The Journal of the Japanese Association for Chest Surgery
Online ISSN : 1881-4158
Print ISSN : 0919-0945
ISSN-L : 0919-0945
Pulmonary foreign body (chopstick fragment) causing massive hemoptysis ; a case report
Shinichi OhkiShunsuke EndoTsuyoshi HasegawaTsutomu YamaguchiFumio MurayamaYasunori SoharaKatsuo Fuse
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1996 Volume 10 Issue 4 Pages 534-538

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Abstract

A 20-year-old woman was admitted to our hospital, complaining of recurrent massive hemoptysis which was estimated to be more than 1000 ml. Her chest X-rays and computed tomography showed a ball-like consolidation within a cavity in the left upper lobe. Digital subtraction angiography (DSA) showed abnormal feeding arteries from her thyro-cervical artery and superior intercostal artery. First we performed embolization of these feeding arteries. Before hemoptysis could recur, left upper segmentectomy was performed for a preoperative diagnosis of pulmonary aspergillosis. The histological examination demonstrated a foreign body, a fragment of a chopstick, which penetrated the chest wall. We conjectured that she had been injured more than ten years earlier. She was discharged on the 11th postoperative day.

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