A case report of an intra-pleural foreign body successfully retrieved by semi-rigid thoracoscopy and systematic review of worldwide literature

Submitted: 23 April 2024
Accepted: 6 May 2024
Published: 8 May 2024
Abstract Views: 363
PDF: 34
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Authors

Intra-pleural foreign bodies occur due to thoracic trauma or iatrogenic. Extraction of an intra-pleural foreign body is done either by thoracotomy or Video-Assisted Thoracoscopic Surgery (VATS). A 58-year-old woman presented with a right pleural effusion. Ultrasonography (USG)-guided right pleural fluid aspiration complicated as the needle broke down in the pleural cavity. Computed Tomography (CT) of the thorax documented the needle in the muscular plain between intercostal muscles and the pointing edge in the pleural cavity. A surgical exploration of the muscular plane to retrieve the needle was unsuccessful. The needle was successfully extracted by semi-rigid thoracoscopy under local anesthesia without any complications.

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Citations

Ikenberry SO, Jue TL, Anderson MA, et al. Management of ingested foreign bodies and food impactions. Gastrointest Endosc. 2011;73:1085-91. DOI: https://doi.org/10.1016/j.gie.2010.11.010
Tie ST, Wong JL, Kannan SK, et al. Pleuroscopic retrieval of a sewing needle from the pleural cavity under conscious sedation by a chest physician. J Bronchology Interv Pulmonol. 2012;19:246-8. DOI: https://doi.org/10.1097/LBR.0b013e31825c3228
Singh SK, Kumar A, Kumar S, et al. Surgical blade: an unusual intrapleural foreign body. Ind J Fund Appl Life Sci. 2012;2:13-7.
Mercaldi CJ, Lanes SF. Ultrasound guidance decreases complications and improves the cost of care among patients undergoing thoracentesis and paracentesis. Chest. 2013;143:532-8. DOI: https://doi.org/10.1378/chest.12-0447
Narasimhan RL, Sehgal IS, Dhooria S, et al. Removal of intrapleural foreign body by medical thoracoscopy: report of two cases and a systematic review of the literature. J Bronchology Interv Pulmonol. 2017;24:244-9. DOI: https://doi.org/10.1097/LBR.0000000000000275
Maturu VN, Dhooria S, Bal A, et al. Role of medical thoracoscopy and closed-blind pleural biopsy in undiagnosed exudative pleural effusions: a single-center experience of 348 patients. J Bronchology Interv Pulmonol. 2015;22:121-9. DOI: https://doi.org/10.1097/LBR.0000000000000145
Weissberg D, Weissberg-Kasav D. Foreign bodies in pleura and chest wall. Ann Thorac Surg. 2008;86:958-61. DOI: https://doi.org/10.1016/j.athoracsur.2008.05.036
Bajad P, Pahuja S, Khanna A, Agarwal S. Successful removal of an iatrogenic pleural foreign body—Pigtail catheter, using a semi-rigid thoracoscope. The Egyptian Journal of Bronchology. 2023;17:1-4. DOI: https://doi.org/10.1186/s43168-023-00250-1
Sumalani KK, Rehman U, Akhter N, Rizvi NA. Use of medical thoracoscopy for retrieval of broken intrapleural catheter. Turk Thorac J. 2021;22:179-81. DOI: https://doi.org/10.5152/TurkThoracJ.2021.19120
Cheng WC, Wu BR, Chen CH, et al. Medical thoracoscopy removal of a self-expandable metallic stent migration into pleural cavity. J Thorac Dis. 2018;10:3054-8. DOI: https://doi.org/10.21037/jtd.2018.05.33
Beg MH, Reyazuddin, Ansari MM. A new role of bronchofibrescope in the removal of unusual intrapleural foreign bodies. Indian J Chest Dis Allied Sci. 1990;32:121-3.
Gupta R, James P, Thangakunam B, Christopher DJ. Medical thoracoscopic removal of a metal needle from the pleural space. BMJ Case Rep. 2014;2014:bcr2014207035. DOI: https://doi.org/10.1136/bcr-2014-207035
Lang-Lazdunski L, Mouroux J, Pons F, et al. Role of videothoracoscopy in chest trauma. Ann Thorac Surg. 1997;63:327-33. DOI: https://doi.org/10.1016/S0003-4975(96)00960-5
Marchetti G, Valsecchi A, Indellicati D, et al. Ultrasound-guided medical thoracoscopy in the absence of pleural effusion. Chest. 2015;147:1008-12. DOI: https://doi.org/10.1378/chest.14-0637

How to Cite

Mohan, S., Kumar, R., Madan, M., Ish, P., Kaushik, R., & Gupta, N. (2024). A case report of an intra-pleural foreign body successfully retrieved by semi-rigid thoracoscopy and systematic review of worldwide literature. Chest Disease Reports, 12(1). https://doi.org/10.4081/cdr.12.12599