A rare case of abdominal foreign bodies; laparoscopic removal of a sewing needle.

Background: Foreign body (FB) ingestion is a common condition. Mostly FBs are found ingested accidently or intentionally in children and adults with mental status alterations. Depending on the type of object, different complications can occur. There exist numerous methods for removing each specific FB. Fortunately, most FBs tend to move uneventfully through the gastrointestinal tract without any intervention; but managing some foreign objects can be difficult and lead to severe complications. Endoscopy helps with the diagnosis and treatment of these cases, but the time of the management plays an important role. Case presentation: A 26-year-old female who intentionally swallowed two sewing needles, presented to our emergency department with abdominal pain two months after the FB ingestion. One of the sewing needles was spontaneously excreted through the bowel, and the other was present in her body for two months. The FB had penetrated the stomach and migrated to the peritoneal cavity. The patient's condition was managed by laparoscopic removal of the FB and repair of the damaged tissue. According to the traumatic nature of the needle to abdominal viscera, and standing outside the GI tract on the pancreas surface, laparoscopic removal of the foreign metallic body was chosen to be performed. No complication was seen during the postoperative period. Conclusion: This report emphasizes the importance of prompt evaluation of FB patients and finding the appropriate method of managing its complications. Preventing complications requires focusing on symptoms and instant management of the ingested FBs.

IgG4-related disease associated with the primary manifestation of recurrent cerebral venous thrombosis: A rare case report.

Nervous system involvement in IgG4-related systemic disease (IgG4-RD) is rarely reported and manifests as hypertrophic pachymeningitis and hypophysitis. In this report, a 33-year-old woman with neurological manifestations was diagnosed with IgG4-RD by biopsy. The patient showed improvement in symptoms after treatment.

Intentional Ingestion of a Metallic Wire Causing Perforation and Retroperitoneal Abscess: A Case Report.

Foreign body ingestion is a frequent condition, with the majority of foreign bodies (FBs) tending to spontaneously proceed along the gastrointestinal tract without any major complications. A wide range of procedures are available to remove FBs; however, a real challenge exists in managing sharp, rigid, and long foreign objects, which are related to higher rates of complications. A 34-year-old man who intentionally swallowed a metallic wire of 20 cm length, presented to our ED with abdominal pain 2 weeks after the ingestion. The FB had migrated to the stomach and duodenum. Complications included perforation of the duodenum and ascending colon and a retroperitoneal abscess. FB removal was done via laparotomy, followed by the repair of perforations and damaged tissues. This case highlights the complications of a FB presence in the gastrointestinal tract for 14 days and emphasizes the importance of urgent and appropriate management of such conditions.

Paratubal endosalpingiosis: a case report.

INTRODUCTION: Endosalpingiosis is a rare condition and its pathogenesis and clinical significance are not fully understood. The unfamiliar presentation of this disease can misguide health care professionals. The reports available on this matter describe it as a disease of older age. In the majority of the cases it is an incidental finding in those with other concurrent gynecologic conditions. PRESENTATION OF CASE: Here we report the case of a 14-year-old female who presented with abdominal pain and no specific past medical history. Imaging and physical examination were highly suggestive of appendicitis. With the initial diagnosis of acute abdomen, she underwent surgery. During the surgery gastrointestinal tract organs were found to be normal and in gynecological examination, the ovaries were normal, however the fallopian tube revealed a twisted paratubal cyst which was removed and sent to the laboratory for further investigation. On the basis of the cellular pathology, tubal like epithelium in the cyst was found and patient diagnosed with endosalpingiosis. DISCUSSION: We suggest that in our case, the lesion possibly originated from the metaplasia of coelomic membrane into tubal cells. There are studies suggesting that co-occuring diseases should be considered when the diagnosis of endosalpingiosis is established and further studies are needed in regard to this matter. CONCLUSION: Endosalpingiosis, although being a rare condition, should be included in our differential diagnosis since co-existing comorbidities are a possibility in patients with endosalpingiosis and can be of great importance.