A Rare Case of Penetration of the Duodenal Descending Portion with Migration to the Pancreatic Head by Invested Foreign Body

Eiji Sunami, Isao Kurosaki*, Shintaro Komukai and Katsuyoshi Hatakeyama*

Department of Surgery, Shirone Kensei Hospital
Digestive and General Surgery, Niigata University, Graduate School of Medical and Dental Science*

A healthy 50-year-old man without psychosomatic disorder and referred for right hypochondralgia in June 2006 was found in gastrointestinal fiberscopy to have an elevated lesion with redness on the opposite side of the duodenal ampulla. Abdominal X-ray imaging and plain abdominal computed tomography indicated a 2.5 cm long needle-shaped foreign body in the descending duodenum and the pancreatic head, necessitating surgery. Laparotomy showed that a 2.5 cm long metallic needle had passed through the duodenum and to the pancreatic head but free of ascites, intraabdominal bleeding, abdominal free air and retroperitoneal abscess, necessitated removal of the needle with drainage tube insertion, cholecystectomy, and C tube drainge. The postoperative course was uneventful. Cases of needle ingestion with penetration through the duodenum are mercifully.

Key words
foreign body, the descending duodenum, penetration

Reprint requests
Eiji Sunami Department of Surgery, Shirone Kensei Hospital
770-1 Jouge-Suwagi, Niigata, 950-1293 JAPAN

Accepted
July 25, 2007

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