title: Laparoscopic removal of ingested pin penetrating the gastric wall in an immunosuppressed patient.
abstract: Foreign body ingestion is a well-recognized and relative common problem. Most foreign bodies pass spontaneously and uneventfully through the digestive tract. In some cases, however, the ingestion of foreign bodies is associated with a high risk of complications because of their size or shape or the hosts medical status. We report a case of successful laparoscopic removal of an accidentally ingested pin that was penetrating the anterior gastric wall in a immunosuppressed patient. After removal of the pin, the opening of the gastric wall was closed with an extracorporeal hand-suturing technique. The patient recovered uneventfully and was discharged in good health on the 5th day after the procedure. Laparoscopy should be considered the approach of choice for the removal of ingested foreign bodies when surgery is indicated.
authors.affiliation: Department of General, Visceral, Vascular, and Thoracic Surgery, Medical Faculty Charité, Humboldt University, Berlin, Germany. chris.braumann@charite.de
authors.forename: C
authors.initials: C
authors.lastname: Braumann
authors.forename: O
authors.initials: O
authors.lastname: Goette
authors.forename: C
authors.initials: C
authors.lastname: Menenakos
authors.forename: J
authors.initials: J
authors.lastname: Ordemann
authors.forename: C A
authors.initials: CA
authors.lastname: Jacobi
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000368:Aged; D003348:Cortisone / Q000008:administration & dosage; D005260:Female; D005547:Foreign Bodies / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D016867:Immunocompromised Host; D007165:Immunosuppression Therapy; D007275:Injections, Intravenous; D010535:Laparoscopy; D011111:Polymyalgia Rheumatica / Q000150:complications / Q000188:drug therapy; D011239:Prednisolone / Q000627:therapeutic use; D011859:Radiography; D013270:Stomach / Q000293:injuries / Q000601:surgery; D013330:Struma Ovarii / Q000150:complications / Q000188:drug therapy; D013536:Suture Techniques; D013974:Thyroxine / Q000627:therapeutic use; D014950:Wounds, Penetrating / Q000209:etiology / Q000601:surgery
chemical_list: D011239:Prednisolone; D013974:Thyroxine; D003348:Cortisone