tailieunhanh - Báo cáo y học: "An interesting journey of an ingested needle: a case report and review of the literature on extraabdominal migration of ingested Foreign bodies"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: An interesting journey of an ingested needle: a case report and review of the literature on extraabdominal migration of ingested Foreign bodies. | Ozkan et al. Journal of Cardiothoracic Surgery 2011 6 77 http content 6 1 77 REVIEW JCTS JOURNAL OF CARDIOTHORACIC SURGERY Open Access An interesting journey of an ingested needle a case report and review of the literature on extraabdominal migration of ingested Foreign bodies 7 z- I 1 1 2 J c r Irl z 1 1 Zeynep Ozkan Metin Kement Ahmet B Kargi Zafer Censur Fazli C Gezen Selahattin Vural and Mustafa Oncel 1 Abstract Swallowed foreign bodies encounter a major problem especially in children but fortunately they mostly do not cause any related complication and are easily passed with the stool. In this paper an interesting journey of a needle is presented. A 20-year old female admitted to our emergency service after she had swallowed a sewing machine needle which is initially observed in the stomach in the plain abdominal radiography. During the followup period the needle traveled through bowels and surprisingly was observed in the left lung on 10th day of the follow-up. It was removed with a thoracotomy and pneumotomy under the fluoroscopic guidance. The postoperative period was uneventful and the patient was discharged from the hospital on the day 5. We also review the literature on interesting extra-abdominal migrations of swallowing foreign bodies. Keywords Foreign body migration pneumotomy Background The foreign body ingestion occurs usually in children. Although it is detected rarely in adults prisoners mentally retarded people and young girls with turban in Islamic countries are commonly affected 1-3 . Foreign bodies generally pass spontaneously through the gastrointestinal tract GI tract and do not result in any complications but very sharp or pointed objects may cause perforations along the gastrointestinal tract. In addition retained foreign bodies may cause gastrointestinal erosions and abrasions which result in bleeding. The rate of complication from foreign body ingestion is estimated less than 1 . Complications due to foreign