Document Detail

An autopsy case of bilateral tension pneumothorax after acupuncture.
MedLine Citation:
PMID:  14568778     Owner:  NLM     Status:  MEDLINE    
Acupuncture is one of the most popular complementary therapies in the world. Pneumothorax due to perforation of the lungs by needle insertion is one of the most common and serious complications of acupuncture treatment. Although there have been several case studies of pneumothorax induced by acupuncture, as far as we know there have been no reports on the pathological findings of autopsy cases. In this report, we describe the pathological findings of an autopsy case of bilateral tension pneumothorax after acupuncture. The patient suffered dyspnea and chest pain soon the completion of an acupuncture treatment, and died 90 min later. Several ecchymoses were macroscopically observed on the parietal pleura in the left and right thoracic cavity, suggesting that needles were inserted into the thoracic cavity and that the lungs were perforated. The many black spots we observed on the parietal pleura along the vertebral column microscopically consisted of a number of dust-like black pigments and macrophages containing these pigments. These spots seemed to have appeared because of the previous insertion of needles.
Kimiharu Iwadate; Haruo Ito; Seiko Katsumura; Nagahisa Matsuyama; Keita Sato; Isamu Yonemura; Yohko Ito
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Legal medicine (Tokyo, Japan)     Volume:  5     ISSN:  1344-6223     ISO Abbreviation:  Leg Med (Tokyo)     Publication Date:  2003 Sep 
Date Detail:
Created Date:  2003-10-21     Completed Date:  2004-05-14     Revised Date:  2009-11-03    
Medline Journal Info:
Nlm Unique ID:  100889186     Medline TA:  Leg Med (Tokyo)     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  170-4     Citation Subset:  IM    
Department of International Health Development, Graduate School, Tokyo Medical and Dental University, Yushima 1-5-45, Bunkyo-ku, Tokyo 113-8519, Japan.
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MeSH Terms
Acupuncture Therapy / adverse effects*
Pneumothorax / etiology*,  pathology

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