IJOHNS  Vol.2 No.5 , September 2013
Self-Extrusion of Unknowingly Ingested Sewing Needle through the Skin of Neck
ABSTRACT
Foreign body ingestion is a common presentation but the extraluminal migration of a foreign body is rare. A 46-year-old man presented with protruded sharp swelling left side of neck, X-rays and CT scan of the neck showed a needle migrating from the pyriform fossa to the skin. Carotid angiography was also done to see the relations of foreign body with great vessels. Transcutaneous removal of foreign body was done under general anesthesia. The migrated foreign body was a sewing needle which patient unknowingly swallowed two days back. Migrated ingested foreign bodies from the upper digestive tract have the potential to cause life-threatening complications. Cases of spontaneous expulsion of ingested foreign bodies to the skin of the neck are quite rare.

Cite this paper
D. Rawat, S. Singh, S. Pandey, T. Ojha and P. Verma, "Self-Extrusion of Unknowingly Ingested Sewing Needle through the Skin of Neck," International Journal of Otolaryngology and Head & Neck Surgery, Vol. 2 No. 5, 2013, pp. 192-194. doi: 10.4236/ijohns.2013.25040.
References
[1]   A. K. Tan, P. P. Hsu and P. K. Lu, “Self-Extrusion of a Foreign Body from the Upper Digestive Tract to the Skin,” Journal of Laryngology and Otology, Vol. 118, No. 3, 2004, pp. 242-243. doi:10.1258/002221504322928080

[2]   O. Rückbeil, J. Burghardt and K. Gellert, “Thoracoscopic Removal of a Transesophageal Ingested Mediastinal Foreign Body,” Interactive Cardiovascular and Thoracic Surgery, Vol. 9, No. 3, 2009, pp. 556-557. doi:10.1510/icvts.2009.209676

[3]   S. M. Chung, H. S. Kim and E. H. Park, “Migrating Pharyngeal Foreign Bodies: A Series of Four Cases of Saw-Toothed Fish Bones,” European Archieves of Otorhinolaryngology, Vol. 265, No. 9, 2008, pp. 1125-1129. doi:10.1007/s00405-007-0572-x

[4]   L. W. Chee and D. S. Sethi, “Diagnostic and Therapeutic Approach to Migrating Foreign Bodies,” Annals of Otology, Rhinology, and Laryngology, Vol. 108, No. 2, 1999, pp. 177-180.

[5]   M. N. Azili, A. Karaman, I. Karaman, D. Erdogan, Y. H. Cavusoglu, M. K. Aslan, et al., “A Sewing Needle Migrating into the Liver in a Child: Case Report and Review of the Literature,” Pediatric Surgery International, Vol. 23, No. 11, 2007, pp. 1135-1137. doi:10.1007/s00383-007-1914-x

[6]   Y. H. Goh and N. G. Tan, “Penetrating Oesophageal Foreign Bodies in the Thyroid Gland,” Journal of Laryngology and Otology, Vol. 113, No. 8, 1999, pp. 769-771. doi:10.1017/S0022215100145165

[7]   C. Ferro, U. G. Rossi, G. Bovio, M. Dahmane, S. Seitun, R. Santucci, et al., “Images in Cardiovascular Medicine. Aortic Pseudoaneurysm Caused by Migration of a Swallowed Sewing Needle: Interventional Radiology and Endoscopic Management,” Circulation, Vol. 118, No. 2, 2008, pp. e11-e15. doi:10.1161/CIRCULATIONAHA.107.753269

[8]   I. P. Tang, S. Singh, N. Shoba, O. Rahmat, S. Shivalingam, K. G. Gopala, et al., “Migrating Foreign Body into the Common Carotid Artery and Internal Jugular Vein— A Rare Case,” Auris Nasus Larynx, Vol. 36, No. 3, 2009, pp. 380-82. doi:10.1016/j.anl.2008.08.003

[9]   E. Ergul, M. Ozer, M. R. Aydin and G. Kiyak, “Migration of an Ingested Needle to the Mesentery, Causing Intestinal Necrosis,” Acta Chirurgica Belgica, Vol. 107, No. 6, 2007, pp. 726-727.

[10]   Y. D. Chen, H. S. Tseng, R. C. Lee, Y. Y. Chiou, J. H. Chiang and C. Y. Chang, “Migration of an Ingested Foreign Body into the Right External Iliac Vein,” Journal of Vascular and Interventional Radiology, Vol. 20, No. 3, 2009, pp. 420-22. doi:10.1016/j.jvir.2008.11.028

[11]   S. P. Yadav, R. Chanda, P. Malik and S. Chanda, “Ingested Nail Penetrating the Neck in an Infant,” International Journal of Pediatric Otorhinolaryngology, Vol. 65, No. 2, 2002, pp. 159-162. doi:10.1016/S0165-5876(02)00149-0

 
 
Top