title: A middle lobe tractotomy of the lung for a stab injury: report of a survival case.
abstract: We report the case of a patient who survived after a pulmonary tractotomy. A 54-year-old man was stabbed in the back with a knife and was admitted to our emergency department. Imaging findings showed that there was hemopneumothorax of the right lung. After inserting a chest tube, a massive air leakage from the chest drain continued, and a serial chest roentgenogram showed progressive lung collapse. The patient therefore underwent an emergency thoracotomy. It was found that the wound penetrated through a middle lobe to the surface of an upper lobe of the right lung. A right middle lobe tractotomy was performed, and the patient's postoperative course was uneventful. Selected patients can be rescued without resection of a massive amount of lung tissue.
authors.affiliation: Department of General Thoracic Surgery, Maebashi Red Cross Hospital, 3-21-36 Asahi-Cho, Maebashi, Gunma 371-0014, Japan. m-kamiyoshihara@maebashi.jrc.or.jp
authors.forename: Mitsuhiro
authors.initials: M
authors.lastname: Kamiyoshihara
authors.forename: Takashi
authors.initials: T
authors.lastname: Ibe
authors.forename: Izumi
authors.initials: I
authors.lastname: Takeyoshi
mesh_terms: D006468:Hemopneumothorax / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging / Q000601:surgery*; D055370:Lung Injury; D008297:Male; D008875:Middle Aged; D013898:Thoracic Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed; D014951:Wounds, Stab / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*