An unusual case of metallic foreign body in abdominal cavity
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
A 42-year-old male usually healthy except the episode of mild biliary pancreatitis one month ago attended a surgical outpatient clinic. The patient brought the results of imaging MRCP which he electively passed as a step of the preparation for elective surgery— cholecystectomy. He was absolutely asymptomatic last time. The big metallic foreign body in the area of the gallbladder was mentioned in the report of MRCP.

The patient denied ingesting of a foreign body. His past medical history is clean and excludes deliberate self-harm, taking an overdose of medications, bulimia nervosa, anxiety and alcohol excess. He has no past surgical history. The patient also denied swallowing any foreign object in the past. He has no pain or other symptoms referable to this object. On examination, there was no scar visible in the abdominal wall.

Computed tomography (CT) scan of the abdomen was performed to assess the foreign object. Computed tomography scan showed a radio-dense elongated foreign body measuring 20 mm deep to intra-abdomen fat of right upper quadrant in the area of gallbladder lying in its left side.

The patient was asymptomatic related to this foreign body. So, in an outpatient clinic was considered to perform an elective operation— laparoscopic cholecystectomy with the removal of a foreign body.

The patient was admitted electively and taken to the operation theatre. The patient underwent uneventful laparoscopic cholecystectomy. During the operation, the foreign reminiscent of a needle was found stuck in the omentum closed to the pylorus. He made an uneventful recovery and was discharged home with further follow-up.