{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T21:46:54Z","timestamp":1773870414669,"version":"3.50.1"},"reference-count":1,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T00:00:00Z","timestamp":1773792000000},"content-version":"vor","delay-in-days":17,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Penetrating thoracic injuries involving retained foreign bodies (RFBs) present a significant clinical challenge. While removal is generally indicated to prevent complications, invasive surgical approaches carry inherent risks. We present the case of a 60-year-old male who sustained an accidental nail gun injury to his left chest. Imaging revealed a 10\u00a0cm nail lodged in the lung, 3\u00a0mm from a branch of the pulmonary artery. Despite the proximity to a major vessel, the patient\u2019s haemodynamic stability permitted a conservative approach. Under local anaesthesia and mild sedation, a prophylactic chest drain was inserted, and the nail was successfully extracted along its entry path. The patient recovered without incident and was discharged the following day. This case highlights that in select, stable patients, a carefully planned conservative extraction can be a safe and effective alternative to more invasive procedures like thoracotomy or video-assisted thoracic surgery, minimizing patient morbidity.<\/jats:p>","DOI":"10.1093\/jscr\/rjag169","type":"journal-article","created":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T14:31:07Z","timestamp":1773844267000},"source":"Crossref","is-referenced-by-count":0,"title":["A rare window for conservative extraction: learning from an asymptomatic thoracic nail gun injury"],"prefix":"10.1093","volume":"2026","author":[{"given":"Muhammad Al-Ameen","family":"Alzetani","sequence":"first","affiliation":[{"name":"Faculty of Medicine, University of Southampton , Southampton SO16 6YD ,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aiman","family":"Alzetani","sequence":"additional","affiliation":[{"name":"Cardiothoracic Surgery, University Hospital Southampton NHS Foundation Trust , Southampton SO16 6YD ,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,3,17]]},"reference":[{"key":"2026031810310289100_ref1","doi-asserted-by":"publisher","first-page":"308","DOI":"10.1308\/rcsann.2021.0182","article-title":"Management of penetrating thoracic trauma with retained knife blade: 15-year experience from a major trauma Centre in South Africa","volume":"104","author":"Kong","year":"2022","journal-title":"Ann R Coll Surg Engl"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/3\/rjag169\/67390837\/rjag169.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/3\/rjag169\/67390837\/rjag169.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T14:31:08Z","timestamp":1773844268000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag169\/8527705"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":1,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3,6]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag169","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,3]]},"published":{"date-parts":[[2026,3]]},"article-number":"rjag169"}}