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Sewing needle in the small omentum after ingestion of unknown date


Authors: Miroslav Knezevic, Ljubomir Đurašić

Pages: 57-60

DOI: 10.2298/ACI1502057K


Sewing needle inside of the abdominal cavity after ingestion, is described in a minority of cases, according to reviewed literature. Swallowed foreign body is more common in children, persons deprived of their liberty and psychiatric patients. It frequently passes asymptomatic by elimination from the digestive tract. Case report: The patient J.P. 75 years old from Bar, hospitalized at the department because of  metallic foreign bodie - sewing needle in the abdominal cavity. Rtg native abdominal MDCT of the abdomen and EGDS in consultation with gastroenterologist from Clinical Center in Podgorica, is made outpatient. After treatment the patient was operated on 19th November, 2013 by the classic laparotomy and after the expected recovery, without complications discharged. Discussion: Foreign body in the omentum  can arrive from the digestive tube migration and penetration through the abdominal wall. In some organs of the abdominal cavity, such as the liver can come through bloodstream. Perforation of the GI tract occurs in less than 1% of cases, mainly through the digestive tube runs without problems in about a week. The migration of a sewing needle through the stomach can cause a state of emergency abdominal or can go through asymptomatic. Treatment is traditionally classical laparotomy, while today there are more works that favor the laparoscopic method. Conclusion: The rarity of surgical practice that has been treated laparotomy and removing foreign bodies. Today, more and more works where the extraction of foreign bodies from the abdominal cavity is made by the laparoscopic method.

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