An unusual foreign body into the pericardium after a penetrating thoracic injury: a case report
DOI:
https://doi.org/10.18203/2320-6012.ijrms20250349Keywords:
Penetrating injury, Thoracic trauma, Foreign body, Pericardium, Surgical interventionAbstract
Thoracic trauma remains a major contributor to global morbidity and mortality, particularly through penetrating injuries. This case report discusses a 16-year-old female patient who presented with a penetrating injury following a fall involving a heavy object, resulting in three sewing needles embedded in her chest. Two needles were removed in the emergency department, while a third needle was retained and found to be in contact with the pericardium. Imaging, including chest X-ray and CT scans, facilitated the diagnosis and localization of the foreign body. Surgical intervention was performed successfully under local anesthesia, resulting in the complete removal of the needle without complications. The patient recovered well and was discharged two days post- surgery. This case underscores the importance of prompt imaging and surgical management in cases of penetrating thoracic trauma.
Metrics
References
Lundin A, Akram SK, Berg L, Göransson KE, Enocson A. Thoracic injuries in trauma patients: epidemiology and its influence on mortality. Scand J Trau, Resusc and Emerg Med. 2022;30(1):69. DOI: https://doi.org/10.1186/s13049-022-01058-6
Cakmak G, Cansun F, Saracoglu A, T Saracoglu K. Airway management in penetrating thoracic trauma.Anaesthesiol Intensive Ther. 2022;54(3):253–61. DOI: https://doi.org/10.5114/ait.2022.118332
Kumari U, Abbas F, Shirazi Z, Hafeez N, Sarmad SF, Bangash S. Accidental penetrating thoracic injury with a screwdriver in a child: a case report. J Teh Univ Heart Ctr. 2022;17(3):156-8. DOI: https://doi.org/10.18502/jthc.v17i3.10850
Supomo DH. An unusual foreign body in the heart: A case report. Ann Thorac Cardiovasc Surg. 2017;24(4):205–7. DOI: https://doi.org/10.5761/atcs.cr.17-00117
Dongre M, Kodalkar M, Mehta K, Tamboli MAR. A case report on migrating foreign body in the heart. Available at: https://www.ijcmaas.com. Accessed on 21 August 2024.
Adal O, Tareke AA, Bogale EK, Anagaw TF, Tiruneh MG, Fenta ET, et al. Mortality of traumatic chest injury and its predictors across sub- Saharan Africa: systematic review and meta-analysis, 2024. BMC Emerg Med. 2024;24(1):73-91. DOI: https://doi.org/10.1186/s12873-024-00951-w
Khan MQA, Kazmi SJH, Tabassum S, Ali G, Ali N, Asghar MS. An unusual foreign body ricocheting into the pericardium after a penetrating thoracic injury: A case report. Int J Surg Case Rep. 2023;105:108032. DOI: https://doi.org/10.1016/j.ijscr.2023.108032
Brown IG, Higgins P, Arif A, Farina P, McGuinness J, Joyce M. Needle in the heart. Management of penetrating foreign body in an intracardiac chamber: A case report and scoping literature review. Int J Surg Case Rep. 2024;122:110039. DOI: https://doi.org/10.1016/j.ijscr.2024.110039
Lewis BT, Herr KD, Hamlin SA, Henry T, Little BP, Naeger DM, et al. Imaging manifestations of chest trauma. Radiograph. 2021;41(5):1321–34. DOI: https://doi.org/10.1148/rg.2021210042
Peter SY, Chan HH, Lau RW, Capili FG, Underwood MJ, Wan IY. Penetrating thoracic injury with retained foreign body: can video-assisted thoracic surgery take up the leading role in acute management. J of Thor Dis. 2016;8(8):2247. DOI: https://doi.org/10.21037/jtd.2016.07.05
Hussein Elkhayat AN, Ibrahim A, Elminshawy A. Sewing needle penetration into the heart in an infant. Türk Göğüs Kalp Damar Cerrahisi Dergisi. 2013;21(3):836-8. DOI: https://doi.org/10.5606/tgkdc.dergisi.2013.5923
Downloads
Published
How to Cite
Issue
Section
