A Case of Penetrating Airway Injury Incurred While Mowing

DOI
  • Kato Tomoya
    Department of Respiratory Medicine, Gifu Prefectural General Medical Center
  • Baba Yasutomo
    Department of Respiratory Medicine, Gifu Prefectural General Medical Center
  • Kuzunishi Yutaro
    Department of Respiratory Medicine, Gifu Prefectural General Medical Center
  • Miyoshi Mayuka
    Department of Respiratory Medicine, Gifu Prefectural General Medical Center
  • Muto Yuya
    Department of Respiratory Medicine, Gifu Prefectural General Medical Center
  • Tsuchida Akimasa
    Department of Respiratory Medicine, Gifu Prefectural General Medical Center
  • Murakami Annri
    Department of Respiratory Medicine, Gifu Prefectural General Medical Center
  • Masuda Atsunori
    Department of Respiratory Medicine, Gifu Prefectural General Medical Center
  • Tsuzuku Akifumi
    Department of Respiratory Medicine, Gifu Prefectural General Medical Center
  • Asano Fumihiro
    Department of Respiratory Medicine, Gifu Prefectural General Medical Center

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Other Title
  • 草刈り中に受傷した穿通性気道損傷の1例

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Abstract

<p>Background. We herein report a case in which the mechanism of injury was unclear, and a diagnosis was ultimately made based on imaging and bronchoscopy findings. Case. An 83-year-old man fell while using an electric mower and bruised the chest. Subsequently, persistent hemoptysis with coughing was observed, and the patient was referred to our hospital. A small incision had been made in the anterior neck and chest. Thoracic computed tomography revealed bilateral lung-dominant ground-glass opacity, suggestive of blood accumulation, along with bright nodules suspected of being foreign bodies in the tracheal endometrium and subcutaneous area of the right anterior chest. Bronchoscopy suggested a penetrating injury to the trachea, but the foreign body could not be directly observed. Finally, the foreign body was surgically removed using a lateral left cervical approach. It was found to be a fragment of the electric mower. Conclusion. We encountered a case in which a foreign body in the airway due to trauma was found. It may be difficult to diagnose foreign bodies with small puncture wounds. An early diagnosis based on a detailed history taking is important.</p>

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