• Skip to primary navigation
  • Skip to main content
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • SAGES Store
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
    • “Unofficial” Logo Products
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2024 Scientific Session Call For Abstracts
      • 2024 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Fellows Career Development Course
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES Top 21 MIS Procedures
    • SAGES Pearls
    • SAGES Flexible Endoscopy 101
    • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • OWLS
  • Log In

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

790

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

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!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2024 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons