title: Pleuroscopic retrieval of a sewing needle from the pleural cavity under conscious sedation by a chest physician.
abstract: We report a case of a young man who presented with a left-sided pneumothorax after suffering an accidental penetrating injury by a sewing needle to the anterior chest wall. Chest radiograph and the computed tomography of the thorax revealed that the needle was in the pleural cavity and there was an associated pneumothorax. An attempt at retrieval by direct incision failed. The sewing needle was successfully retrieved by a medical pleuroscopy. The patient recovered without any consequences and was discharged home after 24 hours of observation.
authors.affiliation: Department of Respiratory Medicine, Queen Elizabeth Hospital, Kota Kinabalu, Sabah, Malaysia. bryantie75@gmail.com
authors.forename: Siew Teck
authors.initials: ST
authors.lastname: Tie
authors.forename: Jyi Lin
authors.initials: JL
authors.lastname: Wong
authors.forename: S K Kunji
authors.initials: SK
authors.lastname: Kannan
authors.forename: Jamalul Azizi Abdul
authors.initials: JA
authors.lastname: Rahman
mesh_terms: D000058:Accidental Falls; D000328:Adult; D016292:Procedural Sedation; D005547:Foreign Bodies / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D009339:Needles / Q000009:adverse effects; D035422:Pleural Cavity / Q000000981:diagnostic imaging / Q000293:injuries*; D011030:Pneumothorax / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D013906:Thoracoscopy / Q000379:methods*; D014057:Tomography, X-Ray Computed; D014950:Wounds, Penetrating / Q000000981:diagnostic imaging / Q000601:surgery*; D055815:Young Adult