The story of the lost needle: Foreign body embolization to the heart

Ghatak, Abhijit; Baik, Peter; Cardoso, Rhanderson; Dobrinsky, Jonathan; Kaynak, Husnu E.; Marzouka, George R.; Stang, Robert; Carrillo, Roger G.; Williams, Donald B.; Heldman, Alan W.

doi:10.1016/j.jccase.2015.03.004

Cited by 10 publications

(13 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 2 , 3 Very few cases have reported incidental findings of cardiac FBs after ingestion, abdominal surgery or penetration injury to soft tissue theoretically caused by migration of the object into the peripheral venous system to the heart. 4–7 …”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A case report of an unusual left atrial mass

Udemgba

Missov

Percy

et al. 2020

European Heart Journal - Case Reports

View full text Add to dashboard Cite

Background Cardiac foreign bodies (FBs) are rare findings that may present as cardiac masses initially. Here, we present an exceptional and rare case of a hypodermic needle FB that transmigrated to the left atrium and presented as a left atrial mass. Case summary A 28-year-old woman with multiple psychiatric disorders including intentional FB ingestion and self-inflicting injuries presented to the emergency room with abdominal pain, nausea, vomiting, diarrhoea, and chest pain that radiated to the left arm and face for 2 weeks. An echocardiogram was performed revealing a left atrial mass concerning for myxoma. During the surgical removal of the mass, a hypodermic needle was found attached to the roof of the left atrium surrounded by thrombotic and fibrotic tissue, which was confirmed by pathology. Discussion Cardiac FBs are caused generally by penetrating wounds from direct trauma. Fewer cases have been reported regarding cardiac FB caused by ingestion from migration of the object to the heart. Signs and symptoms for cardiac FB may mimic those of cardiac masses. Cardiac FBs often require surgical intervention to avoid complications.

show abstract

Section: Discussionmentioning

confidence: 99%

“… 3 Complications in previous reports have mentioned congestive heart failure, pulmonary or systemic embolization, arrhythmias, and cardiac perforation leading to pericardial effusion, cardiac tamponade, or pericarditis. 1 , 4 , 9 …”

Section: Discussionmentioning

confidence: 99%

A case report of an unusual left atrial mass

Udemgba

Missov

Percy

et al. 2020

European Heart Journal - Case Reports

View full text Add to dashboard Cite

show abstract

“…Foreign bodies within the heart are rare and peculiar circumstances, usually with clues within a detailed medical history as to ascertain the mechanism of the event. There are a variety of case reports of intracardiac foreign bodies due to trauma from bullets, metallic fragments, needle migration via hematologous routes or iatrogenic instrumentation embolism postprocedure 1‐4 . Case reports of ingestion or inhalation as the cause of emboli show the potential consequences, often requiring surgical exploration and repair 5‐7 .…”

Section: Introductionmentioning

confidence: 99%

“…There are a variety of case reports of intracardiac foreign bodies due to trauma from bullets, metallic fragments, needle migration via hematologous routes or iatrogenic instrumentation embolism postprocedure. [1][2][3][4] Case reports of ingestion or inhalation as the cause of emboli show the potential consequences, often requiring surgical exploration and repair. [5][6][7] It is very rare that the patient himself would be unaware of such a significant event and fail to offer any clues within the history.…”

Section: Introductionmentioning

confidence: 99%

Intracardiac foreign body: A rare cause of recurrent fungemia

Wong

Rocha

2020

J Card Surg

View full text Add to dashboard Cite

Background An intracardiac foreign body causing recurrent fungemia is a rare clinical situation. Clinicians should be that aware of rare sources of sepsis despite a thorough history and examination. Results The authors describe a 63 year‐old man, with unremarkable past medical history, who presented with a fever for 2 weeks. Blood cultures persistently grew Candida albicans and Streptococcus constellatus. Echocardiogram assessment showed a suspected vegetation over the tricuspid valve. Surgical exploration with median sternotomy and cardiopulmonary bypass revealed a tooth‐pick impacted within the right atrium surrounded by vegetation. The authors postulate accidental ingestion of the foreign body and translocation into the right atrium via the esophagus and thoracic cavity. Conclusion Surgical removal of symptomatic intracardiac foreign bodies is highly recommended.

show abstract

“…These include dental, obstetric and gynecologic, laparoscopic surgeries, spinal tap procedures and acupuncture procedures. 7 -18 There has been one report of retained intraocular surgical needle that had been incidentally identified 5 years from the inciting surgery . 19…”

Section: Introductionmentioning

confidence: 99%

A Case Report of a Buried Needle in an Oculofacial Trauma

Parulan

Sundar²

2020

Craniomaxillofacial Trauma & Reconstruction Open

View full text Add to dashboard Cite

We report a case of a 40-year-old East Asian male who presented with multiple facial lacerations and was referred to oculoplastics for periorbital assessment and wound repair. On wound closure, the needle of a 6-0 vicryl suture accidentally detached, and a mobile image intensifier was used which did not detect a foreign body. Surgical closure was done, but upon computed tomography scan of the face, an embedded foreign material was seen. Difficult secondary wound exploration was performed but with the aid of an intraoperative magnetic probe, the 11-mm needle was identified in entirety.

show abstract

The story of the lost needle: Foreign body embolization to the heart

Cited by 10 publications

References 10 publications

A case report of an unusual left atrial mass

A case report of an unusual left atrial mass

Intracardiac foreign body: A rare cause of recurrent fungemia

A Case Report of a Buried Needle in an Oculofacial Trauma

Contact Info

Product

Resources

About