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Doctors Remove Needle from Man's Heart After Blood in Urine

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In Short: In a rare medical case, doctors in China discovered a 36-millimeter-long sewing needle in the heart of a 35-year-old man with an intellectual disability, who had come to the hospital for blood in his urine.

B.51 Walter Gramatté. Mann mit Herz (Selbst). Man with Heart (Self). 1918
Photo: Walter Gramatté / Wikimedia Commons (CC0)

The patient, a 35-year-old man with an intellectual disability, was experiencing painful urination and blood in his urine when he sought medical attention. Doctors initially imaged his chest and noticed a peculiar shadow over his heart, leading them to suspect a foreign object.

When doctors performed surgery, they found a 36-millimeter-long sewing needle stuck in the left ventricle of the patient's heart. The needle had punctured the fluid-filled sac around the heart, posing a significant risk of migration, rupture, or infection.

According to reports, the needle had been inserted into the patient's heart as a form of self-injury, a condition that has been documented in only 34 cases since 1967. In one particularly notable case, a sewing needle was found in the heart but was not extracted until nearly two years after its insertion.

The patient's vital signs were initially in a healthy range, but the presence of the needle in the heart was a cause for concern. Doctors feared that the metal foreign body could migrate or cause a rupture or infection, necessitating immediate surgical intervention.

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