title: Sewing needles in the abdominal cavity assumed to have been ingested and to have penetrated the GI tract 40 years ago: A case report.
abstract: A 60-year old woman had been hospitalized in a psychiatric hospital for 40 years for schizophrenia. An X-ray was performed when she fell, which showed needles in the abdominal field. After additional examinations and questioning, the patient was diagnosed with needles in the abdominal cavity, which were assumed to have been ingested and to have perforated the GI tract 40 years ago. They were removed by laparoscopic surgery. The needles were found in the omentum and near the left ovary. There were no inflammatory reactions around them. There have been previous reports about the removal of intra-abdominal foreign bodies, but foreign body reaction occurred in most of the reports. Our case had the longest period from ingestion of the foreign bodies to their removal. Laparoscopy and intraoperative fluoroscopy are useful for removing intra-abdominal foreign bodies because of their ability to help discriminate between structures and to navigate in real time.
authors.affiliation: Department of General Surgery, Toyohashi Municipal Hospital, Toyohashi, Japan.
authors.forename: Naoya
authors.initials: N
authors.lastname: Yamaguchi
authors.affiliation: Department of General Surgery, Toyohashi Municipal Hospital, Toyohashi, Japan.
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Hiramatsu
authors.affiliation: Department of General Surgery, Toyohashi Municipal Hospital, Toyohashi, Japan.
authors.forename: Yoshihisa
authors.initials: Y
authors.lastname: Shibata
authors.affiliation: Department of General Surgery, Toyohashi Municipal Hospital, Toyohashi, Japan.
authors.forename: Motoi
authors.initials: M
authors.lastname: Yoshihara
authors.affiliation: Department of General Surgery, Toyohashi Municipal Hospital, Toyohashi, Japan.
authors.forename: Taro
authors.initials: T
authors.lastname: Aoba
authors.affiliation: Department of General Surgery, Toyohashi Municipal Hospital, Toyohashi, Japan.
authors.forename: Tadahiro
authors.initials: T
authors.lastname: Kamiya
authors.affiliation: Department of General Surgery, Toyohashi Municipal Hospital, Toyohashi, Japan.
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Koike
authors.affiliation: Department of General Surgery, Toyohashi Municipal Hospital, Toyohashi, Japan.
authors.forename: Takeru
authors.initials: T
authors.lastname: Fujita
authors.affiliation: Department of General Surgery, Toyohashi Municipal Hospital, Toyohashi, Japan.
authors.forename: Chikara
authors.initials: C
authors.lastname: Maeda
authors.affiliation: Department of General Surgery, Toyohashi Municipal Hospital, Toyohashi, Japan.
authors.forename: Kisuke
authors.initials: K
authors.lastname: Ito
authors.affiliation: Department of General Surgery, Toyohashi Municipal Hospital, Toyohashi, Japan.
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Kanbara
authors.affiliation: Department of General Surgery, Toyohashi Municipal Hospital, Toyohashi, Japan.
authors.forename: Motonobu
authors.initials: M
authors.lastname: Nishimura
authors.affiliation: Department of General Surgery, Toyohashi Municipal Hospital, Toyohashi, Japan.
authors.forename: Ryutarou
authors.initials: R
authors.lastname: Kobayashi
authors.affiliation: Department of General Surgery, Toyohashi Municipal Hospital, Toyohashi, Japan.
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Dei
authors.affiliation: Department of General Surgery, Toyohashi Municipal Hospital, Toyohashi, Japan.
authors.forename: Aitaro
authors.initials: A
authors.lastname: Takimoto
authors.affiliation: Department of General Surgery, Toyohashi Municipal Hospital, Toyohashi, Japan.
authors.forename: Yukiko
authors.initials: Y
authors.lastname: Nonaka
authors.affiliation: Department of General Surgery, Toyohashi Municipal Hospital, Toyohashi, Japan.
authors.forename: Takehito
authors.initials: T
authors.lastname: Kato
mesh_terms: D005260:Female; D005547:Foreign Bodies / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery*; D041981:Gastrointestinal Tract; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D009339:Needles; D013997:Time Factors; D014057:Tomography, X-Ray Computed
keywords: Foreign body; intraoperative fluoroscopy; laparoscopic surgery