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Updated: May 8, 2026
04:55
Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
Published on: September 11, 2018
Metallic sewing needle ingestion presenting as acute abdomen
1Department of Surgery, C.S.M. Medical University, Lucknow, Uttar Pradesh, India.
Nigerian Journal of Clinical Practice
|August 27, 2013
Summary
A young man developed generalized peritonitis after swallowing multiple sewing needles. Emergency surgery revealed gastric and duodenal perforations, requiring needle extraction and repair.
Area of Science:
- Gastroenterology
- Surgical Emergency Medicine
- Radiology
Background:
- Ingestion of foreign bodies, particularly sharp metallic objects like sewing needles, presents a significant clinical challenge.
- Perforation of the gastrointestinal tract and urinary bladder is a rare but severe complication.
Observation:
- A 26-year-old male presented with generalized peritonitis after ingesting multiple metallic sewing needles.
- Abdominal X-ray revealed pneumoperitoneum and multiple foreign bodies; ultrasonography confirmed intra-abdominal and bladder foreign bodies.
Findings:
- Emergency exploratory laparotomy identified gastric and duodenal perforations with needles protruding.
- Needles were extracted from multiple sites including the liver parenchyma and urinary bladder.
- Primary repair of perforations with omental patching and surgical drainage was performed.
Implications:
- Ingested metallic sewing needles can cause life-threatening gastric and duodenal perforations leading to peritonitis.
- Prompt surgical intervention is crucial for managing such complex foreign body ingestions.
- This case highlights the importance of considering unusual foreign body ingestion in patients with acute abdominal emergencies.
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