RESUMO
A 46-year-old man experienced a remote unexpected lung injury with a sharp object. The object migrated over the years, penetrating the mediastinal structure, injuring the pericardium and the right-sided chambers of the heart. The injury was complicated by hemodynamic instability and pericardial tamponade. An emergent pericardiocentesis followed by thoracotomy, foreign body extraction, and puncture site closure. This is a very rare case of remote penetrating lung injury with a dormant course.
Assuntos
Tamponamento Cardíaco/diagnóstico por imagem , Tamponamento Cardíaco/cirurgia , Migração de Corpo Estranho/diagnóstico por imagem , Migração de Corpo Estranho/cirurgia , Imageamento Tridimensional , Tamponamento Cardíaco/etiologia , Doença Crônica , Ecocardiografia/métodos , Corpos Estranhos/complicações , Corpos Estranhos/cirurgia , Vidro , Traumatismos Cardíacos/etiologia , Traumatismos Cardíacos/fisiopatologia , Traumatismos Cardíacos/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Pericardiocentese/métodos , Doenças Raras , Medição de Risco , Toracotomia/métodos , Fatores de Tempo , Resultado do Tratamento , Ferimentos Penetrantes/diagnóstico por imagem , Ferimentos Penetrantes/cirurgiaRESUMO
Solitary plasmacytoma of the 11th rib with soft tissue extension was seen in a 29-year-old male. Hematological and biochemical profiles did not reveal any systemic involvement. The 12-cm fusiform expansile lesion was excised and subjected to histopathological examination. The sections revealed sheets of plasma cells with focal cortical discontinuity and adjacent soft tissue invasion. This case is unique in view of the age of occurrence and the site of the lesion.