We report an interesting case of a 21-year-old unmarried girl who swallowed six sewing needles. Her complaints were pain in the epigastrium, associated with nausea and vomiting. On examination, there was mild tenderness in the epigastrium. X-ray of the abdomen and endoscopy confirmed the presence of six needles in the duodenum, with tips lodged in the duodenal wall. Psychiatric opinion was sought which was normal. Under video endoscope (Pentax 2.8, EG 27708) guidance with Captura biopsy forceps without spikes (Cook DBF-2.4-160-S), six sewing needles were removed successfully from the duodenum through the endoscope channel without any complications. However, a video endoscopic removal of the retained six needles from duodenum is probably being reported for the first time.
Sewing needles Endoscopic forceps Duodenum
This is a preview of subscription content, log in to check access.
Funding/support source, acknowledgement
(MOV 22062 kb)
Enjoji A, Nagata Y, Furuichi A, Kawakami S, Saiwai H, Furui J et al (2004) Successful removal from the duodenum of swallowed sewing needless using devised endoscopic forceps. Endoscopy 36(2):193PubMedCrossRefGoogle Scholar
Rogers BH, Kot C, Meiri S, Epstein M (1982) An overtube for the flexible fiberoptic esophagogastroduodenoscope. Gastrointest Endosc 28:256–257PubMedCrossRefGoogle Scholar
Spurling TJ, Zaloga GP, Richter JE (1983) Fiberendoscopic removal of a gastric foreign body with overtube technique. Gastrointest Endosc 29:226–227PubMedCrossRefGoogle Scholar
Bertoni G, Pacchione D, Conigliaro R, Sassatelli R, Pedrazzoli C, Bedogni G (1992) Endoscopic protector hood for safe removal of sharp-pointed gastroesophageal foreign bodies. Surg Endosc 6:255–258PubMedCrossRefGoogle Scholar
Bertoni G, Sassatelli R, Conigliaro R, Bedogni G (1996) A simple latex protector hood for sage endoscopic removal of sharp-pointed gastroesophageal foreign bodies. Gastrointest Endosc 44:458–461PubMedCrossRefGoogle Scholar