Sewing needles in the abdominal cavity assumed to have been ingested and to have penetrated the GI tract 40 years ago: A case report

Autor: Motoi Yoshihara, Takeru Fujita, Naoya Yamaguchi, Yuichi Kanbara, Tadahiro Kamiya, Aitaro Takimoto, Ryutarou Kobayashi, Yoshio Koike, Yoshihisa Shibata, Chikara Maeda, Takehito Kato, Kisuke Ito, Yukiko Nonaka, Taro Aoba, Motonobu Nishimura, Hideyuki Dei, Kazuhiro Hiramatsu
Rok vydání: 2017
Předmět:
Zdroj: Asian Journal of Endoscopic Surgery. 10:446-449
ISSN: 1758-5902
DOI: 10.1111/ases.12375
Popis: A 60-year old woman had been hospitalized in a psychiatric hospital for 40 years for schizophrenia. An X-ray was performed when she fell, which showed needles in the abdominal field. After additional examinations and questioning, the patient was diagnosed with needles in the abdominal cavity, which were assumed to have been ingested and to have perforated the GI tract 40 years ago. They were removed by laparoscopic surgery. The needles were found in the omentum and near the left ovary. There were no inflammatory reactions around them. There have been previous reports about the removal of intra-abdominal foreign bodies, but foreign body reaction occurred in most of the reports. Our case had the longest period from ingestion of the foreign bodies to their removal. Laparoscopy and intraoperative fluoroscopy are useful for removing intra-abdominal foreign bodies because of their ability to help discriminate between structures and to navigate in real time.
Databáze: OpenAIRE
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