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We report the case of a patient who survived after a pulmonary tractotomy. A 54-year-old man was stabbed in the back with a knife and was admitted to our emergency department. Imaging findings showed that there was hemopneumothorax of the right lung. After inserting a chest tube, a massive air leakage from the chest drain continued, and a serial ch...
Context in source publication
Context 1
... and a chest-tube was inserted into the right thorax. Because a massive air leakage de- veloped, the patient was transferred to our emergency room 2 h after the incident. The knife had been removed, and a stab wound 7 cm at length was seen at the right thoracic posterolateral region below the scapula (Fig. 2). A chest roentgenogram (Fig. 3) and a CT scan obtained at our hospital showed a collapsed lung and bleeding in the right thorax despite chest-tube drainage. The patient was conscious with a normal Glasgow coma score. His heart rate was 100 beats per minute, and his blood pres- sure 100/80 mmHg with dopamine at doses of 5-7 µg/kg/ min. His respiratory rate was 20 ...
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Citations
For penetrating chest trauma, it is necessary to judge the surgical indication and treat it promptly. Here, we report a case of thoracoscopy-assisted pulmonary tractotomy (PT) Performed for a lung puncture caused by a crossbow. A 50's-year-old man set the crossbow himself and shot an arrow into his left precordial area. He consequently developed chest pain and respiratory distress while maintaining consciousness, and was emergently transported to our hospital with an arrow stuck in his chest. The arrow in the left chest penetrated the left back. Chest CT revealed a left moderate pneumothorax and a small amount of pleural effusion, and the arrow penetrated the left lingular segment and S6. We decided to remove the arrow and repair the damaged part while observing with a thoracoscope. The penetrated part of S6 was partially resected using automatic staplers. Since the penetrated part of the lingular segment was deep and long, PT was performed using automatic staplers and repaired. The postoperative course was without any complications. Thoracoscopy-assisted PT could be used to quickly treat the injured part and was also useful for shortening the operative time.
