Home > Haemoptysis in an intravenous drug user: injection needle impacted in the left main bronchus.

Shah, Asif R and Smyth, Louise and Tolan, Michael and Bartosik, Waldemar (2014) Haemoptysis in an intravenous drug user: injection needle impacted in the left main bronchus. BMJ Case Reports , Online .

We report a case of a 35-year-old man who presented with 4-week history of haemoptysis, with a history of intravenous drug use. There was no other significant medical or surgical history and no recollection of any foreign body aspiration. Chest X-ray and CT scan showed 40 mm long needle in left main bronchus, partly lying outside the bronchus into the mediastinum. Flexible and rigid bronchoscopes proved to be unsuccessful in retrieving the needle. We proceeded with left posterolateral thoracotomy and the left main bronchus was explored to take out this 21-gauge (green) injection needle. The distal half of the needle with the sharp end was lying in the mediastinum piercing through the bronchial wall. Surgery was uneventful with good postoperative recovery and the patient was discharged 4 days later.


Item Type:Article
Date:April 2014
Publisher:BMJ Group
Volume:Online
EndNote:View
Accession Number:HRB (Electronic Only)
Subjects:A Substance use, abuse, and dependence > Effects and consequences
F Concepts in psychology > Specific attitude and behaviour > risk-taking behaviour
T Demographic characteristics > Intravenous / injecting drug user
VA Geographic area > Europe > Ireland

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