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Related Experiment Videos

Jejunoaortic fistula from ingested seamstress needle.

E Hambrick, T R Rao, L T Lim

    Archives of Surgery (Chicago, Ill. : 1960)
    |June 1, 1979
    PubMed
    Summary

    A sewing needle caused massive gastrointestinal bleeding by forming a rare jejunoaortic fistula. This foreign body, likely ingested in infancy, was successfully removed surgically.

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    Area of Science:

    • Gastroenterology and Surgery
    • Vascular Surgery
    • Foreign Body Ingestion

    Background:

    • Massive upper gastrointestinal bleeding (UGIB) necessitates prompt diagnosis and intervention.
    • Foreign bodies, particularly metallic objects, can cause severe gastrointestinal complications.
    • Jejunoaortic fistulas are exceedingly rare but life-threatening conditions.

    Observation:

    • A 27-year-old male presented with sudden, massive hematemesis and hematochezia.
    • Esophagogastroduodenoscopy failed to identify a bleeding source, suggesting a post-ligament of Treitz origin.
    • Abdominal angiography revealed an intra-aortic metallic foreign body resembling a sewing needle.

    Findings:

    • Surgical exploration identified a chronic jejunoaortic fistula.
    • A sewing needle was found within the fistula and successfully removed.
    • The patient had no memory of ingesting the foreign body, presumed to be from infancy.

    Implications:

    • This case highlights the diagnostic challenges of obscure GI bleeding.
    • Intra-aortic foreign bodies can lead to rare but critical vascular complications.
    • Surgical repair of jejunoaortic fistulas is essential for patient survival.

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