Nigerian Journal of Clinical Practice

CASE REPORT
Year
: 2013  |  Volume : 16  |  Issue : 4  |  Page : 540--543

Metallic sewing needle ingestion presenting as acute abdomen


S Misra, V Jain, F Ahmad, R Kumar, N Kishore 
 Department of Surgery, C.S.M. Medical University, Lucknow, Uttar Pradesh, India

Correspondence Address:
S Misra
3/184 Vikram Khand, Gomti Nagar, Lucknow, Uttar Pradesh 226 006
India

We reported an unusual case of a 26-year-old man presenting to surgical emergency as generalized peritonitis following an ingestion of multiple metallic sewing needles. The X-ray of his abdomen showed pneumoperitoneum and multiple metallic foreign bodies in the abdominal cavity. An ultrasonogram of his abdomen showed multiple metallic foreign bodies in the abdominal cavity and urinary bladder. Emergency exploratory laparotomy was performed. On laparotomy, gastric and duodenal perforation was found through which metallic sewing needles were protruding out. A peritoneal lavage was done, and all the sewing needles were extracted from the perforation site, paracolic gutter, liver parenchyma, and urinary bladder. The primary repair of the perforation with omental patching was done with the drainage of subhepatic space and pelvic cavity. These multiple ingested sewing needles led to the perforation of the stomach and the duodenum, which resulted in perforation peritonitis.


How to cite this article:
Misra S, Jain V, Ahmad F, Kumar R, Kishore N. Metallic sewing needle ingestion presenting as acute abdomen.Niger J Clin Pract 2013;16:540-543


How to cite this URL:
Misra S, Jain V, Ahmad F, Kumar R, Kishore N. Metallic sewing needle ingestion presenting as acute abdomen. Niger J Clin Pract [serial online] 2013 [cited 2020 Sep 28 ];16:540-543
Available from: http://www.njcponline.com/article.asp?issn=1119-3077;year=2013;volume=16;issue=4;spage=540;epage=543;aulast=Misra;type=0