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J Thorac Cardiovasc Surg 2005;129:449-450
© 2005 The American Association for Thoracic Surgery

Brief Communications

Foreign-body excretion through the bronchial stump after extrapleural pneumonectomy

Kenichi Okubo, MD*, Yasunori Kurahashi, MD

General Thoracic Surgery, Gifu National Hospital, Gifu, Japan

Received for publication April 11, 2004; revisions received May 7, 2004; accepted for publication May 24, 2004.

* Address for reprints: Kenichi Okubo, MD, General Thoracic Surgery, Gifu National Hospital, 5-1-1 Hinohigashi, Gifu 500-8718, Japan (E-mail: okubo@gifu.hosp.go.jp).

The first 20% of the full text of this article appears below.

Foreign-body excretion is a bioresponse of the human body. Bronchial foreign bodies commonly occur through aspiration or inhalation. We present a rare case of the excretion of a foreign body through the bronchial stump 19 months after pneumonectomy.


   Clinical summary
 
A 52-year-old man had a high fever and chest discomfort. He underwent a left extrapleural pneumonectomy for malignant pleural mesothelioma 19 months earlier. He received postoperative chemotherapy, which consisted of 4 cycles of cisplatin, doxorubicin, and cyclophosphamide, and sequential radiation therapy for the entire hemithorax of 56 Gy in total.1,2 Blood count showed luekocytosis, and chemistry showed an increased C-reactive protein level. Chest radiography showed no abnormal lesions except for left-side opacity after pneumonectomy. Computed tomography of the chest and the abdomen showed . . . [Full Text of this Article]






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