European Journal of Cardio-Thoracic Surgery, Vol 9, 216-217, Copyright © 1995 by European Association for Cardio-thoracic Surgery
From the neck to the lung: pneumothorax caused by a lost needle
N Reinmuth, R Forster and HH Scheld
Klinik und Poliklinik fur Thorax-, Herz- und Gefasschirurgie, Westfalische-Wilhelms-Universitat, Munster, Germany.
The case of a 29-year-old man with a left-sided pneumothorax caused by an
injection needle in the lung is presented. The needle had been lost 3
months previously during an attempt to inject heroin into the left jugular
vein. With axillary limited thoracotomy after attempted thoracoscopy, the
needle was finally found in the left upper lobe of the lung, most probably
causing the pneumothorax. At least no other pathologies of the lung were
detected and, after surgery, no further pneumothorax occurred. The case is
discussed in relation to similar cases described in the medical literature.