Foreign body ingestion is commonly seen in children aged 6 months to 4 years-a time when exploring their environment is key to their development. The majority of foreign bodies pass through the gastrointestinal tract without causing any injury and can be managed expectantly. However, certain objects might induce significant harm if not recognised and managed emergently. Coins have been reported to be the most commonly ingested foreign bodies in Western societies.1 More recently, button batteries and neodymium magnets are increasingly being encountered, often with serious associated complications. The 2020 British Association of Paediatric Surgeons winter campaign was focused on button batteries and the life-changing complications they can cause.2 Magnets … ...
Introduction:Aspiration of foreign bodies is an emergency condition in children and may result in death, especially in children under 3 years of age. Therefore, diagnosis and treatment must be made rapidly.Objective:This study sought to summarize our experience with endoscope-assisted rigid bronchoscopy (RB) in the diagnosis and treatment of pediatric tracheobronchial foreign body emergencies to reduce complications and mortality.Methods:This was a retrospective cross-sectional study. The medical records of 337 children diagnosed with clinically suspected airway foreign body aspiration in the pediatric emergency department were analyzed retrospectively. The patients were divided into 2 groups with endoscopy used during RB in group 1 whereas group 2 was RB only. The surgeons who performed the bronchoscopies completed a survey on the advantages/disadvantages of these 2 procedures.Results:All of the patients had a positive history of suspected foreign body aspiration and foreign bodies were ...
TY - JOUR. T1 - Predictors of radiolucent foreign body aspiration. AU - Mortellaro, Vincent E.. AU - Iqbal, Corey. AU - Fu, Roxanna. AU - Curtis, Heather. AU - Fike, Frankie B.. AU - St. Peter, Shawn D.. PY - 2013/9/1. Y1 - 2013/9/1. N2 - Background Children frequently present for suspected foreign body aspiration, many have mild symptoms and/or negative radiographs raising the question of a radiolucent foreign body aspiration. Method Retrospective review of patients having bronchoscopy for suspected radiolucent foreign body aspiration from 2000 to 2010 collecting demographics, history, hospital presentation, radiographic, and operative details. Pearsons correlation was used between event history, presentation, radiographic details and bronchoscopically identified foreign body with P value , 0.01. Results 138 patients, mean age 2.6 years, mean weight 15.6 kg, 68% male. Event symptoms: 81% witnessed events, 64% wheezing, 43% coughing, 39% choking, 6% stridor, and 0.7% lethargy. Hospital ...
Foreign bodies can present a diagnostic challenge to even the experienced surgeon. In one review of 200 surgical cases involving retained foreign bodies, one-third of the cases had been initially missed. Wooden foreign bodies in particular pose a challenge to the physician. In the review cited above, only 15% of wooden foreign bodies were well visualized on plain radiographs. Acutely, on computed tomography (CT) scans, wooden foreign bodies will usually mimic air. However, with time, the attenuation value of a wooden foreign body may increase as moisture is absorbed from the surrounding tissues. Once this occurs, the wooden foreign body may mimic fat, water or muscle. We present an interesting case of a wooden foreign body in the parotid gland in order to illustrate a common presentation of such a foreign body, to review current guidelines for their clinical and radiologic diagnosis, and to suggest strategies for the management of their unique complications ...
Rectal foreign bodies are large foreign items found in the rectum that can be assumed to have been inserted through the anus, rather than reaching the rectum via the mouth and gastrointestinal tract. It can be of clinical relevance if the patient cannot remove it the way he or she intended. Smaller, ingested foreign bodies, such as bones eaten with food, can sometimes be found stuck in the rectum upon x-ray and are rarely of clinical relevance. Rectal foreign bodies are a subgroup of foreign bodies in the alimentary tract. There is no reliable data about the incidence of clinically meaningful foreign rectal bodies. It may have increased in the long term as it is observed more often in recent times. The incident rate is significantly higher for men than for women. The gender ratio is in the area of 28:1. A metastudy in the year 2010 found a ratio of 37:1. Median age of the patients was 44.1 years, with a standard deviation of 16.6 years. Rectal foreign bodies are not an unusual occurrence in ...
Background: Children frequently present for suspected foreign body aspiration, many have mild symptoms and/or negative radiographs raising the question of a radiolucent foreign body aspiration. Method: Retrospective review of patients having bronchoscopy for suspected radiolucent foreign body aspiration from 2000 to 2010 collecting demographics, history, hospital presentation, radiographic, and operative details. Pearsons correlation was used between event history, presentation, radiographic details and bronchoscopically identified foreign body with P value |0.01. Results: 138 patients, mean age 2.6 years, mean weight 15.6 kg, 68% male. Event symptoms: 81% witnessed events, 64% wheezing, 43% coughing, 39% choking, 6% stridor, and 0.7% lethargy. Hospital presentation: 70% persistent symptoms, wheezing 56%, coughing 15%, desaturations 11%, stridor 7%, choking 4%, and lethargy 1%. 92% of patients had a chest x-ray; air trapping found in 38%, and lung collapse in 21%. 2 patients received CT scans; 1 had
TY - JOUR. T1 - Migrating ingested foreign body of the upper aerodigestive tract with resultant septic shock. T2 - Case report and literature review. AU - Pai, Keshav. AU - Pillai, Suresh. AU - Bhandarkar, Ajay. AU - Anand, Aishwarya. AU - Sabhahit, Harshita. PY - 2013/11. Y1 - 2013/11. N2 - Complications due to foreign body ingestion are rare; however, if present, these can cause significant morbidity to the patient. An overlooked ingested foreign body could present as an emergency and may prove fatal. We present a case of an accidentally ingested foreign body with delayed presentation, which migrated to the neck and produced a cervical abscess presenting as septic shock. The patient required prompt stabilisation followed by surgical intervention. The patients vital signs returned to normal on the second post-operative day, and he was discharged the following day.. AB - Complications due to foreign body ingestion are rare; however, if present, these can cause significant morbidity to the ...
This page includes the following topics and synonyms: Radiopaque Foreign Body, Radiopaque Toxin, Radio-opaque Foreign Body, Radiolucent Foreign Body, Radiodense Foreign Body.
Foreign body aspiration is uncommon in adults.1 A study performed by the Mayo Clinic retrieved 60 adult cases over a period 33 years.2 In Taiwan, two studies reported 47 and 43 cases over a 13- and a 15-year period, respectively.3,4 The nature of the inhaled foreign bodies tends to differ among different populations. In the Western population, it is more common to find vegetable matter, while bones and watermelon seeds are more common in Chinese and Middle Eastern population, respectively. Surprisingly, acute presentation of foreign body inhalation is rare. Up to 80% and 25% of the cases present with cough and dyspnea, respectively. Patients do not always recall choking and the diagnosis is often missed. Foreign body are usually dislodged in the lower bronchi or the bronchus intermedius. Chest radiograph may sometimes show an opaque subject along the airway or consolidation, atelectasis or effusion. Computed tomography scan of the thorax frequently shows the presence of a radio-opaque object. ...
Irrigation, suction, and mechanical extraction with a right angle hook or alligator forceps may all be effective methods for foreign body removal from the ear. Choose an appropriate instrument based on the type of foreign body present. Small, light and mobile objects are among those most easily removed with suction. Foreign bodies that may expand should not be removed with irrigation. If At First You Dont Succeed. The first attempt at removing a foreign body from the ear is critical. After a failed initial attempt, the chance of success at removal decreases dramatically. As more attempts are made to remove the foreign body, the risk of complications increases. As many as 30 percent of patients may require specialty referral, sedation, and/or anesthesia for removal of a foreign body from the ear. Complications of foreign bodies in the ear canal include damage to the tympanic membrane, ossicular damage, hearing loss, vertigo, and facial nerve damage. A Sticky Situation. Tissue adhesives may be ...
View more ,Background: Foreign bodies are a rare cause of appendicitis. In most instances, ingested foreign bodies pass through the alimentary tract asymptomatically. However, those that enter the lumen of the vermiform appendix may not be able to re-enter the colon and may initiate an inflammatory process. We report a case of acute appendicitis induced by an unusual foreign body. Case presentation: A 26-year-old Sub-Saharan woman presented with right iliac fossa pain and tenderness. She underwent an open appendectomy which revealed a condom fragment within the appendiceal lumen. A detailed retrospective history confirmed accidental ingestion of the condom 2 weeks prior to onset of symptoms. Conclusions: Although a rare finding, a variety of foreign bodies can be lodged in the appendix and may instigate an inflammatory process. There is a need to increase awareness of the potential dangers of ingested foreign bodies ...
Background Anorectal foreign bodies are usually inserted transanally for sexual or medicinal purposes. Rectal foreign bodies may also be observed with body packing or stuffing or after previous oral ingestion of the object.
Foreign body (FB) ingestion is a common occurrence in children. In most cases these foreign bodies pass through the gastrointestinal tract uneventfully. The important considerations for intervention include size, shape, and composition of the FB. Also, the site of lodgement and underlying pathology in the patient with the unlikelihood of passage, are worthy of note. A 5-year old asymptomatic boy was referred to our service with a 1-week history of ingestion of a coin. A plain abdominal x-ray study done the day following the ingestion showed an oval shaped opacity in the area of the stomach. A prompt upper gastrointestinal (GI) endoscopy was performed under general anaesthesia with cuffed endotracheal intubation, following which, a two-penny British coin was retrieved from the stomach using alligator forceps passed through a flexible gastroscope. The patient was discharged a few hours after the procedure, in a stable condition. His 7th day post-procedure follow-up visit was uneventful. A prompt ...
In fact, foreign bodies in digestive tract are very common in children, especially children aged 6 months to 3 years old. Children of this age are curious about what and have no safety awareness. They often put things into their mouths when they get them. Fortunately, most foreign bodies are coins, buttons, hairpins, batteries and the like, which are not as dangerous as the magnets mentioned above.. Once these foreign bodies are swallowed, Will go down the digestive tract like food, However, foreign body hardness is very large and shapes are different. It is often not allowed to pass normally like food. Many checkpoints will allow it to stay in the digestive tract. First of all, the first level is the esophagus, which has three relatively narrow parts, the entrance, the place where it crosses the trachea, and the esophagus passes through the diaphragm and enters the abdominal cavity. Many foreign bodies are stuck in these three positions.. Because foreign bodies are very strange, the symptoms of ...
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Background: Foreign body ingestion is one of the commonest indication for emergency endoscopy. Removal of FBs has always been a challenge for an endoscopist. The aim of this study is to to assess the magnitude and spectrum of FBs among patients admitted in our Gastroenterology units. Methods: A hospital based retrospective study was conducted at Medical Trust Hospital Kochi- Kerala, one of the tertiary care referral centre, in South India over a period of 2 years. We reviewed all patients files with full notations on age, sex, type of FB and its anatomical location, treatments, and outcomes (complications, success rates, and mortalities). Patients with incomplete files and those with FBs not identified at the endoscopic examination were excluded. Results: A total of 57 patients were identified. Their ages ranged from 6 months to 85 years. Slight male predominance was noticed (52.6%). The most frequent presentation was a history of FB ingestion without any associated manifestations (52.6%). Fish ...
Urinary Bladder is the most common site for foreign body in the urinary tract. Intravesical foreign bodies are mostly inserted as the result of self-insertion, medical procedures, migration from the surrounding organs and penetrating injuries (9). The most common cause of self-insertion of foreign bodies into the bladder is sexual gratification (5). Intravesical foreign bodies are an important consideration in the differential diagnosis of lower urinary tract problems. A neglected intravesical foregin body can lead to serious complications such as swelling of the external genitalia, secondary stone formation, chronic cystitis, hydronephrosis and renal failure (10, 11). It is anatomically very difficult for a man to self-insert a long object into the bladder. Hence, the presented case has two unusual features. First, it is difficult for a foreign body to reach the urinary bladder in men. This is a rather unusual event where a foreign body of this size has reached the urinary bladder in a male. ...
In the field of medicine, a foreign body, sometimes known as FB (Latin: corpus alienum), is any object originating outside the body of an organism. In machinery, it can mean any unwanted intruding object. Most references to foreign bodies involve propulsion through natural orifices into hollow organs. Foreign bodies can be inert or irritating. If they irritate they will cause inflammation and scarring. They can bring infection into the body or acquire infectious agents and protect them from the bodys immune defenses. They can obstruct passageways either by their size or by the scarring they cause. Some can be toxic or generate toxic chemicals from reactions with chemicals produced by the body, as is the case with many examples of ingested metal objects. With sufficient force (as in firing of bullets), a foreign body can become lodged into nearly any tissue. One of the most common locations for a foreign body is the alimentary tract. It is possible for foreign bodies to enter the tract from the ...
Although rare, tracheobronchial foreign body aspiration in adults can occur in various clinical settings. High clinical suspicion is necessary for diagnosis. Removal of foreign bodies can usually be accomplished with bronchoscopy.
Pediatric foreign body ingestion represent in a highly variable manner. Increasing prevalence of smaller, technologically advanced toys in the household has resulted in an increased exposure to powerful magnets that carry a high incidence of morbidity and mortality. The propulsive force of peristalsis may result in detachment of the magnetic objects from each other. After a while the attractive magnetic force reattaches the objects together resulting in entrapment of mucus membrane or the whole thickness of bowel wall in between the magnetic objects leading to necrosis, perforation and fistula formation. Among all documented cases of foreign body ingestion, the incidence of magnet was approximately 3.06 cases per 100,000 people, with 80% of cases involving children between 6m and 3 yr.. We present a case of a 17 m girl, previously healthy, who over two days became more lethargic, and decreased appetite. Taken to an outside hospital which shown in KUB, foreign bodies recognized as magnet ...
An updated approach in the management of 50 patients with foreign body inhalation is presented. Certain risk factors that lead to complications and mortality due to endoscopic extraction of foreign bodies and thus determine prognosis were identified. Remedial measures to reduce morbidity and mortality due to bronchoscopic removal of foreign bodies are suggested. Fifty patients of suspected foreign body inhalation presented to a Unit of the Department of ENT, Head and Neck Surgery of Government Medical College associated SMHS Hospital Srinagar, Kashmir from March 2007 to June 2017. Of these, 49 patients were subjected to rigid tube bronchoscopy for removal of the aspirated foreign bodies and one coughed out the foreign body spontaneously during admission for bronchoscopy. History of foreign body inhalation was positive in 90% of patients and remaining was mostly referred from Paediatric Units with un-resolving collapse-consolidation of the lung. Whereas plain radiography of the chest and the soft tissues
Discussion. The foot is the second-most common location for retained foreign bodies.3 Such retention is especially frequent in developing countries where walking barefoot is very common. Thus the feet are at risk for trivial injuries, which can result in inflammation or infection.4 The foreign bodies most often retained in the hand and foot are thorns, glass, needles or wooden fragments. Retention of these foreign bodies results in a soft-tissue or bony granuloma.5 A retained foreign body can present in numerous ways, including mechanical dermatitis, cellulitis, abscess, foreign-body granuloma, peritendonitis, tendonitis, pericapsulitis, synovitis, acute septic arthritis or chronic monoarticular non-suppurative inflammation. Many aetiologies have been described to explain the pathogenesis in the sudden flare-up after a period of latency: low-grade infection, protein coating of the foreign body, toxins, mitogens in the foreign body and the crystalline structures of the foreign bodies.1 Taking a ...
1228. Airway FB penetration syndrome // Signs & symptoms of airway foreign body // Orientation of esophageal FB vs. tracheal FB // Xray findings in bronchial ...
Fleming ME, Heiner JD, Summers S, April MD, Chin EJ 17(4). 72 - 75 (Journal Article). Background: Soft-tissue occult foreign bodies are a concerning cause of morbidity in the emergency department. The identification of wooden foreign bodies is a unique challenge because they are often not detectable by plain radiography. The purpose of this study was to determine the diagnostic accuracy of emergency physician-performed ultrasonography to detect wooden foreign bodies of varying sizes. We hypothesized that sonographic sensitivity would improve with increasing foreign body size. Methods: We conducted a blinded, prospective evaluation using a previously validated, chicken, soft-tissue model to simulate human tissue. We inserted wooden toothpicks of varying lengths (1mm, 2.5mm, 5mm, 7.5mm, 10mm) to a depth of 1cm in five tissue models. Five additional models were left without a foreign body to serve as controls. Fifty emergency physicians with prior ultrasonography training performed sonographic ...
Case report 2. Female, 66 years-old with epigastric pain for last 15 days without others symptoms. In abdominal ultrasound, we could see a hepatic abscess, segment II and IV, with a maximum diameter of 10 cm. In CT-scan it is possible to see the hepatic abscess with a metallic foreign body inside, probably a needle. Because of it, we decided an emergency surgery to drain the abscess and remove the foreign body, finding a perforation in anterior gastric wall, being necessary suture it. Pathology clarified the origin of foreign body, not a needle, was a bone, probably a chicken bone which patient accidentally ingested previously.. Discussion. Hepatic abscesses secondary to foreign body after perforation of hollow viscera are rare (0-5%). It was first described in 1898, counting only up today 50 cases (2). Most frequent foreign bodies are fish or chicken bones, after perforate stomach or duodenum (3). We have found no cases reported in the literature after the accidental ingestion of rabbit ...
What is foreign body ingestion? Ada doctors explain its when a non-edible object is swallowed/gets stuck in the throat or airways, its symptoms, and treatment.
The treatment of rectal foreign bodies has been discussed in the medical literature for many years. Controlled studies of patients with rectal foreign bodies have not been conducted, and the literature is largely anecdotal or consists of patient series.
Khan, S., Mian, A., Khan, Q., Khan, N. (1997). Special maneuver for removal of an impacted bronchial foreign body at thoracotomy. Journal of College of Physicians and Surgeons Pakistan, 7(3), 133-135 ...
If there is a foreign body in your eye, such as a piece of grit, your eye doctor may try and remove it. They will put anesthetic eye drops in your eye first, in order to numb it and prevent any pain.. If the foreign body is easy to get to, it may be possible to remove it by simply rinsing your eye with water, or by wiping it away with a cotton wool bud or triangle of card. However, if this is unsuccessful, your eye doctor may try and remove the foreign body by lifting it out with the tip of a small metal instrument.. The foreign body could be stuck underneath your upper eyelid, especially if you can feel something there, or you have scratches or grazes (abrasions) on the top half of the transparent outer layer of your eye (cornea). If this is the case, it may be necessary to gently turn your eyelid inside out in order to remove the foreign body.. Once the anesthetic eye drops have worn off, your eye may feel a bit uncomfortable until your abrasion heals.. Whatever is happening with your eyes or ...
If there is a foreign body in your eye, such as a piece of grit, your eye doctor may try and remove it. They will put anesthetic eye drops in your eye first, in order to numb it and prevent any pain.. If the foreign body is easy to get to, it may be possible to remove it by simply rinsing your eye with water, or by wiping it away with a cotton wool bud or triangle of card. However, if this is unsuccessful, your eye doctor may try and remove the foreign body by lifting it out with the tip of a small metal instrument.. The foreign body could be stuck underneath your upper eyelid, especially if you can feel something there, or you have scratches or grazes (abrasions) on the top half of the transparent outer layer of your eye (cornea). If this is the case, it may be necessary to gently turn your eyelid inside out in order to remove the foreign body.. Once the anesthetic eye drops have worn off, your eye may feel a bit uncomfortable until your abrasion heals.. Whatever is happening with your eyes or ...
If there is a foreign body in your eye, such as a piece of grit, your eye doctor may try and remove it. They will put anesthetic eye drops in your eye first, in order to numb it and prevent any pain.. If the foreign body is easy to get to, it may be possible to remove it by simply rinsing your eye with water, or by wiping it away with a cotton wool bud or triangle of card. However, if this is unsuccessful, your eye doctor may try and remove the foreign body by lifting it out with the tip of a small metal instrument.. The foreign body could be stuck underneath your upper eyelid, especially if you can feel something there, or you have scratches or grazes (abrasions) on the top half of the transparent outer layer of your eye (cornea). If this is the case, it may be necessary to gently turn your eyelid inside out in order to remove the foreign body.. Once the anesthetic eye drops have worn off, your eye may feel a bit uncomfortable until your abrasion heals.. Whatever is happening with your eyes or ...
If there is a foreign body in your eye, such as a piece of grit, your eye doctor may try and remove it. They will put anesthetic eye drops in your eye first, in order to numb it and prevent any pain.. If the foreign body is easy to get to, it may be possible to remove it by simply rinsing your eye with water, or by wiping it away with a cotton wool bud or triangle of card. However, if this is unsuccessful, your eye doctor may try and remove the foreign body by lifting it out with the tip of a small metal instrument.. The foreign body could be stuck underneath your upper eyelid, especially if you can feel something there, or you have scratches or grazes (abrasions) on the top half of the transparent outer layer of your eye (cornea). If this is the case, it may be necessary to gently turn your eyelid inside out in order to remove the foreign body.. Once the anesthetic eye drops have worn off, your eye may feel a bit uncomfortable until your abrasion heals.. Whatever is happening with your eyes or ...
Discussion. The ingestion of foreign bodies is common, usually as nourishment and accounts for up to 93 % of the cases, within a patients diet (1). In our case, the ingestion of toothpick has rarely been mentioned in medical literature as a cause of gastrointestinal perforation. The majority of patients, up to 88 %, do not remember the ingestion of toothpicks (2) and present fever and abdominal pain, making preoperative diagnosis difficult (3,4). The risk factors which most frequently influence the ingestion of foreign bodies are simple oversight, fast food intake, the use of dentures, alcoholism, and drug abuse (5). The perforation of the gastrointestinal tract occurs in less than 1 % of cases, particularly in areas of angulation, such as in the ileocecal region or the sigma-rectum (6). In some cases, it has been reported that foreign bodies have been retained in a Meckels diverticulum, the appendix, or in a hernia (3). Foreign body impaction may be favored by adhesions, areas with ...
Foreign body in the esophagus is a common emergency presentation. The approach towards a patient with a foreign body in the esophagus comprises a thorough history and systematic examination followed by relevant investigations. However, there is considerable debate over the most appropriate treatment option for such patients. This review aims to develop a comprehensive approach towards patients presenting with foreign body ingestion by developing clinical practice guidelines. These guidelines address not only the initial evaluation of the patient but also the various management alternatives and their advantages, limitations and applicability in various scenarios, based upon a review of the literature.
In a retrospective review of 155 children with tracheobronchial foreign body aspiration (FBA), there were ten patients who had pneumomediastinum (PM) on an initial chest radiograph. Nine of ten...
Foreign body forceps are the tools used when removing foreign bodies inside the throat. This ENT instrument has a long and thin body. The handle of the forceps looks like a pair of scissors. The ENT doctor can place his thumb in one hole and the forefinger on the other. Foreign body forceps are easy to manipulate. The specialist only needs to move the handle to make a cutting motion. The length of the forceps helps the doctor locate and remove the foreign body in the trachea or the esophagus of the patient.. When a foreign body is stuck in the throat, a person may feel some kind of discomfort. The doctor uses a special ENT instrument in removing small pieces of object that is stuck in the throat. Foreign body forceps have a thin body and a toothed end. The ENT tool is made from stainless steel. The sturdy construction of the tool makes it reliable to use. The material used is also free from chemicals or any other harmful products. Foreign body forceps may be sterilized after use. Contamination ...
Foreign body aspiration - a foreign body aspirated into the bronchial airways can result in signs and symptoms that can mimic asthma. Try algorithm.
In this military training film, two different methods used to remove intra-ocular foreign bodies are shown in detail. The first case involves the removal of a magnetic foreign body. An X-ray examination with anterior-posterior and lateral plates is made immediately upon the patients arrival to confirm the existence of a foreign body in the eye. The contact glass technique is then used to locate the foreign body. With the information thus gained, the surgeon anesthetizes the eye and makes the incision. Diathermy cautery is performed as the surgeon works. Multiple punctures are made through the sclera all around the area of the proposed incision to prevent detachment of the retina. An opening is made through the sclera with a 1.5 mm. trephine over the site of the foreign body. The tip on a magnet is placed at the lips of the incision, the current applied, and the foreign body extracted. Pencillin therapy is instituted to guard against infection. The scleral opening and conjunctival incision are ...
Introduction: Various types of foreign bodies have been removed from the knee joint. We report an unusual case of partial anterior cruciate ligament (ACL) tear secondary to a glass foreign body in an adolescent knee joint. Case Report: A 13-year-old boy presented with pain, swelling and deformity of the left knee since 4 days. X- Ray revealed a foreign body in the left knee joint. The glass foreign body remained in the subcutaneous tissue for few days and later migrated into the knee joint. Arthroscopy revealed partial tear in the ACL at the femoral attachment with about 10-20 % of fibres being involved. The glass piece was removed arthroscopically and the ACL fibres were trimmed. Conclusion: Arthroscopic removal of foreign bodies from the knee is a very simple procedure and has the advantages of avoiding large incision, shorter stay in the hospital, faster recovery and reduced infection rates. Glass foreign bodies were previously implicated in cartilage damage and meniscal injuries but a foreign body
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Following physical examination, radiological evaluation including at least bilateral direct graphies should be definitely carried out, and additional investigations such as CT, MRI etc. should be ordered if deemed necessary in all patients with foreign body penetration or high-pressure injection injuries [5]. In addition, tetanus prophylaxis should not be neglected in all patients. The presence of a neglected foreign body may lead to complications including infection, pain, loss of function, joint damage, tenosynovitis, tendon rupture and osteomyelitis, and amputation [7]. In daily practice; the foreign bodies that were accidentally identified and remained for years without damaging the patient, and those stuck in the subfascia and/or in bones without any impact on comfort and functions of the patient may not be removed. Contamined and massive intraarticular bodies or those causing potential dysfunction must be removed [12]. Whereas in high-pressure injection injuries; the injected irritant ...
Oesophageal foreign bodies are common in dogs. Endoscopic removal is a viable treatment option but few studies have assessed the clinical and radiographic features that would be useful in decision-making and prognosis. Dogs (n = 44) with oesophageal foreign bodies presented to the University Veterinary Hospital were assessed. Terriers and West Highland White Terriers were significantly overrepresented (p | 0.0001) and in those breeds the foreign body was significantly (p | 0.0001) more likely to be located caudal to the heart base. The majority (88.6%) of foreign bodies were bones or bone fragments. Group 1 (n = 30) included animals where endoscopic removal was successful and Group 2 (n = 14) animals where it was unsuccessful or not attempted because of evidence of oesophageal rupture. There was no statistically significant difference in age, sex, body weight, type, location and size of foreign body, recovery rate, short-term complications and long-term outcome between the two groups. Duration of signs
Background: Detection of retained foreign bodies remains a significant problem in the emergency department. Foreign bodies can go undetected causing infectious complications ultrasonography is too inaccessible and expensive. The purpose of this study is comparison of ultrasonography with radiography for the detection of cervical esophageal foreign bodiesMethods: This cross-sectional study evaluated ...
The type, timing, and intensity of an inflammatory reaction are determined primarily by the chemical composition and physical form of the foreign object. Material that is inert-such as glass, metal, or plastic-may not elicit any abnormal tissue response. Objects with smooth, nonporous surfaces produce less inflammation and fibrosis than those with rough surfaces. Most metals are inert, but those that oxidize will cause mild to moderate inflammation. Earrings with studs dipped in gold paint cause earlobe swelling and inflammation when the paint flakes off. Vegetative foreign bodies, such as wood, thorns, and spines, trigger the most severe inflammatory reactions. Sea urchin spines, other marine foreign bodies, and hair may cause chronic inflammation with granuloma formation. ...
Introduction: Foreign body ingestion is a common occurrence in both adults and in children. It is usually a benign occurrence with 75.6% of all FB ingestions passing through the GI tract spontaneously. Rarely, does the foreign body perforate the intestinal wall (0.73%). Perforation is difficult to diagnose as history, symptoms, laboratory and imaging tests are often vague and non-specific. Case Presentation: We present a case of a 55 year old Hispanic woman with a 3 day history of abdominal pain associated with anorexia, nausea and one episode of vomiting. Physical examination demonstrated tachycardia at 110 beats per minute, and an obese abdomen that was diffusely tender, with rebound tenderness in the right lower quadrant. Routine laboratory studies revealed an elevated white blood cell count and alkaline phosphatase level. CT of the abdomen demonstrated mural thickening of a small segment of small bowel. No intraperitoneal free air or fluid was seen. After 48 hours, laboratory values returned ...
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A foreign body remover is a useful tool that can prevent infection in different body parts. The ENT instrument is ideal when there are particles stuck in the ears or the nose. An ENT specialist uses this tool, so that infections may be prevented. A patient suffering from discomfort in the ears or the nose should visit an ENT specialist. The doctor will use a foreign body remover, so that he could prevent any great damage or infection in the affected body organ.. A foreign body remover varies in size and length. An ENT instrument that helps remove foreign bodies is made from stainless steel. The rust-proof material is ideal in preventing infections or irritations in the body. A foreign body remover can help solve any discomfort on the affected part. With the aid of foreign body removers, the patient will no longer experience discomfort. Most removers have a long and thin body, so that the device can fit inside the narrow path in the body part. The doctor can remove the particle after examining ...
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A myriad of ingested sharp-pointed objects have been described. The ones most commonly associated with complications are chicken and fish bones. Patients suspected of swallowing sharp-pointed objects must be evaluated to define the location of the object. However, not always the patients are aware of foreign body ingestion, and in these cases the diagnosis is only made on the occurrence of complications, such as in the reported case. Cases of hepatic abscess due to fish bone penetration are rare and may be fatal.1 Until today, less than 12 cases have been described in the literature. The possible mechanism of the liver abscess secondary to fish bone migration from the duodenum its the creation of a duodenohepatic fistula covered by duodenal serosa.2 Since the first reported case, treatments usually include drainage of the abscess, removal of the foreign body, and administration of appropriate antibiotics.3 Surviving patients described in previous reports were all surgically treated, except for ...
This video aimed to report experience in airway foreign body removal flexible bronchoscopy has not yet been popular in the foreign body in the airway especially in children we performed the...