Karaciðer içerisinde dikiþ iðnesine ait olgu sunumu ve literatür derlemesi

Ýntrahepatik yabanci cisimler nadir olarak gözlenir. Birçok olguda gastrointestinal kanaldan migrasyon ile karaciðere geçiþ olmaktadýr. Komplike olmayan intrahepatik yabanci cisimler cerrahi müdahaleye ihtiyaç duyulmadan takip edilebilirler. Komplike olmuþ intrahepatik yabanci cisimlerde ise laparotomi veya laparoskopi ile cerrahi müdahaleye gerek duyulabilmektedir. Bu olgu sunumunda karaciðerde insidental olarak dikiþ iðnesi saptanmýþ 22 yaþýndaki kadýn olgu komplikasyonu olmadýðý için takibe alýndý. Takipleri sýrasýnda karýn aðrýsý ve aralýklý ateþ þikayetleri geliþti. Laparoskopik olarak eksplore edilen hastada karaciðer sað lob lateralinde hemen safra kesesi komþuluðunda bir ucu karaciðerden dýþarýda olduðu gözlenen dikiþ iðnesi laparoskopik grasper ile çýkarýldý. Bu olgu sunumu ile birlikte literatürde bulunan 23 benzer olgu da irdelendi.

Case of an intrahepatic sewing needle and review of the literature

An intrahepatic foreign body (FB) is rarely observed. In most cases, object passes from the gastrointestinal tract to the liver via migration. Uncomplicated intrahepatic FB can be followed without surgical intervention; however, complicated intrahepatic FB requires laparoscopy or laparotomy. Presently described is laparoscopic operation on 22-year-old female patient who had incidental sewing needle in the right liver lobe. As there were initially no complications, follow-up monitoring was recommended. However, the patient subsequently complained of stomach pain and developed fever. Laparoscopic exploration located sewing needle in the right liver lobe lateral to the gall bladder with end of needle protruding from the liver. Needle was removed with laparoscopic grasper. Review of the literature regarding 23 other intrahepatic sewing needle cases is also presented.