Intra-abdominal insertion of sewing needles: a rare method of child abuse

Al-Shamrani, Hussain; Bakhswain, Amal; Zayeni, Habib; Kattan, Hoda

doi:10.5144/0256-4947.2013.505

Cited by 6 publications

(4 citation statements)

References 8 publications

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“…Child abuse with needles has been described and so has been the need for laparotomy in such cases. [ 9 ] However, the case presented here (case 3) is only the second reported in the literature of a noningested intraperitoneal/visceral FB extracted with laparoscopy. [ 10 ] A timely laparoscopy in these cases should be the standard practice to avoid potentially fatal complications.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic retrieval of unusual intra-abdominal foreign bodies in children

Lone

Kanojia

Samujh

et al. 2016

J Indian Assoc Pediatr Surg

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Foreign body (FB) ingestion is a common problem among the pediatric population. On numerous occasions, the FB is left to pass out spontaneously without expecting any harm. There are instances when the FB is either to dangerous to be left alone, that is a button battery or a sharp object. There may be FB, which is either stuck in GIT or have migrated. The situation in these instances demand active intervention. The traditional option has been laparotomy and retrieval. We present here three cases where two needles and a belt buckle were removed by laparoscopy thus avoiding a laparotomy. These cases prove that laparoscopy should be the first choice for such kind of retrieval. These cases had a successful outcome with full recovery.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic retrieval of unusual intra-abdominal foreign bodies in children

Lone

Kanojia

Samujh

et al. 2016

J Indian Assoc Pediatr Surg

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“…Such cases have been reported from across the world with different lodging sites in the body, most frequently in the cranium, among other sites like abdomen, limbs, neck, scrotum, and buttocks etc. [2–7] However, these are the first 2 cases to our knowledge where a needle was found in the chest/lung as a result of suspected child abuse. Besides the site of the needle, the ages of the patients were also quite different from the other cases reported.…”

Section: Discussionmentioning

confidence: 99%

“…Such cases have been reported from across the world, with needles being found in regions such as the cranium, abdomen, limbs, neck, scrotum, and buttocks. [2–7] Most of the reported cases were related to child abuse.…”

Section: Introductionmentioning

confidence: 99%

Sewing needles in the lungs of children

Deng¹,

Huang²,

Wang³

et al. 2019

Medicine

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Rationale: Foreign bodies are common in children. However, it is uncommon to have a “sewing needle” penetrating the body percutaneously rather than via a natural orifice. Such cases have been reported from across the world, with needles being found in regions such as the cranium, abdomen, limbs, neck, scrotum, and buttocks. Few cases with a needle inserted in the lung have been reported. Patient concerns: We present 2 cases where the needles were found in the chest wall/lung because of suspected child abuse. In the first case, foreign bodies were present in the chest wall and the lung. In the other case, the pointed end was oriented towards, and was very close to, the great arteries. Diagnoses: Both cases were diagnosed incidentally when chest X-ray was being performed for other reasons. Interventions: Surgery was indicated for both cases, and the needles were excised uneventfully. Outcomes: The postoperative course in both cases was uneventful. Lessons: It is worth noting that in both cases, neither the guardians nor the victims themselves could tell when and how the needles got lodged in the lungs. Collective information suggested that these 2 cases probably involved child abuse. Child abuse in China has long been underestimated and underrecognized. There is still much left to do to tackle this important issue, especially in rural areas.

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“…There are few documented cases of sewing needles causing trans-abdominal penetration, whether accidentally or deliberately from self-injury or abuse. 1,2 Usually, gastrointestinal perforation by foreign bodies occurs usually after ingestion and not from trans-abdominal penetration. 3,4 Trans-abdominal penetration with sharp foreign bodies usually present acutely even without acute abdominal pain; if there are abdominal symptoms or signs, the indication for exploration becomes mandatory.…”

Section: Introductionmentioning

confidence: 99%