Foreign body of the spleen from percutaneous entry

Mungazi, Simbarashe Gift; Ndebele, Wedu; Zimunhu, Taurai; Magara, M; Mbuwayesango, Bothwell; Muchuweti, David; Muguti, Edwin G.; Gwini, Grace; Gandanhamo, Danboy

doi:10.1016/j.epsc.2019.02.016

Cited by 1 publication

(3 citation statements)

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“…From this, it was speculated that the object might be a needle, as seen in other cases [ 3 , 4 ]. There are two manners of foreign body impaction in the spleen, transgastroenteric or transcutaneous [ 1–5 ], neither of which appeared feasible here and the lack of any history of foreign body ingestion, psychiatric history nor prior procedures is perplexing. The absence of reactionary inflammation at the time of presentation implicates its presence in the spleen for a protracted, perhaps since childhood.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Penetration of a solid organ by a foreign body is a well-documented phenomenon, though remains uncommon in everyday practice [ 1–5 ]. With regard to the spleen, there have been three cases of foreign body impaction reported [ 1 , 2 , 5 ]; all in a paediatric cohort after direct ingestion. The case hereafter is the first instance of a splenic foreign body in an adult and associated sepsis, highlighting the perils of foreign body impaction and the risk–benefit dichotomy of surgical intervention.…”

Section: Introductionmentioning

confidence: 99%

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Needle in a haystack: a case report of splenic foreign body-associated sepsis

Turner

Barnacle²,

Sheth

2021

Journal of Surgical Case Reports

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Instances of foreign bodies impacted in solid organs are rare, and rarer still are reports of objects in the spleen. A 42-year-old presented septic with abdominal pain, high inflammatory markers and haemodynamic instability. She was found to have a splenic haematoma and a 4-cm hyperdense foreign body within the spleen. Ultrasound-guided drainage of the haematoma isolated Streptococcus anginosus and conservative management with intravenous antibiotics avoided the need for emergency splenectomy. The bacterium isolated was the same cultured 9 months previously from the patient’s empyema fluid. The origin of the foreign body was not identified, though is made of metal and pre-dates any hospital admissions. The case raised the question of how an object might penetrate the spleen without knowledge of the patient and highlighted the risks of foreign body-associated sepsis, the risks and benefits of emergency splenectomy and management of complex cases with paucity of evidence.

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Section: Discussionmentioning

confidence: 99%