• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • MIS Fellows Course
      • SAGES Robotics Residents and Fellows Courses
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / Needle Ingestion : Laparoscopic and Endoscopic Tailored Approach

Needle Ingestion : Laparoscopic and Endoscopic Tailored Approach

Introduction
Needle ingestion is extremly rare among the ingested foreign bodies.
The longer, slender, sharp-ended foreign bodies such as needles, the chances of perforation are considerably greater. In most, foreign body ingestion cases are excreted per vias naturals, but in some cases, especially needles, the object does not pass naturally, and lead to perforation of the bowel. The authors experienced 3 cases of needle ingestion . two cases were treated by laparoscopic approach and one case was treated by colonoscopic approach.
Case 1
A 34-year-old man who ingested a needle about 10 days ago was refered to our clinic with left lower quadrant(LLQ) pain for 2 days. On Physical examination, the showed tenderness on LLQ area, but no rebound tenderness and muscle guarding.
Abdominal plain X-ray and CT scan showed a needle in the descending colon and perforation into retroperitoneum. We performed laparoscopic approach and dissected white line, then removed the needle from descending colon. The regular diet started at POD#4, and patients discharged at POD #6.
Case 2
A 55-year-old man, who ingested two needles about 5 days ago, was refered to our clinic with RUQ and periumbilical pain for 2 days.
Plain abdominal X-ray and CT scan showed needles located in 2nd portion of duodenum and proximal jejunum and the penetrated bowel wall. By laparoscopic approach, we removed the two needles from duodenum and jejunum and performed irrigation.
Case 3
A 30- year -old man who ingested a needle and coil spring of ballpoint pen about a week ago, visited clinic with RLQ pain. On physical examination he showed no tenderness or rebound tenderness. Plain abdominal X-ray and CT scan revealed a needle to be located and stucked in cecum and the coil spring portion located in sigmoid colon. There was no penetration finding. The coil spring was eliminated with defecation 1 day after admission. We performed colonoscopy and removed the needle with snare.
Result
Laparoscopic approach is treatment of choice that patients who have tenderness or rebound tenderness because needle can penetrate and perforate bowel. It is difficult to perform endoscopic or colonoscopic approach.
There was no need of additional suture, and we only performed irrigation and placed JP drain. If there was no perforation sign, the location of needle is adequate for endoscopic or colonoscopic removal, and endoscopic approach is a choice.


Session: Poster

Program Number: P501

View Poster

801

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon
  • Click to share on Threads (Opens in new window) Threads
  • Click to share on Bluesky (Opens in new window) Bluesky

Related


sages_adbutler_leaderboard

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals