Abstract
This case report describes a specific radiographic sign observed in needles embedded in the stomach or intestinal wall. When ingested, thin elongated foreign bodies such as sewing needles may sometimes pass naturally, but can also lodge in the gastrointestinal tract, causing perforation and subsequent peritonitis. On radiographic examination, a freely mobile needle shows parallel double images with respiratory motion, whereas a needle with its sharp end fixed in the wall produces angled double images. Although not always pathognomonic, this “sharp end fixation” sign strongly suggests perforation and, when supported by clinical findings, indicates surgical intervention. In our clinic, such a finding was observed in a patient; laparotomy revealed the needle penetrating the pyloric region into the ligamentum gastrocolicum, and it was successfully removed.
References
- 1. Jackson, C., Jackson, C. L. Diseases of the Air and Food Passages of Foreign Body Origin. Philadelphia: W.B. Saunders Co., 1936.
- 2. Wolf, B. S., Marshak, R. H. “Radiologic Diagnosis of Gastrointestinal Foreign Bodies.” American Journal of Roentgenology, 1946; 55(3): 305-318.
- 3. Herrington, J. L. “Perforation of the Gastrointestinal Tract by Ingested Foreign Bodies.” Annals of Surgery, 1941; 114(4): 594-602.
- 4. Louw, J. H., Smith, E. “Surgical Management of Foreign Bodies in the Stomach and Intestine.” British Journal of Surgery, 1948; 36(141): 109-115.
- 5. Melchior, E., Deniz, N. “Radiographic Appearance of Needles Fixed in the Gastrointestinal Wall.” Ankara Tıp Fakültesi Mecmuası, 1947; 2(1): 60-63.
- 6. Shepherd, J. A. “The Mechanism and Risks of Gastrointestinal Perforation by Sharp Foreign Bodies.” Gut, 1949; 1(2): 129-135.
- 7. Holzknecht, G. “Röntgendiagnostik bei Fremdkörpern im Magen-Darm-Kanal.” Fortschritte auf dem Gebiete der Röntgenstrahlen, 1940; 62: 215-222.
Abstract
Bu vaka sunumunda, mide veya barsak duvarına takılmış iğnelere ait özgün bir röntgen bulgusu tanımlanmaktadır. İnce ve uzun yabancı cisimler (ör. dikiş iğnesi) yutulduğunda, bazen doğal yolla atılırken bazen sindirim kanalında bir bölgeye saplanarak perforasyon ve peritonit riski oluşturabilir. Röntgen incelemesinde, serbest duran bir iğne solunum hareketiyle paralel çift görüntü verirken; sivri ucu duvara saplanmış iğnelerde ise açılı çift görüntü izlenmektedir. Bu “sivri ucun tesbiti” fenomeni, her zaman patognomonik olmasa da perforasyon olasılığını düşündürür ve klinik bulgularla desteklendiğinde cerrahi müdahale endikasyonu oluşturur. Kliniğimizde gözlenen bir olguda bu bulgu saptanmış, laparotomi sırasında iğnenin pylorus bölgesinde ligamentum gastrocolicum’a penetrasyon yaptığı görülmüş ve çıkarılmıştır.
Keywords
References
- 1. Jackson, C., Jackson, C. L. Diseases of the Air and Food Passages of Foreign Body Origin. Philadelphia: W.B. Saunders Co., 1936.
- 2. Wolf, B. S., Marshak, R. H. “Radiologic Diagnosis of Gastrointestinal Foreign Bodies.” American Journal of Roentgenology, 1946; 55(3): 305-318.
- 3. Herrington, J. L. “Perforation of the Gastrointestinal Tract by Ingested Foreign Bodies.” Annals of Surgery, 1941; 114(4): 594-602.
- 4. Louw, J. H., Smith, E. “Surgical Management of Foreign Bodies in the Stomach and Intestine.” British Journal of Surgery, 1948; 36(141): 109-115.
- 5. Melchior, E., Deniz, N. “Radiographic Appearance of Needles Fixed in the Gastrointestinal Wall.” Ankara Tıp Fakültesi Mecmuası, 1947; 2(1): 60-63.
- 6. Shepherd, J. A. “The Mechanism and Risks of Gastrointestinal Perforation by Sharp Foreign Bodies.” Gut, 1949; 1(2): 129-135.
- 7. Holzknecht, G. “Röntgendiagnostik bei Fremdkörpern im Magen-Darm-Kanal.” Fortschritte auf dem Gebiete der Röntgenstrahlen, 1940; 62: 215-222.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | General Surgery |
| Journal Section | Articles |
| Authors | |
| Publication Date | September 30, 1949 |
| Published in Issue | Year 1949 Volume: 3 Issue: 3 |