2005 Volume 19 Issue 6 Pages 766-769
Our patient was a 53 year-old male, who consulted an ophthalmologist, complaining of visual disturbance. Since the patient had uveitis, sarcoidosis was suspected and a chest X-ray was taken to investigate the lungs. His chest X-ray incidentally demonstrated a foreign body in the mediastinum and the patient was referred to our hospital. His chest CT confirmed a needle-like shadow in the mediastinum close to A-P window. Although VATS was applied to the extirpation under radiological guidance, it was difficult to find the foreign body, which was finally removed through axillary thoracotomy. The patient did not have any history of trauma, surgery or psycogenic disease. Therefore, the entry site of the foreign body was not determined. The entry site was also unknown in more than half of those cases reported in literature. Only 2 cases including our case were reported to have a foreign body in the mediastinum.
