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At least 73 records · Page 4Linked to original sources
PubMed1991

[Foreign body aspiration in children. The advantages of emergency endoscopy and foreign body removal].

In the last 15 years, 124 children with a history and clinical signs of aspiration have been managed by emergency rigid endoscopy under general anesthesia. In 115 (93%) of them a foreign body could be identified, which was successfully removed by forceps extraction in 114. Only 1 patient required a thoracotomy for removal of a distally located aspirated needle. The remaining 9 patients (7%) had a typical history and clinical signs of an aspiration, but no aspirated foreign body was found on endoscopy. Most of the children (102, or 82%) were admitted within 12 h after aspiration, while 22 (18%) had a history of foreign body aspiration between 2 days and 5 weeks before. Complications occurred in only 3% (3 children) of the 102 who underwent endoscopy within 12 h as against 50% (11 patients) of the 22 children in whom this was delayed. In all cases of foreign body aspiration and endoscopical removal within 12 h, the patients were discharged after a plain chest X-ray the following day. In children with chronic endotracheal foreign bodies, in 80% a second endoscopy after 48 h was indicated, and the mean stay in hospital was extended to 7 days. Emergency rigid tracheobronchoscopy and forceps removal of aspirated foreign bodies under general anesthesia and with meticulous perioperative monitoring is a safe and effective procedure with no mortality. Even in suspected aspiration or chronic bronchopulmonary infections, liberal use of endoscopy is recommended.

Anesthesia, General↗
PubMed2004

3D CT evaluation of retained foreign bodies.

Retained foreign bodies in the abdomen and pelvis are an uncommon occurrence after surgical operations but have serious medicolegal implications. The radiologist plays an important role in suggesting the diagnosis of a retained foreign body. This article reviews the use of three-dimensional CT as a problem-solving tool in the identification, localization, and presurgical planning of retained surgical foreign bodies.

Foreign Bodies↗
PubMed1992

Management of an unusual presentation of foreign body aspiration.

Foreign body aspiration is a very common problem in children and toddlers and still a serious and sometimes fatal condition. We are reporting on a 2-year-old white asthmatic male who choked on a chick pea and presented with subcutaneous emphysema, and on chest X-ray with an isolated pneumomediastinum but not pneumothorax. On review of the literature an isolated pneumomediastinum without pneumothorax was rarely reported. This presented a challenge in management mainly because of the technique that we had to use in order to undergo bronchoscopy and removal of the foreign body. Apnoeic diffusion oxygenation was used initially while the foreign body was removed piecemeal, and afterwards intermittent positive pressure ventilation was used. The child did very well, and his subcutaneous emphysema and pneumomediastinum remarkably improved immediately post surgery.

Bronchi↗
PubMed2000

3D-CT diagnosis for ingested foreign bodies.

Ingested foreign bodies can be hard to diagnose but cannot be missed. We report two cases where helical computed tomography (three-dimensional computed tomography) was used for the effective preoperative diagnosis (swallowed fish bone-induced perforation of sigmoid colon and a case of ileus caused by ingested PTP [press-through package]). Other traditional diagnostic methods could not identify the foreign bodies. Three-dimensional computed tomography is useful for the diagnosis of foreign body ingestion and should be used for the difficult cases.

Abdominal Pain↗
PubMed2003

Chronic inspiratory stridor secondary to a retained penetrating radiolucent esophageal foreign body.

Although foreign body ingestions are common in infants and young children, penetration of the esophagus is a relatively rare event. Timely diagnosis is impeded by the absence of classical symptoms and by the ingestion of radiolucent foreign bodies. The authors present a 17-month-old girl with a 6-month history of inspiratory stridor. An extensive workup found a penetrating radiolucent foreign body at the thoracic inlet.

Esophagus↗
PubMed1989

Physiopathology of foreign body infections.

Foreign body infections share several properties: a high susceptibility to microorganisms which are usually of low pathogenicity (such as S. epidermidis) and with only some exceptions failure to respond to antimicrobial therapy without surgery. The common denominator for the three elements that play a role in the physiopathology of such infections (bacteria, neutrophils and different materials) is host protein deposited over the surface of the foreign body. Staphylococci and neutrophils selectively adhere to fibronectin and to a variable degree to laminin and fibrinogen. These proteins potentially modulate phagocyte function. With the progress of biotechnology and the increasing numbers of implantable prostheses, it will become critical to increase our understanding on how to prevent and treat foreign body infections.

Animals↗
PubMed2000

[The aspiration and swallowing of foreign bodies. The management of the aspiration or swallowing of foreign bodies during dental treatment].

The purpose of this article is to draw attention to the possible complications of foreign body ingestion or aspiration associated with dental treatment, especially oral implant treatment. A guide for the management of swallowed or inhaled objects is given. When the object cannot be coughed out, then it is mandatory to take frontal and lateral chest roentgenograms to identify the object's position in the intestinal system or in the tracheobronchial tree. In case of ingestion, attempts should be made to recover the foreign object by esophagoscopy. Aspirated foreign bodies should be removed within 24 hours. Acute obstruction can be life threatening and delaying the removal of foreign objects may make a bronchoscopy technically more difficult. The clinician must be aware of the complications involved in accidentally inhaling or ingesting foreign bodies during dental treatment. Patients at greater risk of swallowing or aspirating foreign objects need to be identified and extra preventive steps must be taken to avoid such complications.

Aged↗
PubMed1978

Brain abscess associated with a penetrating foreign body.

Oropharyngeal foreign bodies are not infrequently encountered in dogs and are usually associated with dysphagia. In this case an oropharyngeal foreign body resulted in nervous signs as a result of penetration of the cranial cavity and the development of a brain abscess.

Animals↗
PubMed1975

Two remarkable events in the field of intraocular foreign body: (1) The reversal of siderosis bulbi. (2) The spontaneous extrusion of an intraocular copper foreign body.

Two unusual events concerning intraocular foreign bodies are presented. The first patient had an occult or unsuspected intraocular foreign body. He showed iridoplegia with mydriasis, siderosis iridis, and an intraocular piece of iron lying posteriorly near the retina. The foreign body was removed and the patient regained normal iris color and pupillary activity. His vision remains 20/15 six years postoperatively dispite ensuing retinal detachment one year after removal of the foreign body. The second patient was a young boy injured by a blasting cap explosion. He lost one eye from the injury and had a piece of intraocular brass in his left eye. In spite of the development of chalcosis and a mature cataract the lens gradually shrank in the pupillary space permitting a clear aphakic area and 20/25 vision. The brass fragment migrated forward and inferiorly and was finally extruded under the conjunctiva five years later, where it was removed and chemically analyzed by x-ray diffraction.

Adolescent↗
PubMed1996

Large radiolucent tracheal foreign body found by CT scan caused dyspnea: an admonition on flexible fiberscopic foreign body removal.

A 25-year-old male patient with a sharp, large, and radiolucent tracheobronchial foreign body which was inhaled at the time of a traffic accident is reported on. CT scan was quite useful in finding this radiolucent foreign body. The patient had no respiratory disturbance because the foreign body was located in the level between bifurcation and left main bronchus; however, a flexible fiberscopic procedure performed to remove the body caused an airway obstruction and a dyspnea because the foreign body lodged in the subglottis. Remarkable progress has been made in the development of the flexible fiberscope system. Almost all medical facilities in Japan have flexible systems. However, the opportunities for young physicians to learn about rigid systems may now become limited. This case may warn us not to have too much confidence in the ability of flexible fiberscope system to remove this kind of large foreign body and remind us of the need to continue adequate training in the rigid systems.

Accidents, Traffic↗
PubMed2003

[Anesthetic management of a pediatric patient with a laryngeal foreign body].

Laryngeal foreign bodies in children are less common than bronchial foreign bodies, but are more dangerous. We report an 8-month-old boy who accidentally inhaled an open safety pin into his larynx. Anesthesia was induced and maintained with sevoflurane, oxygen. No muscle relaxant was administered during operation. The open safety pin was removed with Jackson's esophagoscope. No complications were observed during the operation.

Anesthesia, Inhalation↗
PubMed1983

[Foreign bodies in the biliary tract. I. Postoperative foreign bodies in the biliary tract. Review of the literature (71 cases) apropos of 4 personal cases].

Starting out from four cases which they personally treated, the authors have made a complete review of the literature concerning biliary foreign bodies, and list 92 cases, with the following breakdown - 71 operative residues, 15 ingested bodies and 6 penetrating bodies. They attempt to analyse the mechanics of the formation of lithiasis around post-operative residues and assess its real frequency. They come to the following conclusions: most of these cases can be avoided by careful cleaning before closure of the choledocotomy, by the use of good-quality, correctly cut T-tubes and drainage material, by cutting the cystic duct as short as possible, and by exclusive use of resorbable fine thread in the biliary tract and the cystic artery.

Adult↗
PubMed1991

Unusually placed oesophageal foreign body.

Oesophageal foreign bodies are common occurrences. A variety of cases have been reported in the past. We present here a unique case of an unusually placed foreign body.

Animals↗
PubMed2004

[Complications of intraocular foreign bodies].

Intraocular foreign bodies are grave ophthalmic emergencies. In this issue we present the complications that have been reported to the patients with intraocular foreign bodies admitted in the Ophthalmological Hospital from Cluj-Napoca between 1998-2002.

Adult↗
PubMedDate not supplied

[The percutaneous retrieval of vascular foreign bodies].

Intravascular foreign bodies can cause significant complications: thrombosis, pulmonary and peripheral embolism, etc. It is therefore necessary to remove them, and this may be accomplished through surgery or by means of radiotherapy techniques. In the past year we have percutaneously extracted three foreign bodies originating in vascular access pathways.

Adult↗
PubMed2006

[An unusual parotid gland foreign body].

A foreign body in the parotid gland is extremely uncommon. It can penetrate to the parotid gland through the skin or from the oral cavity via the Stenonís duct. A case of 23-years-old man with the several pieces of glass within the superficial lobe of the right parotid gland was described. The surgical removal was performed and the diagnosis of the foreign body was quite easy.

Adult↗