Abstract
A 51-year-old man was seen at the hospital because of left hypochondralgia. Simple abdominal X-ray film revealed a metal piece, which was likely a sewing needle, at the left border of the 3rd lumbar vertebra and close to the anterior abdominal wall. On abdominal CT the metal piece appeared to exist in the lateral segment of the liver. Laparotomy was performed and it was found that a sewing needle protruded from the surface of the lateral segment of the liver. An inflammatory streak was confirmed between the liver and stomach. It inferred that the needle swallowed by mistake penetrated the stomach to migrate to the liver. The needle was a 36mm sewing needle. It rarely occurs that a swallowed sharp foreign body by mistake penetrates the stomach with migration to the liver. Eighteen such case reports seen in the literature were also analyzed in this paper.
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