Self-inserted Sewing Needles Through the Abdominal Wall: Is the Laparoscopic Approach with Omentectomy a Feasible Option?

Aktimur R, Cetinkunar S and Kucuk OG

Department of General Surgery, Istanbul Aydin University, Turkey
Department of General Surgery, Adana Numune Training and Research Hospital, Turkey
Department of General Surgery, Samsun Training and Research Hospital, Turkey

^*Correspondance to: Recep Aktimur 

 PDF  Full Text DOI: 10.25107/2474-1647.1029

Abstract

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.

Keywords

Foreign body; Sewing needles; Laparoscopy

Cite the article

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.