Aktimur R1*, Cetinkunar S2 and Kucuk OG3
1Department of General Surgery, Istanbul Aydin University, Turkey
2Department of General Surgery, Adana Numune Training and Research Hospital, Turkey
3Department of General Surgery, Samsun Training and Research Hospital, Turkey
Background: Ingestion of sewing needles is fairly common in daily emergency medical practice, but repetitive self-insertion of sewing needles through the abdominal wall is a rare condition.Objective: This case is illustrated to point that in patients with self-insertion of a foreign body through the abdominal wall, laparoscopic approach should be considered with the advantage of magnifying effect and improved postoperative clinical outcomes.Case: In the present case, one subcutaneous and two intraperitoneal, non-ingested, forcefully inserted sewing needles were managed laparoscopically. The clinical presentation and laparoscopic technique were discussed under a review of recent literature.Conclusion: Laparoscopic exploration has the advantage of magnified sight, which can be helpful in finding non-localized, intra-abdominal foreign bodies, when the object is stuck in the omentum.
Foreign body; Sewing needles; Laparoscopy
Aktimur R, Cetinkunar S, Kucuk OG. Self-inserted Sewing Needles Through the Abdominal Wall: Is the Laparoscopic Approach with Omentectomy a Feasible Option? Clin Surg. 2016; 1: 1029.