Spontaneous passage of ingested sewing needle: A case report.

Key Clinical Message: Sewing needle ingestion is a rare but potentially dangerous event that can affect people of all ages and backgrounds like this patient.Conservative management with serial abdominal examination and x-rays can be a reasonable option for patients who do not show signs of perforation or sepsis, as most foreign bodies will pass spontaneously without complications such as this case. Abstract: Though rare, swallowing a sewing needle is a peculiar and potentially dangerous health risk. People of all ages and backgrounds can accidentally ingest sewing needles, with cases documented in both children and adults. Our case focuses on a 17-year-old Ethiopian girl who accidentally gulped down a needle while stitching her clothing. Subsequently, she had an episode of vomiting that was tinged with blood along with ingested matter. Remarkably, the patient underwent conservative management using repeated abdominal checkups and x-rays, successfully passing the broken needle without any surgical intervention. It is important to remember that while uncommon, ingesting sewing needles might lead to significant complications, necessitating immediate and appropriate care.

Simulation-based perioperative anaesthesia information management practice: cross-sectional study.

Perioperative anaesthesia record completeness is very essential skill of the anaesthesia profession at the time of operation in the health setting. During perioperative, anaesthesia care sometimes there may be missing important information of the patient, medication taken or planned. This study aimed to improve perioperative anaesthesia information management practice. Methodology: Pre-interventional and post-interventional cross-sectional study was conducted from 21 June to 25 July 2022 on 164 anaesthesia record filled by 51 anaesthesia care provider in pre-interventional and post-interventional phase. Data were collected using a semi-structured questionnaire and the data entered by Epi-data software (version 4.6) and analyzed by using SPSS version 26. For all indicators, the projected completion rate was 100%. Indicators with completion rates of greater than 90% were classified as acceptable, while those with completion rates of 50% were seen as urgently needing improvement. Results: Pre-interventional result: among all indicators, none of the indicators had 100%, completeness rate. Postoperative nausea and vomiting management orders, the names of the surgeon and anaesthetist, the location of the intravenous cannula, the maintenance of anaesthesia, the total amount of fluid supplied, the content of the consent discussion, and null per ose status, age, and weight of the patient were some of the markers that were identified below average (50%) and in need of significant improvement. Post-interventional result: when compared with the pre-interventional result, their documentation skills were improving after discussions with stakeholders and the relevant bodies; however, none of the indicators attained 100% completion rate. Conclusion and recommendation: Even after the interventions, the desired completion rate was not attained. As a result, it requires ongoing instruction on perioperative anaesthesia information management according to the standard perspectives.

Appendiceal duplication an unusual cause of abdominal pain: A case report.

Appendiceal duplication is exceedingly rare, with a prevalence of 0.004% to 0.009% in appendectomy specimens. Appendiceal duplications can occur alone or in conjunction with cecal duplication. The persistence of the temporary embryologic second cecal appendix is hypothesized to cause appendiceal duplications. We present a case of appendiceal duplication in a 26-year-old Ethiopian female patient who had been experiencing abdominal pain in the right lower quadrant for 1 week. She developed anorexia, a loss of appetite, and a low-grade fever as a result of this. She reported direct and rebound mild discomfort in the right lower quadrant on abdominal examination. She was then operated on and she had an appendiceal duplication intraoperatively. As a result, an appendectomy was performed, and the patient was discharged with improved health. To avoid unfavorable patient outcomes and medicolegal difficulties, surgeons and surgical trainees who conduct several appendectomies throughout their training should be aware of the likelihood of appendiceal duplication.