Clinical Pulp Fiction

Claire F. Woodworth, MD; Susan M. Fagan, MD; Scott R. Harris, MD; Corey Adams, MD

JACC: Case Reports (Apr 2020)

Clinical Pulp Fiction

Claire F. Woodworth, MD,
Susan M. Fagan, MD,
Scott R. Harris, MD,
Corey Adams, MD

Affiliations

Claire F. Woodworth, MD: Discipline of Radiology, Faculty of Medicine, Memorial University of Newfoundland, St. John’s, Newfoundland and Labrador, Canada
Susan M. Fagan, MD: Discipline of Cardiology, Faculty of Medicine, Memorial University of Newfoundland, St. John’s, Newfoundland and Labrador, Canada
Scott R. Harris, MD: Discipline of Radiology, Faculty of Medicine, Memorial University of Newfoundland, St. John’s, Newfoundland and Labrador, Canada
Corey Adams, MD: Discipline of Cardiac Surgery, Department of Surgery, Memorial University of Newfoundland, St. John’s, Newfoundland and Labrador, Canada; Address for correspondence: Dr. Corey Adams, Discipline of Cardiac Surgery, Department of Surgery, Memorial University of Newfoundland, c/o Health Sciences Centre, 300 Prince Philip Drive, St. John’s, Newfoundland and Labrador A1B 3V6, Canada.

Journal volume & issue: Vol. 2, no. 4
pp. 653 – 657

Abstract

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A 21-year-old woman self-ingested an 18-gauge needle that perforated the distal esophagus into the left inferior ventricular myocardium, with migration into the septum. Radiography, computed tomography, and echocardiography imaging characterized the needle’s location. Following an initial endoscopy and pericardial tamponade drainage, complete needle removal occurred via median sternotomy and cardiopulmonary bypass. (Level of Difficulty: Intermediate.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

About the journal

Abstract

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