Sewing Needles as Foreign Bodies in the Liver and Pancreas

Rahalkar, M.D; Pai, Bhujang; Kukade, Girish L.; Busaidi, Salim S. Al

doi:10.1053/crad.2002.1118

Cited by 21 publications

(16 citation statements)

References 6 publications

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“…There were no complications on follow-up. [2,10,13,21,22] In case of a 76-year-old woman who was hospitalized due to complaint of fatigue, X-ray incidentally revealed metal needle in superior abdominal area. Ultrasound examination revealed 3.5 cm-long, metal, needle-like object in the left lobe of the liver.…”

Section: Discussionmentioning

confidence: 99%

Case of an intrahepatic sewing needle and review of the literature

Bostancı¹,

İdiz

Battal³

et al. 2016

Ulus Travma Acil Cerrahi Derg

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An intrahepatic foreign body (FB) is rarely observed. In most cases, object passes from the gastrointestinal tract to the liver via migration. Uncomplicated intrahepatic FB can be followed without surgical intervention; however, complicated intrahepatic FB requires laparoscopy or laparotomy. Presently described is laparoscopic operation on 22-year-old female patient who had incidental sewing needle in the right liver lobe. As there were initially no complications, follow-up monitoring was recommended. However, the patient subsequently complained of stomach pain and developed fever. Laparoscopic exploration located sewing needle in the right liver lobe lateral to the gall bladder with end of needle protruding from the liver. Needle was removed with laparoscopic grasper. Review of the literature regarding 23 other intrahepatic sewing needle cases is also presented.

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Section: Discussionmentioning

confidence: 99%

Case of an intrahepatic sewing needle and review of the literature

Bostancı¹,

İdiz

Battal³

et al. 2016

Ulus Travma Acil Cerrahi Derg

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“…The patients have been psychiatric cases [6,9], a pediatric population [8], or ordinary adults [7,10,11] that accidentally swallowed a foreign object. Among them, five cases were children under 14 years old [1,2,4,5,8].…”

Section: Discussionmentioning

confidence: 99%

“…In the six cases of adult patients, five cases were women, which might be attributed to a SN being used more often by a woman than a man. The way by which the SN enters into liver may be transcutaneous, but in 9 of 11 cases reviewed, the SNs migrated to liver through the gastrointestinal tract after the SNs were, inadvertently [6-8,10] or intentionally [9], ingested. The two patients with a SN transcutaneously entering the liver had no clear history.…”

Section: Discussionmentioning

confidence: 99%

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A sewing needle in liver: a case report and review of the literature

2009

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IntroductionHepatic foreign bodies are quite rare. A sewing needle as a hepatic foreign body in an old woman is very rare and the managements have been varied.Case presentationAn old woman was incidentally found to have a sewing needle in her liver on abdominal X-ray. The sewing needle was kept stable in her liver after two years of follow-up. Eleven cases of sewing needle in the liver were reviewed.ConclusionSewing needle as a foreign body in the liver is rare. In general, the sewing needle should be removed through laparotomy or laparoscopy, but a stable and uncomplicated sewing needle in the liver need not be removed.

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“…Imaging findings together with the severity and acuteness of clinical presentation can change management or necessitate emergency interventions. 4,5 Timely imaging and intervention can be life-saving in accidentally ingested foreign body patients. We present the imaging features of trans-gastrically migrated ingested foreign bodies.…”

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confidence: 99%

Spectrum of imaging findings in trans-gastric migration of accidently ingested metallic foreign bodies

et al. 2019

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Background: An accidently ingested foreign body may get lodged within the lumen of gastrointestinal tract, pass uneventfully with feces or may migrate extraluminally into the surrounding tissues in which case it may lead to suppurative or vascular complications. The aim of the endeavor was to study the spectrum of imaging findings in patients with accidental ingestion of foreign bodies with trans-gastric migration of metallic foreign bodies.Methods: Total 33 patients with history of accidental ingestion of foreign bodies were subjected to preliminary radiograph of neck, chest and abdomen followed by upper gastrointestinal endoscopy. Failure to retrieve/ localize foreign body endoscopically from upper gastrointestinal tract with check radiograph reiterating the presence of foreign body in upper abdomen were subjected to computed tomography of abdomen.Results: A total of 33 patients comprising of 27 females and 6 males with mean age of 23.76 years with history of foreign body ingestion were studied. Ingested foreign bodies were lodged in pharynx (n=7), esophagus (n=3), stomach (n=13) or duodenum (n=3). In 7 patients in whom endoscopy failed to locate and/or retrieve foreign body, computed tomography confirmed the presence of trans-gastrically migrated foreign body in the surrounding structures. The location of migrated foreign bodies was in lesser sac (n = 2), greater omentum (n = 3), lesser omentum (n = 1) and transmural (n = 1). Two patients had evidence of collection formation around the migrated foreign bodies.Conclusions: Sharp or pointed metallic foreign bodies may migrate trans-luminally with various implications. Though radiography is the preliminary workhorse for the confirmation of ingested foreign bodies, computed tomography owing to its volumetric data acquisition helps in exact localization of migrated foreign bodies and should precede any therapeutic intervention for retrieval of migrated foreign bodies.

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Sewing Needles as Foreign Bodies in the Liver and Pancreas

Cited by 21 publications

References 6 publications

Case of an intrahepatic sewing needle and review of the literature

Case of an intrahepatic sewing needle and review of the literature

A sewing needle in liver: a case report and review of the literature

Spectrum of imaging findings in trans-gastric migration of accidently ingested metallic foreign bodies

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