Mediastinoscopic Removal of a Superior Mediastinal Foreign Body

Aj, Larrieu; Gf, Tyers; Eh, Williams; Derrick,

doi:10.1097/00007611-198011000-00038

Cited by 5 publications

(1 citation statement)

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“…In any approach, to prevent damage to the mediastinal organs and foreign bodies remaining, we should remove them not by pulling out forcibly, but by dissecting the surrounding tissue carefully. Of 59 cases, there are only seven reported cases using video-mediastinoscopy (Table 1) [2,[4][5][6][7][8][9]. Four cases were caused due to direct injury by bullet, and three due to penetration into the mediastinum by accidental ingestion of pin stick, teeth prothesis, and fish bone.…”

Section: Discussionmentioning

confidence: 99%

The safe removal of a superior mediastinal foreign body by mediastinoscopy: a case report

Sakuma¹,

Tajiri²,

Nambara³

et al. 2022

surg case rep

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Background Mediastinal foreign bodies might cause mediastinal organ injury or mediastinal abscess. The prompt removal surgery of mediastinal foreign bodies is needed to prevent those complications. We report a case in which a mediastinal foreign body was removed by video-mediastinoscopy. Case presentation The patient, a 74-year-old man with a chief complaint of hoarseness, was referred to our department for surgical management of a wooden foreign body that had traumatically migrated into the superior mediastinum. During the surgery, the video-mediastinoscopy was introduced under the pneumomediastinal pressure. We could dissect the scar tissue and remove the azalea tree branch safely and carefully, without damaging the other mediastinal organs. He was discharged on postoperative day 5, with no complications. Conclusions Video-mediastinoscopic approach under pneumomediastinal pressure is minimally invasive and could provide wide surgical view. Therefore, we consider it useful and effective for removal of foreign bodies in the mediastinum.

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