Foreign body: A sewing needle migrating from the gastrointestinal tract to pancreas
Fatih Dal
, Engin Hatipoğlu, Serkan Teksöz, Metin Ertem
Department of General Surgery, İstanbul University Cerrahpaşa School of Medicine, İstanbul, Turkey
Abstract
Of all ingested foreign bodies, 2.4% comprise of sewing needles. Through perforation of gastrointestinal tract, which occurs in 1% of cases, they can migrate into the liver and pancreas. Foreign bodies in pancreas should be considered in the differential diagnosis of chronic abdominal pain. Computed tomography scans provide valuable information for the localization of the lesion, which guide the surgeon during the operation. Secondary to foreign bodies that migrate to the pancreas, complications with high mortality such as pancreatitis, pseudoaneurysm, and pancreas abscess can be seen. Thus, for this patient group, diagnostic laparoscopy is recommended, considering its advantages of decreased postoperative pain, decreased wound infection, and faster recovery time. Here we present a case of a 23-year-old female patient, from whom an ingested needle that migrated from the back wall of the stomach to the pancreas was extracted by laparoscopic surgery.
Keywords: Sewing needle, pancreas, laparoscopy
Cite this paper as: Dal F, Hatipoğlu E, Teksöz S, Ertem M. Foreign body: A sewing needle migrating from the gastrointestinal tract to pancreas. Turk J Surg 2018; DOI: 10.5152/turkjsurg.2017.3391
Written informed consent was obtained from patient who participated in this study.
Externally peer-reviewed.
Concept - M.E., S.T.; Design - S.T., F.D.; Supervision - M.E., S.T.; Resource - E.H., F.D.; Materials - E.H., F.D.; Data Collection and/or Processing - E.H., F.D.; Analysis and/or Interpretation - M.E., S.T.; Literature Search - S.T., F.D.; Writing Manuscript - S.T., F.D.; Critical Reviews - S.T., F.D.
The authors have no conflicts of interest to declare.
The authors declared that this study has received no financial support.