[Staple line presenting as a suspicious pulmonary nodule].
The case reported herein concerns a 47-year-old female patient with a right apical pulmonary nodule, which was hypermetabolic on positron emission tomography scan. Eighteen years ago, she underwent a right axillary thoracotomy with apical blebectomy and pleurectomy for a recurrent primary spontaneous pneumothorax. Percutaneous transthoracic needle biopsy was unsuccessful. Surgical exploration revealed that the lesion was in fact the reinforcement material of the staple line that was used in the previous operation. Even though it is a rare presentation, previous use of surgical staples should alert the care team, especially when a new nodule is located near the ancient staple line, in order to avoid unnecessary invasive procedures.
Service de chirurgie générale, urgences et chirurgie thoracique, CHU de Nancy, 29, avenue du Maréchal-de-Lattre-de-Tassigny, 54035 Nancy, France. Electronic address: a.agrafiotis@chu-nancy.fr.
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Agrafiotis
Service de chirurgie générale, urgences et chirurgie thoracique, CHU de Nancy, 29, avenue du Maréchal-de-Lattre-de-Tassigny, 54035 Nancy, France.
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Prieto
Service de chirurgie générale, urgences et chirurgie thoracique, CHU de Nancy, 29, avenue du Maréchal-de-Lattre-de-Tassigny, 54035 Nancy, France.
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Siat
Service de chirurgie générale, urgences et chirurgie thoracique, CHU de Nancy, 29, avenue du Maréchal-de-Lattre-de-Tassigny, 54035 Nancy, France.
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Grosdidier
D017439:Cicatrix, Hypertrophic / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008875:Middle Aged; D003074:Solitary Pulmonary Nodule / Q000175:diagnosis*; D013537:Sutures / Q000009:adverse effects
Cancer pulmonaire; Ligne d’agrafes; Lung cancer; Nodule pulmonaire; Pulmonary nodule; Staple line