Abstract

We present a peculiar case of acute pancreatitis. A 23-year-old man was admitted to our Gastroenterology Unit with a diagnosis of acute pancreatitis based on clinical symptoms and on biochemical data. After the necessary diagnostic work-up, a diagnosis of acute traumatic pancreatitis was made, due to a migrated foreign body (needle).

Highlights

  • We describe a usual case of acute pancreatitis, due to foreign body

  • A 23-year-old man was admitted with a diagnosis of acute pancreatitis based on clinical symptoms and on biochemical data

  • In this study it was showed that, in patients with acute abdominal pain admitted at Emergency Room, an abdominal plain radiograph did not bring any added value as diagnostic accuracy after the clinic and laboratory evaluation

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Summary

Introduction

We describe a usual case of acute pancreatitis, due to foreign body. A 23-year-old man was admitted with a diagnosis of acute pancreatitis based on clinical symptoms and on biochemical data. Abdominal CT with IV contrast medium was performed on the third day since the patient’s admission It showed a foreign body with a metallic density (similar to a needle). The foreign body measured circa 3.5 cm in length and a few mm in thickness, with its proximal apex located at the posterior wall of the limit between the gastric antrum and pylorus. The proximal end of the metallic body corresponded to the lesion of the gastric antrum showed by the endoscopy, with a distance of circa 1 cm and the with tip of the endoscopic probe arguably located at the point of penetration of the needle-shaped foreign body (Figure 4). After having passed under the adherences and carried out hemostatic ligatures at the two ends, the needle became visible and could be extracted (Figures 8-10)

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