Bedside ultrasound diagnosis of intracardiac paperclip

Autor: Erden Erol Unluer, Arif Karagoz, Fatih Esad Topal, Pinar Yesim Akyol
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Zdroj: Journal of Emergencies, Trauma and Shock, Vol 7, Iss 3, Pp 236-238 (2014)
Druh dokumentu: article
ISSN: 0974-2700
DOI: 10.4103/0974-2700.136873
Popis: 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.
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