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Spontaneous passage of ingested sewing needle: A case report
Yohannis Derbew Molla1, Tewodros Baye Gelaw1, Hirut Tesfahun Alemu2
1Department of Surgery, College of Medicine and Health Sciences University of Gondar Gondar Ethiopia.
Clinical Case Reports
|May 9, 2024
Summary
Swallowing a sewing needle is rare but dangerous. Conservative management with imaging is effective for asymptomatic patients, as most needles pass without surgery.
Area of Science:
- Medical Case Reports
- Gastroenterology
- Emergency Medicine
Background:
- Sewing needle ingestion is an uncommon yet serious medical emergency.
- Accidental ingestion can occur across all age groups, necessitating careful clinical evaluation.
Observation:
- A 17-year-old girl presented after ingesting a sewing needle while sewing.
- She experienced hematemesis and vomiting, indicating potential gastrointestinal trauma.
Findings:
- Conservative management, including serial abdominal examinations and X-rays, was employed.
- The patient successfully passed the ingested needle without surgical intervention or complications.
Implications:
- Non-operative management is a viable strategy for select patients with ingested needles.
- Early recognition and appropriate monitoring are crucial for favorable outcomes in sewing needle ingestion cases.
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