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Sewing needles in the abdominal cavity assumed to have been ingested and to have penetrated the GI tract 40 years ago: A case report
Author(s) -
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,
aka Yukiko,
Kato Takehito
Publication year - 2017
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12375
Subject(s) - medicine , abdominal cavity , foreign body , surgery , foreign bodies , laparoscopy , ingestion , foreign body ingestion
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.