Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
권호 표지
DOI QR코드

DOI QR Code

One Case of Video-Assisted Thoracoscopic Removal of Acupuncture Needle in Lung Parenchyma

폐실질 내 침술 침의 비디오 흉강경 제거 1예

  • Jeong, Yeong-Gyu (Department of Internal Medicine, Soonchunhyang University Cheonan Hospital, Soonchunhyang University Collage of Medicine) ;
  • Lee, Ho-Sung (Department of Internal Medicine, Soonchunhyang University Cheonan Hospital, Soonchunhyang University Collage of Medicine) ;
  • Choi, Jae-Sung (Department of Internal Medicine, Soonchunhyang University Cheonan Hospital, Soonchunhyang University Collage of Medicine) ;
  • Na, Joo-Ock (Department of Internal Medicine, Soonchunhyang University Cheonan Hospital, Soonchunhyang University Collage of Medicine) ;
  • Seo, Ki-Hyun (Department of Internal Medicine, Soonchunhyang University Cheonan Hospital, Soonchunhyang University Collage of Medicine) ;
  • Kim, Yong-Hoon (Department of Internal Medicine, Soonchunhyang University Cheonan Hospital, Soonchunhyang University Collage of Medicine) ;
  • Lee, Seung-Jin (Department of Thoracic Surgery, Soonchunhyang University Cheonan Hospital, Soonchunhyang University Collage of Medicine)
  • 정영규 (순천향대학교 의과대학 천안병원 내과학교실) ;
  • 이호성 (순천향대학교 의과대학 천안병원 내과학교실) ;
  • 최재성 (순천향대학교 의과대학 천안병원 내과학교실) ;
  • 나주옥 (순천향대학교 의과대학 천안병원 내과학교실) ;
  • 서기현 (순천향대학교 의과대학 천안병원 내과학교실) ;
  • 김용훈 (순천향대학교 의과대학 천안병원 내과학교실) ;
  • 이승진 (순천향대학교 의과대학 천안병원 흉부외과학교실)
  • Received : 2011.03.21
  • Accepted : 2011.07.21
  • Published : 2011.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

We report the case of a 32-year-old woman presenting with intermittent chest pain resulted from a migratory acupuncture needle. The patient received acupuncture treatment approximately 3 years prior to this presentation, for the treatment of chronic left shoulder and lumbar pain after delivery. Chest radiography revealed a retained needle in the lingular segmental area. Video-assisted thoracoscopy was then used to remove the migratory acupuncture needle attached between the lingular segmental lobe and the pericardial fat. The patient recovered without complications and was discharged home.

Keywords

References

  1. White A. A cumulative review of the range and incidence of significant adverse events associated with acupuncture. Acupunct Med 2004;22:122-33. https://doi.org/10.1136/aim.22.3.122
  2. Ernst E, White A. Life-threatening adverse reactions after acupuncture? A systematic review. Pain 1997;71:123-6. https://doi.org/10.1016/S0304-3959(97)03368-X
  3. Norheim AJ, Fonnebo V. Adverse effects of acupuncture. Lancet 1995;345:1576. https://doi.org/10.1016/S0140-6736(95)91127-8
  4. Melchart D, Weidenhammer W, Streng A, Reitmayr S, Hoppe A, Ernst E, et al. Prospective investigation of adverse effects of acupuncture in 97 733 patients. Arch Intern Med 2004;164:104-5. https://doi.org/10.1001/archinte.164.1.104
  5. Eisenberg DM, Kessler RC, Foster C, Norlock FE, Calkins DR, Delbanco TL. Unconventional medicine in the United States. Prevalence, costs, and patterns of use. N Engl J Med 1993;328:246-52. https://doi.org/10.1056/NEJM199301283280406
  6. Fisher P, Ward A. Complementary medicine in Europe. BMJ 1994;309:107-11. https://doi.org/10.1136/bmj.309.6947.107
  7. Linde K, Vickers A, Hondras M, ter Riet G, Thormahlen J, Berman B, et al. Systematic reviews of complementary therapies - an annotated bibliography. Part 1: acupuncture. BMC Complement Altern Med 2001;1:3. https://doi.org/10.1186/1472-6882-1-3
  8. Lee BK, Lee SH, Ko JY, Yoo BS, Yoon J, Choe KH, et al. A case of cardiac tamponade due to penetration of the right ventricule by an acupunture needle. Korean Circ J 1999;29:1129-32. https://doi.org/10.4070/kcj.1999.29.10.1129
  9. Park JH, Shin HJ, Choo SJ, Song JK, Kim JJ. Successful removal of migrated acupuncture needles in a patient with cardiac tamponade by means of intraoperative transesophageal echocardiographic assistance. J Thorac Cardiovasc Surg 2005;130:210-2. https://doi.org/10.1016/j.jtcvs.2004.11.046
  10. Kim JH, Kim SH, Lee YJ, Hong JS, Ahn R, Hong ES. Hemopericardium following acupuncture. Yonsei Med J 2011;52:207-9. https://doi.org/10.3349/ymj.2011.52.1.207
  11. Su JW, Lim CH, Chua YL. Bilateral pneumothoraces as a complication of acupuncture. Singapore Med J 2007;48:e32-3.
  12. Halvorsen TB, Anda SS, Naess AB, Levang OW. Fatal cardiac tamponade after acupuncture through congenital sternal foramen. Lancet 1995;345:1175. https://doi.org/10.1016/S0140-6736(95)91004-2
  13. Pierik MG. Fatal Staphylococcal septicemia following acupuncture: report of two cases. Occurrence of Staphylococcal septicemia following acupuncture emphasizes need for thorough medical evaluation before such procedures. R I Med J 1982;65:251-3.
  14. Iwadate K, Ito H, Katsumura S, Matsuyama N, Sato K, Yonemura I, et al. An autopsy case of bilateral tension pneumothorax after acupuncture. Leg Med (Tokyo) 2003;5:170-4. https://doi.org/10.1016/S1344-6223(03)00052-X
  15. von Riedenauer WB, Baker MK, Brewer RJ. Video-assisted thorascopic removal of migratory acupuncture needle causing pneumothorax. Chest 2007;131:899-901. https://doi.org/10.1378/chest.06-1443
  16. Kataoka H. Cardiac tamponade caused by penetration of an acupuncture needle into the right ventricle. J Thorac Cardiovasc Surg 1997;114:674-6. https://doi.org/10.1016/S0022-5223(97)70060-6
  17. Kim JH, Kim SH, Lee YJ, Hong JS, Ahn R, Hong ES. Hemopericardium following acupuncture. Yonsei Med J 2011;52:207-9. https://doi.org/10.3349/ymj.2011.52.1.207
  18. Kirchgatterer A, Schwarz CD, Holler E, Punzengruber C, Hartl P, Eber B. Cardiac tamponade following acupuncture. Chest 2000;117:1510-1. https://doi.org/10.1378/chest.117.5.1510

Cited by

  1. 10년간 국내 양방 의학 학술지에 게재된 한방치료 부작용 사례 고찰 vol.39, pp.4, 2018, https://doi.org/10.22246/jikm.2018.39.4.686