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Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture
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Single-incision laparoscopic surgery for ingested foreign body removal.

Hong Yu1, Shuodong Wu1, Xiaopeng Yu1

  • 1Shengjing Hospital of China Medical University, Shenyang, Liaoning Province, China.

The American Journal of Emergency Medicine
|November 12, 2013
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Summary

This case report details the successful laparoscopic removal of an ingested iron nail from a jejunum in a 16-year-old male. The minimally invasive surgery ensured a swift recovery with no complications.

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Area of Science:

  • Gastroenterology
  • Minimally Invasive Surgery
  • Pediatric Surgery

Background:

  • Foreign body ingestion in adolescents can pose significant surgical challenges.
  • Timely diagnosis and intervention are crucial for favorable outcomes.

Observation:

  • A 16-year-old male presented after intentional ingestion of a 6-cm iron nail.
  • Computed tomography revealed the foreign body lodged in the jejunum.
  • The patient was asymptomatic at presentation.

Findings:

  • Emergency surgery was performed using a single-incision laparoscopic surgery (SILS) approach.
  • The iron nail was successfully removed via enterostomy with extracorporeal suturing.
  • The procedure lasted 1 hour with no blood loss.

Implications:

  • Single-incision laparoscopic surgery is a viable and effective technique for jejunal foreign body removal.
  • This approach offers potential benefits such as reduced scarring and faster recovery.
  • This represents the first reported case of SILS for jejunal foreign body extraction.