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Inorganic Chemistry
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Postoperative Pain Due To A Retained Needle In The Mesentery Of The Ascending Colon: A Case Report.

Home
Research Domains
Chemical Sciences
Inorganic Chemistry
Inorganic Chemistry Not Elsewhere Classified
Postoperative Pain Due To A Retained Needle In The Mesentery Of The Ascending Colon: A Case Report.

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Postoperative Pain Due to a Retained Needle in the Mesentery of the Ascending Colon: A Case Report.

Michail Angelos Papaoikonomou¹, Europi Michailidou¹, Aggeliki Chlorou¹

¹Department of General Surgery, Agios Pavlos General Hospital, Thessaloniki, GRC.

|February 25, 2025

View abstract on PubMed

Summary

This summary is machine-generated.

A sewing needle was found lodged in a patient's colon after surgery. This rare case highlights the possibility of silent intra-abdominal foreign bodies, even after laparoscopic procedures.

Keywords:

acute postoperative pain foreign body mesentery migration

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Area of Science:

Gastroenterology
Surgical Case Reports
Abdominal Surgery

Background:

Intra-abdominal foreign bodies are typically associated with acute inflammation.
Accidental sewing needle ingestion is common in emergency medicine.
Penetration of the abdominal wall by a needle, remaining asymptomatic, is exceptionally rare.

Observation:

A 41-year-old female presented with acute right abdominal colic on the third postoperative day following laparoscopic cholecystectomy.
An incidental finding of a needle was made on the antimesenteric border of the ascending colon.
The patient had no prior history suggestive of needle ingestion or abdominal trauma.

Findings:

Laparotomy revealed a corroded sewing needle retained within the intestinal mesentery.

The needle was successfully removed along with its sheath.

Histopathological examination of the surrounding tissue showed minimal reactive changes, consistent with a chronic or silent presence.

Implications:

This case underscores the importance of considering unusual presentations of intra-abdominal foreign bodies, especially in the postoperative period.
It highlights a rare complication where a foreign body can remain undetected without significant inflammatory response.
Further vigilance is warranted in diagnosing and managing such uncommon surgical scenarios to prevent potential complications.