It has been reported that foreign body in the breast can cause severe complications such as cardiac tamponade and pneumothorax. For this reason urgent surgical management is necessary. Extraction of these bodies with direct exploration is a difficult method and its success is very low. Although the foreign bodies in the breast can be diagnosed by direct radiograph, ultrasonography, mammogram, and computerized tomography their determination about depth of the foreign body before the surgical intervention is usually deficient.
In this study, we are presenting a case that is consulted to our clinic because of sticking a sewing needle into left breast. A 44 year-old woman referred to emergency service because of a sewing needle stick into her left breast 13 hours before, as a result of sleeping while she was sewing. In USG and direct graph a sewing needle was determined at supero-lateral quadrant, at clock line 12-1. In this case this metal foreign body (sewing needle) was extracted by using fluoroscopy in a precise localization and depth.
To the best of our knowledge, this is the first case in the literature with direct skin sticking and forwarded to the chest wall. Extraction of metal foreign bodies under local anesthesia with a help of fluoroscopy makes the surgery safe and easy. Also this method lowers the surgery time and the number of complications.
Key Words: Foreign Body İn Breast; Fluoroscopy; Sewing Needle.
|
