RT Journal
A1 Hambrick E, Rao TR, Lim LT
T1 JEjunoaortic fistula from ingested seamstress needle
JF Archives of Surgery
JO Archives of Surgery
YR 1979
FD June 1
VO 114
IS 6
SP 732
OP 733
DO 10.1001/archsurg.1979.01370300086016
UL http://dx.doi.org/10.1001/archsurg.1979.01370300086016
AB • A 27-year-old man was evaluated for sudden onset of massive hematemesis and hematochezia. A bleeding site was not seen on esophagogastroduodenoscopy. There was little blood in the stomach, which suggested that the bleeding site was below the ligament of Treitz. Angiography demonstrated the presence of an intra-aortic metallic foreign body that resembled a sewing needle. At operation, a chronic jejunoaortic fistula that contained the sewing needle was found and repaired. The patient had no recollection of having swallowed the needle, and it is presumed that he ingested it in infancy. He had an uneventful recovery.(Arch Surg 114:732-733, 1979)