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Title

Laparoscopic extraction of an intrahepatic foreign body after transduodenal migration in a child
Authors
Dominguez, Stéphane
Wildhaber, Barbara
Spadola, Luca Antonio
Mehrak, Anooshiravani-Dumont
Chardot, Christophe
Published in Journal of Pediatric Surgery. 2009, vol. 44, no. 11, p. e17-20
Abstract We report on a 3-year-old boy who, after ingestion of turpentine, had an x-ray and was incidentally diagnosed with an intrahepatic needle. He was asymptomatic with no history of needle ingestion. Imaging (ultrasound and computed tomographic scans) showed a needle in segment 1, close to the inferior vena cava, with a proximal end in contact with the superior angle of the duodenum. Because of the localization of the needle and subsequent risks of complications, removal was proposed. Laparoscopy showed dense adhesions between liver and duodenum, confirming the migration route. Laparoscopic extraction of an entire sewing needle was performed. Postoperative course was uneventful; the child was discharged home after 2 days and is alive and well 19 months after surgery. Laparoscopy may be useful in children for extraction of intrahepatic foreign bodies, after transduodenal migration.
Keywords Child, Preschool — Duodenum/radiography/ultrasonography — Foreign Bodies/radiography/*surgery/ultrasonography — Foreign-Body Migration/radiography/ultrasonography — Humans — Laparoscopy/*methods — Liver/radiography/*surgery/ultrasonography — Male — Needles — Tomography, X-Ray Computed — Treatment Outcome
Identifiers
PMID: 19944205
Full text
Article - document accessible for UNIGE members only Limited access to UNIGE
Other version: http://pdn.sciencedirect.com/science?_ob=MiamiImageURL&_cid=272462&_user=9565874&_pii=S0022346809008501&_check=y&_ori...
Structures
Faculté de médecine / Section de médecine clinique / Département de pédiatrie
Research group Recherche clinique en chirurgie pédiatrique (886)
Citation
(ISO format) 		DOMINGUEZ, Stéphane et al. Laparoscopic extraction of an intrahepatic foreign body after transduodenal migration in a child. In: Journal of Pediatric Surgery, 2009, vol. 44, n° 11, p. e17-20. https://archive-ouverte.unige.ch/unige:19778

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Deposited on : 2012-04-23

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