation tissue necessitates repeated procedures. We describe a case of short web-like tracheal stenosis (concentric membranous stenosis less than 1 cm in length without associated cartilage damage) managed by a minimally invasive thoracic endoscopic approach. Topical application of Mitomycin C, a potent fibroblast inhibitor reduces granulation tissue formation and prevents recurrence.
