Eur J Cardiothorac Surg 2009;36:185. doi:10.1016/j.ejcts.2009.02.053
Copyright © 2009, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.
Images in cardio-thoracic surgery |
An unusual case of foreign body aspiration: a lobster's antenna
Socrates Tsagkaropoulosa,
Federico Francionia,
Giancarlo Ferrettia,b,
Federico Venutaa,*
a University of Rome Sapienza, Department of Thoracic Surgery, Rome, Italy
b University of Rome Sapienza, Department of Infectious Disease, Rome, Italy
Received 8 January 2009;
received in revised form 23 February 2009;
accepted 25 February 2009.
* Corresponding author. Address: University of Rome Sapienza, Azienda Policlinico Umberto I, Cattedra di Chirurgia Toracica, V.le Policlinico 155, 00161 Rome, Italy. Tel.: +39 06 4461971; fax: +39 06 49970735. (Email: federico.venuta{at}uniroma1.it).
Key Words: Foreign body Aspiration pneumonia Empyema
A 47-year-old cook presented with fever, dyspnea, chest pain and hemoptysis.
Radiological work-up showed a right infiltrate with pleural effusion and a high-density structure 5 cm long within the lower lobe (Fig. 1A,B). At thoracotomy a previously inhaled lobster's antenna coming out of the lung was found (Fig. 2A,B)

View larger version (106K):
[in this window]
[in a new window]
|
Fig. 1. (A) Chest X-ray showing right lower lobe consolidation with pleural effusion. (B) Chest computed tomography showing the presence of a foreign body located within the lung parenchyma.
|
|

View larger version (66K):
[in this window]
[in a new window]
|
Fig. 2. (A) Parenchymal laceration caused by the foreign body coming out of the lung. (B) Removed foreign body resulting in a lobster's antenna.
|
|