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

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...

Full description

Saved in:
Bibliographic Details
Published inAsian journal of endoscopic surgery Vol. 10; no. 4; pp. 446 - 449
Main Authors Yamaguchi, Naoya, Hiramatsu, Kazuhiro, Shibata, Yoshihisa, Yoshihara, Motoi, Aoba, Taro, Kamiya, Tadahiro, Koike, Yoshio, Fujita, Takeru, Maeda, Chikara, Ito, Kisuke, Kanbara, Yuichi, Nishimura, Motonobu, Kobayashi, Ryutarou, Dei, Hideyuki, Takimoto, Aitaro, Nonaka, Yukiko, Kato, Takehito
Format Journal Article
LanguageEnglish
Published Kyoto, Japan John Wiley & Sons Australia, Ltd 01.11.2017
Wiley Subscription Services, Inc
Subjects
Abdomen
Case reports
Female
Foreign Bodies - diagnostic imaging
Foreign Bodies - etiology
Foreign Bodies - surgery
Foreign body
Gastrointestinal Tract
Humans
intraoperative fluoroscopy
laparoscopic surgery
Laparoscopy
Middle Aged
Needles
Time Factors
Tomography, X-Ray Computed
laparoscopic surgery
Foreign body
intraoperative fluoroscopy
Online AccessGet full text

Cover

More Information
Summary: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.
ISSN:1758-5902
1758-5910
DOI:10.1111/ases.12375