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At least 379 records · Page 21Linked to original sources
PubMed1996

Nonsurgical removal of a rectal foreign body using a vacuum extractor. Report of a case.

PURPOSE: Rectal foreign bodies can be extracted by nonsurgical methods. However, glass objects require technical considerations to minimize morbidity and may necessitate surgical extraction. We describe a technique that allowed safe transanal extraction of a glass foreign body and avoided laparotomy. METHODS: A patient with a history of a previous rectal foreign body that required laparotomy presented with another incarcerated rectal foreign body. After attempts at manual extraction failed, spinal anesthesia was induced, and an obstetric vacuum extractor was used to transanally withdraw the glass foreign body. RESULTS: The glass foreign body was withdrawn uneventfully using the vacuum extractor. Laparotomy was avoided. The patient was hospitalized for observation and discharged 24 hours later. CONCLUSIONS: Use of the delivery vacuum extractor provided a safe, cost-effective method of glass foreign body removal by the transanal route. Literature review found no other reports of rectal foreign body removal by this method.

Aged↗
PubMed1994

Retrieving foreign bodies from upper aerodigestive tracts of children.

Ingestion is foreign body lodgment in the esophagus, whereas aspiration is lodgment of foreign bodies in the larynx, trachea, or bronchi. Foreign bodies constitute an emergency when actual or potential airway obstruction occurs, when there is an esophageal perforation, or when disc batteries are ingested and lodged in the esophagus. A ventilating bronchoscope of appropriate size is essential to the removal of a foreign body in the airway or esophagus. Successful management of foreign bodies in the upper aerodigestive tracts of children is directly proportional to the time and effort spent in preoperative preparation.

Child↗
PubMed1992

A delayed unusual presentation of a penetrating foreign body.

Complications resulting from the penetrating percutaneous foreign bodies almost always arise in the early post injury period. Delayed presentations of previous asymptomatic foreign bodies are rare. In this case report, symptoms of tracheal irritation arose seven years following the initial penetrating shrapnel injury to the neck. Computed tomography scans enabled localisation of the foreign body at the tracheal wall and carotid sheath interface. The usefulness of this radiologic modality in the evaluation of the penetrating soft tissue injury is highlighted. A review of the phenomenon of the migrating and asymptomatic foreign body follows.

Accidents, Occupational↗
PubMed1995

[Extraction of intraocular magnetic foreign body using intraocular earth magnet].

PURPOSE: To determine the effects of extraction of intraocular magnetic foreign body with intraocular earth magnet (IOEM). METHOD: From 1992 to 1994, 22 cases with intraocular foreign body were treated with self-made intraocular earth magnet (IOEM): 2 patients with foreign body remained on lens, 7 on posterior segment of global wall, 12 lodged in the post pole of retina and 1 on the surface of optic disk. These patients were operated under microscope. The foreign bodies on the posterior segment were removed by using IOEM combined with pars plana vitrectomy. RESULT: The foreign bodies of these 22 patients were successfully removed with one operation respectively. The minimum volume of the foreign bodies was 0.5 x 0.5 x 0.5 mm3. The maximum volume of the foreign bodies was 5 x 2 x 1.5 mm3. The average maximum diameter of the foreign bodies was 2.47 +/- 1.2 mm. CONCLUSION: Intraocular earth magnet (IOEM) is a permanent magnetic instrument with moderate magnetic power. Direct observation and detachment of the foreign body with ocular tissue are necessary during the remowal of the forreign body. This instrument is suitable for intraocular microsurgery, can be handled easily, used for extraction of foreign bodies in anterior chamber, on turbid lens and in vitreous body, in removing foreign bodies in vitreous chamber with obvious injured retina and on posterior segment, the surface of retina, and can also be applied toextract foreign bodies on optic disk as well asforeign bodies partly oldged on global wall.

Adolescent↗
PubMed1980

Endotracheal foreign bodies. Difficulties in diagnosis.

The diagnosis of foreign body aspiration into the lower airway depends primarily on the radiographic demonstration of partial bronchial obstruction causing localized air trapping or atelectasis, present in 95 per cent of the cases. Endotracheal foreign bodies may often be visualized directly on high kilovoltage radiographs of the airway of the airway or by fluoroscopy. In three of the four cases presented in this report, radiologic evaluation was normal, but endotracheal foreign bodies were subsequently demonstrated endoscopically. Foreign objects may remain in the trachea for prolonged periods of time, causing persistent coughing, wheezing, or stridor. When there is a clear history or strong suspicion of foreign body aspiration in a patient with persistent symptoms, bronchoscopy should be used for diagnosis and treatment.

Bronchoscopy↗
PubMed1990

Removal of blunt foreign bodies from the esophagus.

Historically, removal of blunt foreign bodies from the esophagus by esophagoscopy under general anesthesia has been considered to be relatively safe and effective. In recent years, alternative techniques of blind removal with balloon catheters or bougies have been advocated. This paper reports 246 esophagoscopies performed over a 19-year period to remove blunt esophageal foreign bodies. Eighty-one percent of the foreign bodies were coins and 74% were in children under 3 years of age. There were no deaths, no perforations, and no instances of mediastinitis. The only complications encountered were those due to esophageal erosion and/or respiratory problems secondary to long-standing foreign bodies. In the author's opinion, esophagoscopy is the best method for removal of all esophageal foreign bodies. There simply does not seem to be a need for alternative methods involving blind removal.

Adolescent↗
PubMed1999

The importance of CT scans in planning the removal of orbital-frontal lobe foreign bodies.

PURPOSE: To describe the management of foreign bodies in the orbit and frontal lobe. METHODS: Reports of two cases. RESULTS: Both patients underwent successful removal of an orbital-cerebral foreign body by anterior orbitotomy. CONCLUSION: Computed tomography was useful to confirm preoperatively that the foreign body was not adjacent to cerebral blood vessels and to monitor postoperatively for cerebral hemorrhage. A team approach is necessary in the management of orbital-frontal lobe foreign bodies.

Adult↗
PubMed1991

[The clinical and radiological diagnosis of gastric foreign bodies in ornamental birds].

Sometimes curious foreign bodies placed in the proventriculus/ventriculus of companion birds are causes of single case diseases. Clinical signs include atypical symptoms such as distress, lameness, vomiting and diarrhea. In cases of heavy metal intoxication, e.g. lead poisoning, CNS-disorders are found. Radiographs taken in a ventro-dorsal and a latero-lateral view show the presence of foreign bodies in suspicion. In most cases of foreign bodies in birds a surgical intervention (Gastrotomy) is indicated.

Animals↗
PubMed1976

Ingested foreign bodies of the gastrointestinal tract.

Seven case reports of ingested foreign bodies are presented. Although ingestion of foreign bodies may be a frequent occurrence, 80 per cent of documented ingested foreign bodies pass through the gastrointestinal tract spontaneously. The most frequent victims of foreign body ingestion are children, denture-wearing adults, and the mentally ill. Most foreign bodies are best managed by "intelligent neglect". Some require surgical removal because of perforation hemorrhage or obstruction. The ileocecal region is the most common site for perforation. Close observation for signs of perforation, hemorrhage, and/or obstruction is mandatory.

Adult↗
PubMed1988

Tracheobronchial foreign bodies.

A retrospective review of 88 cases of foreign body aspiration was undertaken. The patients ranged in age from 5 months to 73 years; the peak incidences of foreign body aspiration occurred in children less than 3 years of age and in adults older than 50 years. Sixty-one of the 88 patients were male. Physical examination was abnormal in 61% of patients. The most common radiographic abnormality was inspiratory-expiratory abnormality, seen in 27% of patients. Rigid endoscopy under general anesthesia was the preferred method for removal of the aspirated material. Multiple foreign bodies were found in 5% of the patients. Tracheobronchial foreign bodies should, therefore, be strongly suspected in susceptible patient populations who present with a suggestive history, even when no physical or radiographic evidence can be seen. Patients should be carefully examined for multiple foreign bodies at the time of rigid endoscopic removal.

Adolescent↗
PubMed2004

Occult bronchial foreign body aspiration in adults: analysis of four cases.

Occult tracheobronchial foreign body aspirations are infrequently seen in adults because there is usually a high index of suspicion. Occult foreign bodies can remain undetected for months to years and often are misdiagnosed. The aim of this paper is to report the cases of four adult patients with occult bronchial foreign body aspiration. None of the patients had a previous history of aspiration. One patient had been misdiagnosed as having asthma. One was thought to have tuberculosis, while unresolved pneumonia was present in another. A CXR showed the presence of a foreign body in only one patient because it was metallic. The foreign bodies included a stone, a tooth fragment, a bone fragment, and a needle. The foreign bodies were removed using a rigid bronchoscope in two patients and via a surgical procedure in the other two. In conclusion, tracheobronchial foreign body aspiration should always be taken into consideration in the differential diagnosis of radiographic lesions or chronic respiratory symptoms that are poorly explained, even in the absence of a previous history of aspiration.

Adult↗
PubMed1998

Ultrasound biomicroscopic detection of anterior ocular segment foreign body after trauma.

PURPOSE: To describe the role of ultrasound biomicroscopy in the detection and localization of foreign bodies in anterior ocular segment foreign body after trauma. METHODS: In a prospective study, ultrasound biomicroscopy was performed in five eyes of five consecutive patients with suspected anterior ocular segment foreign body. RESULTS: In all five eyes, ultrasound biomicroscopy detected and precisely localized small foreign bodies (metallic in two eyes, stone in one eye, plastic in one eye, and ceramic in one eye) in the cornea (one eye), superficial sclera (one eye), and anterior ocular segment (three eyes). Operative procedures to remove the intraocular foreign bodies (three cases) were guided by the ultrasound biomicroscopy information. CONCLUSIONS: Ultrasound biomicroscopy is a noninvasive method for detecting anterior segment intraocular foreign bodies after perforating trauma. It can be used to accurately diagnose foreign bodies and assist in surgical management, particularly when direct visualization is obscured because of the trauma. In eyes with partial-thickness corneoscleral lacerations or sealed full-thickness corneoscleral laceration and suspected anterior ocular segment foreign body, ultrasound biomicroscopy is a safe and effective method for detecting and localizing foreign bodies in the anterior ocular segment.

Adolescent↗
PubMed1993

[Surgical complications caused by tracheobronchial foreign body in childhood].

Four cases of tracheobronchial foreign body aspirations are described that necessitated surgical interventions. Bronchial rupture occurred in three cases and in one case the foreign body had to be removed via thoracotomy after endoscopic extraction had failed. The possible complications in case of a chronic tracheobronchial foreign body due to delayed diagnosis are pointed out. The purpose of this contribution is to provide the general practitioner with guidelines to suspect the presence of a foreign body well in time and to refer the patient quickly to a competent hospital for immediate treatment.

Bronchi↗
PubMedDate not supplied

Percutaneous retrieval of chronic intravascular foreign bodies.

To evaluate the feasibility of intravascular retrieval of chronic foreign bodies, we retrospectively reviewed an 8 year experience (1993-2001) of percutaneous retrieval of chronically retained intravascular foreign bodies (n = 6). In 6 of 6 cases (4 catheter fragments, 2 guidewires), 5-90 days elapsed before retrieval via the femoral or internal jugular vein. Under fluoroscopy, we determined the foreign body's course, position and size. A guidewire was advanced through a multipurpose catheter to the foreign body. The multipurpose catheter was replaced with a gooseneck snare catheter and the snare advanced to grasp and remove the foreign body. Percutaneous retrieval was successful in all 6 cases. One patient experienced mild hemoptysis, which resolved within 24 hr of observation. No patient experienced long-term sequelae. Given the potential life-threatening complications from intravascular foreign bodies and the low complication rate from percutaneous retrieval, we recommend extraction of the foreign body even if it is asymptomatic in the chronic setting (> 24 hr).

Adolescent↗
PubMed1989

[Uncommon sites of metallic intraocular foreign bodies].

The authors report one case of irido-corneal angle foreign body, three cases of intra-lens foreign body, and one case of foreign body located into the retino-choroidal wall. For this last case, they describe an original technique of treatment including a retinal Argon-Laser photocoagulation round the foreign body followed by a foreign body extraction with endocular forceps and vitrectomy.

Eye Foreign Bodies↗
PubMed1994

Non-surgical retrieval of intravascular foreign body: experience of 12 cases.

An intravascular foreign body is an iatrogenic complication that occurs during arterial or venous catheterization or interventional procedures. The foreign body could either be a catheter fragment, a dislodged coil, or a steel guide wire. From January 1987 to December 1992, 12 cases of intravascular foreign-body removals were performed by a percutaneous method at Mackay Memorial Hospital. Of the 12 cases, five were dislodged steel guide wires, four were broken CVP catheters, two were dislodged coils, and one was Port-A fragment. The techniques we used were the loop-snare technique (two cases) and stone basket retriever (10 cases). Eleven cases of intravascular foreign bodies were removed by non-surgical percutaneous retrieval but one case was a failure due to improper extraction of a dislodged steel guide wire. The patient received surgical extraction by regional venotomy finally. No major complications were noted during or after these procedures.

Adolescent↗
PubMed1988

Reactions to vesical foreign bodies in two strains of rats.

Foreign bodies in the urinary tract induce uroliths. This study examined reactions to vesical foreign bodies in Brattleboro rats manifesting diabetes insipidus and Sprague-Dawley rats. A silk suture was placed in the bladder of these rats and the occurrence of vesical uroliths, stone composition, and mucosal morphology were examined. Sprague-Dawley rats readily formed bladder stones in addition to a urolith formed over the suture, but there was little evidence that Brattleboro rats developed similar stones. Stone composition was primarily ammonium magnesium phosphate. The mucosal reactive hyperplasia was pronounced in the Sprague-Dawley, but was negligible in the Brattleboro rats. In conclusion, vesical foreign bodies readily induced uroliths in Sprague-Dawley rats, but there was no similar evidence in Brattleboro rats. It is suggested that the excessive diuresis of the latter may play a major role for this resistance to form stones, but the precise mechanisms of it are complex and remain to be explored.

Animals↗
PubMed1985

Management of corneal foreign bodies.

Optimal management of corneal foreign-body injuries includes an accurate history, thorough examination of both eyes, atraumatic removal of the foreign body, elimination of the rust ring, appropriate antibiotic prophylaxis and protective patching. Pitfalls to be avoided include using topical steroids, which may promote ulceration from fungal contaminants, and prescribing topical anesthetics, which can mask the pain of a retained tarsal foreign body or a developing corneal ulcer. Careful records of care and follow-up are essential.

Anesthesia, Local↗