{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T01:13:11Z","timestamp":1789002791166,"version":"build-2803163510"},"reference-count":18,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2016,9,28]],"date-time":"2016-09-28T00:00:00Z","timestamp":1475020800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Asian Cardiovasc Thorac Ann"],"published-print":{"date-parts":[[2016,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Retained foreign bodies in the chest may include shell fragments, bullets, shrapnel, pieces of clothing, bones, and rib fragments. The risks of removal of foreign bodies must be weighed against the complications of leaving them inside the chest.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We treated 90 cases of retained intrathoracic foreign bodies in patients admitted to 3 tertiary centers in Saudi Arabia between March 2015 and March 2016. Sixty patients were injured by shrapnel, 26 had one or more bullets, 3 had broken rib fragments, and one had a metal screw. The chest wall was site of impaction in 48 cases, the lungs in 24, pleura in 14, and mediastinum in 4.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Removal of the retained foreign body was carried out in 12 patients only: bullets in 9 cases, bone fragments in 2, and a metal screw in one. The predictors for removal were bullets, female sex, and mediastinal position with bilateral chest injury, especially with fracture ribs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Retained intrathoracic foreign bodies due to penetrating chest trauma are treated mainly conservatively unless there is another indication for chest exploration.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0218492316664673","type":"journal-article","created":{"date-parts":[[2016,9,15]],"date-time":"2016-09-15T22:13:42Z","timestamp":1473977622000},"page":"782-787","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Impacted thoracic foreign bodies after penetrating chest trauma"],"prefix":"10.1177","volume":"24","author":[{"given":"Sameh I","family":"Sersar","sequence":"first","affiliation":[{"name":"Cardiothoracic Surgery Department, Mansoura University Hospitals, Egypt"},{"name":"Thoracic Surgery Department, King Abdullah Medical City, Makkah, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khalid A","family":"Albohiri","sequence":"additional","affiliation":[{"name":"Cardiothoracic Surgery Department, King Fahd Central Hospital, Jizan, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hysam","family":"Abdelmohty","sequence":"additional","affiliation":[{"name":"Cardiothoracic Surgery Department, Mansoura University Hospitals, Egypt"},{"name":"Cardiothoracic Surgery Department, King Khalid Hospital, Najran, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,9,28]]},"reference":[{"key":"bibr1-0218492316664673","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-194608000-00022"},{"key":"bibr2-0218492316664673","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(97)01163-9"},{"key":"bibr3-0218492316664673","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.1.1900.1342"},{"key":"bibr4-0218492316664673","doi-asserted-by":"crossref","unstructured":"Late extraction of missiles embedded in the lung [editorial comment]. Ann Surg 1919;69:90\u20134. Available at: http:\/\/journals.lww.com\/annalsofsurgery\/Citation\/1919\/01000\/LATE_EXTRACTION_OF_MISSILES_IMBEDDED_IN_THE_LUNG_.16.aspx. Accessed August 25, 2016.","DOI":"10.1097\/00000658-191901000-00016"},{"key":"bibr5-0218492316664673","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.4200.24"},{"key":"bibr6-0218492316664673","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2014.07.011"},{"key":"bibr7-0218492316664673","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-196211000-00003"},{"key":"bibr8-0218492316664673","doi-asserted-by":"crossref","unstructured":"Gerami S, Cousar JE 3rd, Davie JM, Moseley TM. The management of gunshot wounds of the chest. Ann Thorac Surg 1968;5:189\u201392. Available at: http:\/\/www.annalsthoracicsurgery.org\/article\/S0003-4975(10)66330-8\/pdf. Accessed August 25, 2016.","DOI":"10.1016\/S0003-4975(10)66330-8"},{"key":"bibr9-0218492316664673","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4615-1127-4_19"},{"key":"bibr10-0218492316664673","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(96)00960-5"},{"key":"bibr11-0218492316664673","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-198805000-00017"},{"key":"bibr12-0218492316664673","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)65277-0"},{"key":"bibr13-0218492316664673","first-page":"407","volume":"76","author":"Behbehani A","year":"1994","journal-title":"Ann R Coll Surg Engl"},{"key":"bibr14-0218492316664673","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(96)01124-4"},{"key":"bibr15-0218492316664673","first-page":"349","volume":"18","author":"Wellington JL","year":"1962","journal-title":"Can Med Assoc J"},{"key":"bibr16-0218492316664673","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6109(16)44734-1"},{"key":"bibr17-0218492316664673","doi-asserted-by":"crossref","unstructured":"Lesquen H, Beranger F, Berbis J, et\u00a0al. Challenges in war-related thoracic injury faced by French military surgeons in Afghanistan (2009-2013). Injury 2016 Jun 10. pii: S0020-1383(16)30246-7. doi: 10.1016\/j.injury.2016.06.008. [Epub ahead of print].","DOI":"10.1016\/j.injury.2016.06.008"},{"key":"bibr18-0218492316664673","unstructured":"Van Waes OJ, Halm JA, Van Imhoff DI, et\u00a0al. Selective nonoperative management of penetrating thoracic injury. Eur J Emerg Med 2016 Apr 18. 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