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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

Chest X-ray of the patient showing seven paperclips within the chest, six of them superimposed on the cardiac silhoutte
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Figure 3: Chest X-ray of the patient showing seven paperclips within the chest, six of them superimposed on the cardiac silhoutte

Mentions: Electrocardiography was normal and Focused cardiac sonography (FOCUS) was performed by emergency physician using an M7R® model ultrasound machine with a 3.6-MHz microconvex transducer (Mindray Bio-medical Electronics Co., Shenzhen, China) and ultrasonographic views were recorded. FOCUS have showed no pericardial effusion, normal regional and global left ventricular function, and a strong echogenic linear structure with comet tail artifact, free floating in the midsegment of the left ventricule [Figure 2]. A routine chest X-ray showed seven paperclips within the chest, six of them superimposed on the cardiac silhoutte [Figure 3]. Exact localizations of the paperclips within the chest were obtained with multidetector computed tomography and one of them was seen in the left ventricular cavity [Figure 4]. Cardiovascular surgeons recommended an operational removal of the paperclip to the patient and he refused the operation. He is anticoagulated and discharged from hospital with a follow-up plan.


Bedside ultrasound diagnosis of intracardiac paperclip.

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

Chest X-ray of the patient showing seven paperclips within the chest, six of them superimposed on the cardiac silhoutte
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 3: Chest X-ray of the patient showing seven paperclips within the chest, six of them superimposed on the cardiac silhoutte
Mentions: Electrocardiography was normal and Focused cardiac sonography (FOCUS) was performed by emergency physician using an M7R® model ultrasound machine with a 3.6-MHz microconvex transducer (Mindray Bio-medical Electronics Co., Shenzhen, China) and ultrasonographic views were recorded. FOCUS have showed no pericardial effusion, normal regional and global left ventricular function, and a strong echogenic linear structure with comet tail artifact, free floating in the midsegment of the left ventricule [Figure 2]. A routine chest X-ray showed seven paperclips within the chest, six of them superimposed on the cardiac silhoutte [Figure 3]. Exact localizations of the paperclips within the chest were obtained with multidetector computed tomography and one of them was seen in the left ventricular cavity [Figure 4]. Cardiovascular surgeons recommended an operational removal of the paperclip to the patient and he refused the operation. He is anticoagulated and discharged from hospital with a follow-up plan.

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