Misra S, Jain V, Ahmad F, Kumar R, Kishore N
Department of Surgery, C.S.M. Medical University, Lucknow, Uttar Pradesh, India.
Niger J Clin Pract. 2013 Oct-Dec;16(4):540-3. doi: 10.4103/1119-3077.116879.
We reported an unusual case of a 26-year-old man presenting to surgical emergency as generalized peritonitis following an ingestion of multiple metallic sewing needles. The X-ray of his abdomen showed pneumoperitoneum and multiple metallic foreign bodies in the abdominal cavity. An ultrasonogram of his abdomen showed multiple metallic foreign bodies in the abdominal cavity and urinary bladder. Emergency exploratory laparotomy was performed. On laparotomy, gastric and duodenal perforation was found through which metallic sewing needles were protruding out. A peritoneal lavage was done, and all the sewing needles were extracted from the perforation site, paracolic gutter, liver parenchyma, and urinary bladder. The primary repair of the perforation with omental patching was done with the drainage of subhepatic space and pelvic cavity. These multiple ingested sewing needles led to the perforation of the stomach and the duodenum, which resulted in perforation peritonitis.
我们报告了一例不同寻常的病例，一名26岁男子因吞食多根金属缝纫针后以弥漫性腹膜炎的症状被送往外科急诊。他的腹部X光片显示有气腹和腹腔内多个金属异物。腹部超声检查显示腹腔和膀胱内有多个金属异物。遂进行了急诊剖腹探查术。剖腹手术时，发现胃和十二指肠穿孔，金属缝纫针从穿孔处穿出。进行了腹腔灌洗，并从穿孔部位、结肠旁沟、肝实质和膀胱中取出了所有缝纫针。对穿孔进行了大网膜修补的一期修复，并对肝下间隙和盆腔进行了引流。这些多根吞食的缝纫针导致了胃和十二指肠穿孔，进而引发了穿孔性腹膜炎。
