Sewing Needle in the Kidney after Being Ingested 13 Years Before

Abstract

Foreign body ingestion occurs, especially in childhood. But we saw it among adults. most foreign bodies pass through the gastrointestinal tract, causing no damage. Migration of an ingested needle to the kidney is very rare. We report a case of a 30-year-old female who was admitted to the urology department for right lumbar pain which appeared three months later. The interrogation found a notion of accidental ingestion of a sewing needle 13 years ago. On physical examination, there was lumbar pain caused by the shock. Radiography of the abdomen showed a needle in the right hypochondrium. Computed tomography (CT) was performed. CT showed a linear density in the right kidney, lower pole. At follow-up, stabbing pain in the right upper abdominal quadrant was noted. Surgical exploration was planned; We then performed surgical removal; we easily removed the needle in this fashion. The postoperative period was uneventful, and the patient was discharged on the second day following the operation. The presence of an ingested foreign body in the renal parenchyma remains exceptional. It follows negligence or inability to remove the foreign body immediately after its ingestion. The clinical symptomatology is not specific, it can range from abdominal pain to infection and up to renal failure. It is the conventional imagery or even the uro-tomo-densitometry which localizes the exact seat of the foreign body, its relationship with the urinary excretory tract, and the consequences of its presence. The extraction strategy depends on imaging or and endoscopic data, and the means and skill of the surgical teams. Minimally invasive surgery is desirable when it is workable; otherwise open surgery is still the order of the day. The importance of preventing this type of accident in children and adults is indisputable. In case of an occurrence, urgent medical care is necessary before reaching the stage of complications.