Related Experiment Video
Updated: Oct 26, 2025

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Clinical Pulp Fiction: First Multimodality Imaging of Needle Migration From Distal Esophagus Into Ventricular Septum
Claire F Woodworth1, Susan M Fagan2, Scott R Harris1
1Discipline of Radiology, Faculty of Medicine, Memorial University of Newfoundland, St. John's, Newfoundland and Labrador, Canada.
Abstract:
A 21-year-old woman self-ingested an 18-gauge needle that perforated the distal esophagus into the left inferior ventricular myocardium, with migration into the septum. Radiography, computed tomography, and echocardiography imaging characterized the needle's location. Following an initial endoscopy and pericardial tamponade drainage, complete needle removal occurred via median sternotomy and cardiopulmonary bypass. (Level of Difficulty: Intermediate.).
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