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Bedside ultrasound diagnosis of intracardiac paperclip.

Unlüer EE, Karagöz A, Topal FE, Akyol PY - J Emerg Trauma Shock (2014)

Bottom Line: 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.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.

View Article: PubMed Central - PubMed

Affiliation: Department of Emergency Medicine, İzmir Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey.

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.

No MeSH data available.


Related in: MedlinePlus

The puncture sites on the patient's skin to left of the middle sternal border
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Figure 1: The puncture sites on the patient's skin to left of the middle sternal border

Mentions: A 23-year-old convict was 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. His history revealed that self-injurious behavior while in jail. He denied any illicit drug use. The patient appeared well and his vital signs were stable. Physical examintaion has revealed normal findings except the presence of eight puncture sites on the skin to left of the middle sternal border [Figure 1]. Further questionining revealed the reason of these injuries and he accepted having inflicted his present injury on himself by paperclips.


Bedside ultrasound diagnosis of intracardiac paperclip.

Unlüer EE, Karagöz A, Topal FE, Akyol PY - J Emerg Trauma Shock (2014)

The puncture sites on the patient's skin to left of the middle sternal border
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4126127&req=5

Figure 1: The puncture sites on the patient's skin to left of the middle sternal border
Mentions: A 23-year-old convict was 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. His history revealed that self-injurious behavior while in jail. He denied any illicit drug use. The patient appeared well and his vital signs were stable. Physical examintaion has revealed normal findings except the presence of eight puncture sites on the skin to left of the middle sternal border [Figure 1]. Further questionining revealed the reason of these injuries and he accepted having inflicted his present injury on himself by paperclips.

Bottom Line: 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.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.

View Article: PubMed Central - PubMed

Affiliation: Department of Emergency Medicine, İzmir Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey.

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.

No MeSH data available.


Related in: MedlinePlus