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Case Report

Incidentally Diagnosed Sewing Needle in Lung: A Surgical Dilemma Solved Using Simulation

Raja Lahiri, Deepak Sharma, R.S. Abisho, Sawan Dalal

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Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

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Journal of Cardiovascular Medicine and Surgery 12(2):p 73-77, May-August 2026. | DOI: https://doi.org/10.21088/jcms.2454.7123.12226.6

How Cite This Article:

Raja Lahiri, Deepak Sharma, R.S. Abisho et. al, Incidentally Diagnosed Sewing Needle in Lung: A Surgical Dilemma Solved Using Simulation. Indian J Cardiovasc Med Surg.2026;12(2): 73–77.

Timeline

Received : April 08, 2026         Accepted : June 20, 2026          Published : August 30, 2026

Abstract

A young adult male in his early 20s was incidentally diagnosed with a sewing needle in the right lung following a routine chest radiograph. This report describes the utilization of thoracic computed tomography (CT) and Anatomage® technology (3D reconstruction) to accurately delineate the needle’s position, plan the surgical approach, and facilitate its removal. The patient underwent a routine chest x-ray during evaluation of his dyspepsia, which revealed a needle like opacity in the para-hilar region of right hemi thorax. The patient could not recall any history of accidental penetration, ingestion or aspiration. The patient did not have any history or signs of psychiatric disorder. He also reported no symptoms such as haemoptysis, hematemesis, chronic cough, or dyspnoea. Physical examination revealed no external thoracic abnormalities or signs of past injuries. Following comprehensive radiologic evaluation, the needle was removed through elective right posterolateral thoracotomy. Intraoperative findings suggested a possibility of a remote penetrating thoracic injury. The patient’s perioperative and postoperative courses were uneventful.

References

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Data Sharing Statement

There are no additional data available. All raw data and code are available upon request.

Funding

This research received no funding.

Author Contributions

All authors contributed significantly to the work and approve its publication.

Ethics Declaration

This article does not involve any human or animal subjects, and therefore does not require ethics approval.

Acknowledgements

We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.

Conflicts of Interest

No conflicts of interest in this work.

About this article

Cite this article

Raja Lahiri, Deepak Sharma, R.S. Abisho et. al, Incidentally Diagnosed Sewing Needle in Lung: A Surgical Dilemma Solved Using Simulation. Indian J Cardiovasc Med Surg.2026;12(2): 73–77.

Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.

Received Accepted Published
April 08, 2026 June 20, 2026 August 30, 2026
DOI: https://doi.org/10.21088/jcms.2454.7123.12226.6

Keywords

Foreign BodyThoracotomyPenetrating Injury Chest

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Timeline

Received April 08, 2026
Accepted June 20, 2026
Published August 30, 2026

licence

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


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