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Results for “Foreign-Body Migration”

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At least 55 records · Page 3Linked to original sources

Aspiration of metallic mercury. A 22-year follow-up.

Rupture of the mercury-filled bag of an intestinal tube resulted in aspiration of metallic mercury 22 years ago in the patient reported. Immediate respiratory distress was treated with vigorous suctioning and postural drainage. Follow-up chest roentgenograms persistently showed radiopaque particles in the lungs. Signs and symptoms of chronic respiratory disease have since developed in the patient. Postmortem findings from the lungs included globules of metallic mercury surrounded by extensive fibrosis and granuloma formation, which we believe to be the result of local irritative effects of mercury.

Accidents↗

Silicone lymphadenopathy and synovitis. Complications of silicone elastomer finger joint prostheses.

We report two complications of silicone elastomer finger joint prostheses. In one patient, the prostheses broke, with silicone particles present in synovium ("detritic synovitis"). In another patient, silicone particles were found in an axillary lymph node five years after insertion of prostheses in the ipsilateral hand (prostheses were intact at the time). Microscopically, silicone particles in synovium and lymph node were identical to particles abraded from a new prosthesis.

Arthritis, Rheumatoid↗

Pediatric esophageal perforation.

Although esophageal perforation in children is associated with a spectrum of disease different from the one in adults, management is essentially the same for both groups. Over the past 11 years, 12 patients ranging in age from 2 days to 10 years were treated for 13 perforations. Perforation in the adult is associated with a high mortality rate. All children in this series survived. Injury was secondary to instrumentation in 10 cases and three resulted from the chronic erosion of a trapped foreign body. Of the 10 acute perforations, five occurred 12 days to 5 months after lye ingestion. Anastomotic narrowing was a factor in three other cases. Seven of the acute perforations involved the thoracic esophagus and were associated with a high morbidity rate. Management consisted of operative as well as nonoperative approaches. Consideration must be given to several clinical variables including location, cause, predisposing factors, underlying illnesses, associated injury, and promptness of medical attention.

Bronchial Fistula↗

Translocated intra-uterine contraceptive devices and missing strings.

The incidence, clinical presentation, diagnosis, possible aetiology and methods of treatment of translocated intrauterine contraceptive devices (IUCDs) and 'missing strings' are described. Details of 104 such patients, treated at Baragwanath Hospital over a period of 12 months, are given. Four unusual sites of translocation are described.

Adolescent↗

Corpus alienum in the abomasum of cattle.

In a field study consisting of about 7000 adult cattle 36 cases of corpora aliena (CAA) in the abomasum were found. After recording the clinical symptoms such as recurrent slight ruminal tympany and abdominal pain after eating, the metal specimens were found by a detector, with which the sound of the moving metal could be followed behind the xiphoid cartilage region. The diagnoses were confirmed by operation in 10 cases, when the specimens were found in the abomasum and removed. Four of these operations were performed directly near the linea alba and in six cases the specimens were removed by hand and magnet through the reticulo-abomasal opening after attempting the routine hard ware operation. In an additional 16 cases the foreign body could not be caught hold of and removed by a ruminal operation due to passage difficulties through the reticulo-abomasal opening. The results of the direct or indirect operations when the CAA was removed, were good. It is concluded that CAA can occur in some 5 per mille of the patient population and in some 50 per cent of these cases a traumatic reticulitis is also found. In most cases the clinical symptoms are vague. Only if the symptoms are painful and recurrent is the operation indicated.

Abomasum↗

[An intraperitoneally positioned IUD--mistaken for a Spieghel hernia].

A 40-year-old woman presented with the typical signs and symptoms of a Spigelian hernia. Upon operation, an inflammatory conglomerate tumor in the lower omentum was found, containing a copper T. As there were no signs of perforation it is to be discussed whether the IUCD migrated through the right Fallopian tube or penetrated through the uterine wall without leaving a scar.

Diagnostic Errors↗