{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T19:01:03Z","timestamp":1780426863643,"version":"3.54.1"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"39","license":[{"start":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T00:00:00Z","timestamp":1758844800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,9,26]]},"abstract":"<jats:sec>\n                    <jats:title>Rationale:<\/jats:title>\n                    <jats:p>Percutaneous penetration of foreign bodies into the lung is exceptionally rare, with most reported cases involving entry through natural orifices such as the oral cavity or respiratory tract.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient concerns:<\/jats:title>\n                    <jats:p>A 17-year-old adolescent was incidentally found to have a metallic sewing needle embedded in the right lung during imaging evaluation for unrelated symptoms. The foreign body had been retained for 9 years following a childhood needle-prick injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Diagnoses:<\/jats:title>\n                    <jats:p>Imaging confirmed the presence of an intrapulmonary metallic foreign body consistent with a sewing needle.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions:<\/jats:title>\n                    <jats:p>Preoperative computed tomography\u2013guided localization was performed to precisely identify the needle\u2019s position, followed by successful surgical retrieval using uniportal video-assisted thoracoscopic surgery to remove the foreign body and surrounding affected tissue.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes:<\/jats:title>\n                    <jats:p>The foreign body was completely removed with no intraoperative or immediate postoperative complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Lessons:<\/jats:title>\n                    <jats:p>This case underscores the value of advanced imaging and minimally invasive surgical techniques in the management of rare intrapulmonary foreign bodies, particularly those retained for prolonged periods.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/md.0000000000044366","type":"journal-article","created":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T16:01:05Z","timestamp":1759248065000},"page":"e44366","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Uniportal video-assisted thoracoscopic removal of a concealed percutaneously inserted sewing needle in the lung: A case report"],"prefix":"10.1097","volume":"104","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1376-5550","authenticated-orcid":false,"given":"Yang","family":"Xu","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery, Jingling Hospital, Jingling School of Clinical Medicine, Nanjing Medical University, Nanjing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheng","family":"Qian","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Jingling Hospital, Medical School of Nanjing University, Nanjing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xin","family":"Chen","sequence":"additional","affiliation":[{"name":"Anesthesiology Department, Jingling Hospital, Medical School of Nanjing University, Nanjing, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin-Hao","family":"Kou","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Jingling Hospital, Medical School of Nanjing University, Nanjing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhuang-Zhuang","family":"Cong","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Jingling Hospital, Medical School of Nanjing University, Nanjing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Luo","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Jingling Hospital, Medical School of Nanjing University, Nanjing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao-Long","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Jingling Hospital, Medical School of Nanjing University, Nanjing, 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