Point of emphasis: retained acupuncture needles after 30 years

Kwok, Timothy S H; McInnis, Micheal; Kaplovitch, Eric

doi:10.1136/bcr-2018-228056

Cited by 5 publications

(2 citation statements)

References 3 publications

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“…However, we found that the deceased patient had undergone this procedure overseas a couple of years prior. In other East Asian countries, this treatment is widely used, and clinically, it can be found as numerous subcutaneous foreign bodies in radiography and CT images (27–29). To the best of our knowledge, this is the first report of a three‐dimensional reconstruction image of PMCT depicting the distribution of gold thread acupuncture throughout the body.…”

Section: Discussionmentioning

confidence: 99%

Fatal bilateral pneumothoraces after electroacupuncture treatment: A case report and literature review

Yamaguchi

Makino

Torimitsu

et al. 2021

Journal of Forensic Sciences

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Acupuncture is practiced as a complementary medicine worldwide. Although it is considered a safe practice, pneumothorax is one of its most common serious complications. However, there have been few reports of deaths due to pneumothorax after acupuncture treatment, especially focused on electroacupuncture. We report an autopsy case of a man in his 60s who went into cardiopulmonary arrest and died immediately after receiving electroacupuncture. Postmortem computed tomography (PMCT) showed bilateral pneumothoraces, as well as the presence of numerous gold threads embedded subcutaneously. An autopsy revealed two ecchymoses in the right thoracic cavity and a pinhole injury on the lower lobe of the right lung, suggesting that the needles had penetrated the lung. There were marked emphysematous changes in the lung, suggesting that rupture of bullae might also have contributed to bilateral pneumothoraces and fatal outcome. The acupuncture needles may have been drawn deeper into the body than at the time of insertion due to electrical pulses and muscle contraction, indicating the need for careful determination of treatment indications and technical safety measures, such as fail‐safe mechanisms. This is the first case report of fatal bilateral pneumothoraces after electroacupuncture reported in the English literature. This case sheds light on the safety of electroacupuncture and the need for special care when administering it to patients with pulmonary disease who may be at a higher risk of pneumothorax. This is also the first report of three‐dimensional reconstructed PMCT images showing the whole‐body distribution of embedded gold acupuncture threads, which is unusual.

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Section: Discussionmentioning

confidence: 99%

Fatal bilateral pneumothoraces after electroacupuncture treatment: A case report and literature review

Yamaguchi

Makino

Torimitsu

et al. 2021

Journal of Forensic Sciences

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“…その内訳は、感染19件 40-58) 、臓器損傷12件 59-70) 、神経損傷7件 [71][72][73][74][75][76][77] 、皮膚疾患4件 [78][79][80][81] 、折鍼・伏鍼・異物8件 [82][83][84][85][86][87][88][89] 、その他1件 90) 、灸による事象0件であった。論文の筆頭著者の所属国・地域は18あり、その内訳は、韓国 (13文献) 44,45,52,57,58, [76][77][78]80,82,83,85,90) 、アメリカ (7) 40,46,55,68,79,84,88) 、中国(6) 50,56,63,65,87,89) 、イギリ (2) 49,64) 、カナダ (2) 51,86) 、マレーシア (2) 61,66) 、オランダ (1) 42) 、デンマーク (1) 48) 、ニュージーランド (1) 53) 、台湾 (1) 67) 、イラン (1) 71) 、イタリア (1) 72) 、アイルランド (1) 73) 、スイス (1) 81) であった。なお、文献69と文献78は出版の前年にWeb上で公開されたため、表2-2ではWeb上の発表年で分類・記載している。 (1)感染細菌感染が19文献19症例 40-58) であった。内訳は、膿瘍が12文献12症例 40,41,43,44,46,…”

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