胸腔鏡下手術で摘出した釘誤嚥による肺内異物の1例

A man of octogenarian aspirated the nail down to lung, but he had no symptom. About a month later, he visited our hospital because a pulmonary foreign body was found by chest X-ray of medical check-up. We examined computed tomography（ CT） and virtual bronchoscopy based on CT. These showed that the nail was in the left peripheral bronchus（ B10a）．We found it difficult to remove the nail by bronchoscopy, and therefore Video-Assisted Thoracic Surgery （VATS） was performed. When we cut the pluera on the nail and removed it, pus flowed out. So, we thought lung abscess might occur soon. After wedge resection of left lower lobe was performed, he discharged without infection.