A CASE REPORT OF FORElGN BODY IN THE THORACLC CAVITY |
Yung Soo Kim, Yang Hwa Park, Si Hyo Lee, Man Ee Chung, Jang Ryong Song |
THE 36 TH ARMY HOSPITAL |
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Abstract |
A patient who had a wooden fragment in lower lobe of right lung was found on exploratory thoracotomy and studied in this 36th Army Hospital. A 23 years old male, enlisted man in Army, who had a past history of evidence of falling from tree, about 5meter high, during 1960, was evacuated from the 105th Evae. Hospital with provisional impressions of pulmonary tuberculosis, bronchiectasis of lung abscess with chief complains of vague right chest dis comfortness radiating to right scapular region, minimally doing hemoptysis, coughing and moderate sputum and treated with several ways such as antituberculoutics, antibiotics and other supportive with no improvement. Physical examination revealed no particular findings in considerably good health except obscure chest findings like slightly diminished breathing sound and a scar seems to be healed penetrating would on right hypochondria region. X-ray on chest P-A view showed a density on right lower lung field with elevated right diaphragm and slender tubular fibrotic density to thoracic spine was seen on lateral view. Serial laboratory findings were mentioned no particular results and no AFB was found. Explorator thoracotomy was performed and found a wooden fragment. of 0.7cm in diameter and 11cm in length on right lower lobe which is surrounded by dense fibrotic tissue and accompanied pleural reaction. And right lower lobectomy was done with successful post operative course. |
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