title: Bedside ultrasound diagnosis of intracardiac paperclip.
abstract: Penetrating cardiac injuries are rarely reported in the literature. Foreign bodies are rarely seen in the heart and most patients with penetrating cardiac injuries die from hemorragic or pericardial tamponade before arriving at the hospital. Bedside ultrasonography is a highly valuable and readily learned tool that has expanded rapidly since its introduction more than 20 years ago. Our case was a 23-year-old convict brought to the emergency department (ED) with a history of continuous chest pain in the upper area of the left side of the chest for one week. Focused Cardiac Sonography (FOCUS) which was performed by emergency physician showed a strong echogenic linear structure with comet tail artifact, free floating in the mid-segment of the left ventricule. Exact localizations of the paperclips within the chest was obtained with multidetector computed tomography and one of them was seen in the left ventricular cavity. FOCUS plays a crucial role in these patients by diagnosing the injury and detecting the complications in emergency department.
authors.affiliation: Department of Emergency Medicine, İzmir Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey.
authors.forename: Erden Erol
authors.initials: EE
authors.lastname: Unlüer
authors.affiliation: Department of Emergency Medicine, İzmir Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey.
authors.forename: Arif
authors.initials: A
authors.lastname: Karagöz
authors.affiliation: Department of Emergency Medicine, İzmir Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey.
authors.forename: Fatih Esad
authors.initials: FE
authors.lastname: Topal
authors.affiliation: Department of Emergency Medicine, İzmir Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey.
authors.forename: Pinar Yeşim
authors.initials: PY
authors.lastname: Akyol
keywords: Bedside ultrasound; emergency; foreign body
references.citation: Acad Emerg Med. 2013 Apr;20(4):367-73
references.pmid: 23701344
references.citation: Thorax. 1969 Mar;24(2):246-53
references.pmid: 5821627
references.citation: Interact Cardiovasc Thorac Surg. 2010 May;10(5):783-92
references.pmid: 20139201
references.citation: J Card Surg. 2012 Nov;27(6):704-6
references.pmid: 23051103
references.citation: Emerg Med J. 2012 Apr;29(4):280-3
references.pmid: 21441267
references.citation: Arch Cardiovasc Dis. 2011 Dec;104(12):684-5
references.pmid: 22152521
references.citation: Injury. 2002 Apr;33(3):276-7
references.pmid: 12084651
references.citation: Thorac Cardiovasc Surg. 1984 Dec;32(6):373-5
references.pmid: 6084333
references.citation: J Emerg Trauma Shock. 2013 Jul;6(3):195-8
references.pmid: 23960377