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The needle and the damage done: pericardial effusion with tamponade after needle ingestion in an infant

Published online by Cambridge University Press:  23 June 2009

B G Fennessy ,
R Rahbar ,
N Bunker ,
F Pigula  and
A Casta
B G Fennessy*
Affiliation:
Department of Otolaryngology and Communication Enhancement, Children's Hospital Boston, Massachusetts, USA
R Rahbar
Affiliation:
Department of Otolaryngology and Communication Enhancement, Children's Hospital Boston, Massachusetts, USA
N Bunker
Affiliation:
Department of Anesthesiology, Children's Hospital Boston, Massachusetts, USA
F Pigula
Affiliation:
Department of Cardiac Surgery, Children's Hospital Boston, Massachusetts, USA
A Casta
Affiliation:
Department of Anesthesiology, Children's Hospital Boston, Massachusetts, USA
*
Address for correspondence: Mr Brendan Fennessy, c/o Department of ENT, South Infirmary and Victoria Hospital, Cork City, Ireland. Fax: 00 1 353 1 824 9610 E-mail: [email protected]
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Abstract

Objective:

Paediatric foreign bodies may present with vague and nonspecific symptoms. It is important to have a high index of suspicion when managing such cases.

Method:

We report the case of a nine-month-old infant who presented with a wheeze, cough and fever following ingestion of a needle.

Results:

This patient developed pericardial tamponade as a consequence of the needle ingestion, and required a thoracotomy for retrieval. We discuss the pathophysiology involved and the surgery required.

Conclusion:

Pericardial tamponade is a rare but potentially fatal manifestation of an ingested foreign body.

Keywords

BronchusForeign BodiesNeedleThoracotomyCardiac Tamponade
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 12 , December 2009 , pp. 1396 - 1398
Copyright
Copyright © JLO (1984) Limited 2009

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References

1Webb, WA. Management of foreign bodies of the upper gastrointestinal tract: update. Gastrointest Endosc 1995;41:39–51CrossRefGoogle ScholarPubMed
2Djokic, V, Atanasijevic, T, Savic, S, Nikolic, S. Cardiac tamponade caused by migration of a swallowed sewing needle. Forens Sci Int 2004;139:237–9Google Scholar
3Cekirdekci, A, Avan, E, Ilkay, E, Yildirim, H. Cardiac tamponade caused by an ingested sewing needle. A case report. J Cardiovasc Surg (Torino) 2003;44:745–6Google ScholarPubMed
4Gyrtrup, HJ, Andreassen, KH, Pedersen, JH, Mortensen, LB. Central embolization of needle fragment following intravenous drug abuse. Br J Addict 1989;84:103–5CrossRefGoogle ScholarPubMed
5LeMaire, SA, Wall, MJ Jr, Mattox, KL. Needle embolus causing cardiac puncture and chronic constrictive pericarditis. Ann Thorac Surg 1998;65:1786–7CrossRefGoogle ScholarPubMed
6Nambirajan, L, Chandrasekharam, VV, Bhatnagar, V. Pericardial foreign body. J Pediatr Surg 2001;36:936–8CrossRefGoogle ScholarPubMed
7Gallerani, M, Ferrari, F, Magenta, G, Barboso, G, Antonelli, AM, Manfredini, R. A needle infixed in the heart. Am J Emerg Med 1998;16:662–3CrossRefGoogle ScholarPubMed
8Jamilla, FP, Casey, LC. Self-inflicted intramyocardial injury with a sewing needle: a rare cause of pneumothorax. Chest 1998;113:531–4CrossRefGoogle Scholar
9Potek, IJ, Wright, JS. Needle in the heart. Br Heart J 1981;45:325–7CrossRefGoogle ScholarPubMed