Fan Jian, Wang Ming-Ming, Liu Yu-Ping
Department of Trauma Orthopedics, Tongji hospital, Tongji University, Tongji, China.
Department of Trauma Orthopedics, Tengzhou Central People's Hospital, Jining Medical College, Tengzhou, China.
Open Med (Wars). 2017 Dec 29;12:446-449. doi: 10.1515/med-2017-0063. eCollection 2017.
Penetrating sacral injuries are very rare, but foreign bodies that penetrate the sacrum often cause pain, cerebrospinal fluid leakage, and neurological symptoms. Careful preoperative medical and imaging examinations, determining the position of the foreign body, and surgical exploration are essential in the management of such cases. We present the case of a woman who visited our emergency department with a broken sewing needle in her sacrum. The incident occurred when the patient accidentally sat on the needle while sewing by hand. Pain while sitting was the main clinical finding after the accident. The patient was treated successfully by surgical exploration aided by a permanent magnet. At follow-up a few months later, she was symptom-free. In clinical practice physicians often encounter patients with metallic foreign bodies. Permanent magnets play an important role in the removal of metallic foreign bodies, and emergency department physicians should master the methods and techniques.
穿透性骶骨损伤非常罕见，但穿透骶骨的异物常导致疼痛、脑脊液漏和神经症状。对此类病例的处理，术前仔细的医学和影像学检查、确定异物位置以及手术探查至关重要。我们报告一例女性患者，因骶骨内有一根折断的缝纫针前来我院急诊科就诊。该事件发生在患者手工缝纫时不小心坐到了针上。事故发生后，主要临床症状是坐位时疼痛。通过永久磁铁辅助手术探查，患者得到了成功治疗。几个月后的随访中，她已无症状。在临床实践中，医生经常会遇到有金属异物的患者。永久磁铁在金属异物取出中发挥着重要作用，急诊科医生应掌握相关方法和技巧。
