Intrathoracic Needle Migration from the Mediastinum into the Thoracic Cavity

Ann Thorac Cardiovasc Surg. 2024;30(1):24-00039. doi: 10.5761/atcs.cr.24-00039.

Abstract

Intrathoracic needles are rarely used in clinical practice. They can migrate within the body, injure large blood vessels and other organs, and cause severe complications. We report an interesting case of intrathoracic needle removal using video-assisted thoracoscopic surgery. The needle was inserted under the left clavicle, penetrated the mediastinum, and migrated into the right thoracic cavity. Although pneumothorax developed during the disease course, no severe complications were observed. This rare case illustrates the course of needle migration from the mediastinum into the thoracic cavity. Prompt imaging and surgical removal of foreign bodies are necessary in cases of intrathoracic foreign bodies.

Keywords: foreign body; intrathoracic needle; thoracoscopic surgery.

Publication types

  • Case Reports

MeSH terms

  • Foreign Bodies* / surgery
  • Foreign-Body Migration* / surgery
  • Humans
  • Mediastinum
  • Thoracic Cavity* / surgery
  • Thoracic Surgery, Video-Assisted / methods
  • Treatment Outcome