Abstract
We report on a 3-year-old boy who, after ingestion of turpentine, had an x-ray and
was incidentally diagnosed with an intrahepatic needle. He was asymptomatic with no
history of needle ingestion. Imaging (ultrasound and computed tomographic scans) showed
a needle in segment 1, close to the inferior vena cava, with a proximal end in contact
with the superior angle of the duodenum. Because of the localization of the needle
and subsequent risks of complications, removal was proposed. Laparoscopy showed dense
adhesions between liver and duodenum, confirming the migration route. Laparoscopic
extraction of an entire sewing needle was performed. Postoperative course was uneventful;
the child was discharged home after 2 days and is alive and well 19 months after surgery.
Laparoscopy may be useful in children for extraction of intrahepatic foreign bodies,
after transduodenal migration.
Key words
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© 2009 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
