Radiology diagnostic of foreign body in pulmonary artery.

Shchekoturov I.O., Bahtiozin R.F., Puzakov K.B., Rzaev R.T., Shchegelsky

Purpose. To demonstrate the clinical case of a patient with foreign body in the pulmonary artery, which was part of catheter of port-system. To present X-ray and MSCT images and detailed description of it.	I.M. Sechenov First Moscow State Medical University. Moscow, Russia.

 

 

 

 

 

 

 

 

 

Material and Methods. The clinical observation of the patient with foreign body in the pulmonary artery is provided. Patient’s examination included chest radiography and multislice computed tomography (MSCT). Results. After comprehensive clinical examination of the patient, accurate diagnosis was established: foreign body in the right pulmonary artery (r. basalisanterior), at the sixth and eighth segments of the right lung. Тhe extraction of a foreign body had been carried out by endovascular method at operating room. It is required to perform delayed X-ray control to verify the accurate location of central venous catheter, as well as exclude complications after its installation. Diagnostics of non-contrast foreign bodies is especially difficult. The normal location of a central venous catheter is in the superior vena cava or at the level of vena cava entrance into the right atrium. Conclusion. The presented clinical case demonstrates the importance of radiological monitoring of a central venous catheter state. The implementation of MSCT, as a supplement to the chest radiographs after the installation of the port-system, helps to improve the assessment of spatial relationships between organs and structures and provides good visu-alization of the data.

 

Keywords: X-ray, chest radiography, foreign body in the pulmonary artery, multislice computed tomography, MSCT, pulmonary artery, central venous catheter, chemotherapy.

 

Corresponding author:: Shchekoturov I.O., e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

 

For citation: : Shchekoturov I.O., Bahtiozin R.F., Puzakov K.B., Rzaev R.T., Shchegelsky V.V. Radiology diagnostic of foreign body in pulmonary artery. REJR 2017; 7 (2):179-185. DOI:10.21569/2222-7415-2017-7-2-179-185./em>

Received: 29.03.2017 Accepted:05.05.2017