Thoracolithiasis diagnosed by thoracoscopy under local anesthesia

Respirology Case Reports

Hiroaki Nakagawa¹  Masatsugu Ohuchi⁴  Takuya Fujita³  Yoshitomo Ozaki²  Yasutaka Nakano¹ 

[1] Division of Respiratory Medicine, Department of Internal Medicine, Shiga University of Medical Science, Otsu, Japan;Department of General Thoracic Surgery, National Hospital Organization Higashi-Ohmi General Medical Center, Higashi-Ohmi, Japan;Department of Thoracic Surgery, Kohka Public Hospital, Kohka, Japan;Department of Critical and Intensive Medicine, Shiga University of Medical Science, Otsu, Japan

关键词: Intrathoracic calculus;    local anesthesia;    lung nodule;    thoracolithiasis;    thoracoscopy;   

DOI  :  10.1002/rcr2.114

来源: Wiley

【 摘 要 】

Abstract

A 68-year-old woman was referred to our hospital for a lung nodule identified on chest radiography. Computed tomography (CT) showed a 10-mm calcified nodule in the left thoracic cavity. On follow-up CT, the nodule was found in a different location within the left thoracic cavity. Thoracoscopy was performed under local anesthesia, removing a pearl-like pleural stone. Thoracolithiasis was therefore diagnosed without any complications. To the best of our knowledge, this is the first report on thoracoscopy under local anesthesia for the diagnosis of thoracolithiasis. When thoracolithiasis is suspected, thoracoscopy under local anesthesia is minimally invasive and useful, and could be considered as an option for definite diagnosis.

【 授权许可】

CC BY-NC-ND   
© 2015 The Authors. Respirology Case Reports published by John Wiley & Sons Ltd on behalf of The Asian Pacific Society of Respirology.

Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.