イノシシ牙による外傷性気胸を伴う深部胸壁異物の手術

Foreign Body in Chest Wall with Traumatic Pneumothorax Caused by Fang of Wild Boar

イノシシによる外傷は，その牙により深部に到達することで大血管や臓器損傷をきたすことがあり，出血性ショックから死亡する症例も存在するが，下腿や下腹部の損傷が多く，気胸を伴う報告はまれである．

We report a case of foreign body in chest wall with traumatic pneumothorax caused by fang of wild boar performed video-assisted thoracic surgery. The patient was a 69-year-old woman. She was attacked from behind by a wild boar during farm work. She was transferred to the emergency and critical care center of our hospital. She was in a state of hemorrhagic shock when arrived with multiple bite wounds on her back. Computed tomography （CT） scan revealed left pneumothorax and a foreign body in chest wall suspected to be a wild boar fang. Thoracoscopic surgery was performed to remove the foreign body.