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At least 91 records · Page 5Linked to original sources
PubMed2004

A penny for your thoughts: small bowel obstruction secondary to coin ingestion.

We report a case of small bowel obstruction secondary to coin ingestion. A 22-year-old woman presented to the Emergency Department (ED) with a 3-week history of abdominal pain. Upon initial history the patient denied any foreign body ingestion. Only after computed tomography (CT) scanning of the abdomen and pelvis did the patient admit to deliberate ingestion of a single United States penny coin. During surgical evaluation it was found that the coin had lodged near the ileocecal valve and an inflammatory mass had formed around the intraluminal coin, causing a 10 x 7 cm fibrous tumor to completely obstruct the small bowel. It is thought that oxidation of the coin, with subsequent exposure of its high zinc content, instigated the inflammatory cascade.

Abdomen, Acute↗
PubMed2000

The 'penny pincher': a new technique for fast and safe removal of esophageal coins.

BACKGROUND/PURPOSE: Considerable debate surrounds the choice of technique for the removal of esophageal coins: endoscopic extraction versus dislodgement with a Foley balloon versus dislodgement using bougienage. The "penny-pincher" (PP) technique was developed as an alternative, incorporating the main advantages of these various approaches. METHOD: The PP technique is based on the insertion of a fluoroscopically guided device that consists of a grasping endoscopic forceps covered by a soft rubber catheter. The forceps provides a firm hold on the coin. The catheter protects the oropharynx and aligns the device with the coin. Once the tip of the catheter is close to the upper edge of the coin, the previously retracted radiopaque prongs of the grasping forceps are deployed and the edge of the coin firmly grasped and extracted. The procedure is done without anesthesia or sedation. RESULTS: Twenty coins were removed from 19 consecutive children with a mean age of 34 months. Average lip-to-lip removal (including fluoroscopy) time was 41 seconds. There were no complications, and all patients were discharged shortly after coin removal. CONCLUSION: The penny-pincher method for the removal of upper esophageal coins combines the simplicity, speed, and cost effectiveness of balloon catheter or bougie coin dislodgement with the safety and secure grasping of endoscopic or forceps removal.

Catheterization↗
PubMed1982

Hands on coins.

Explore the source record for details and available documents.

Hand↗
PubMed2000

Pediatric coin ingestion: an unusual presentation.

A 35-month-old child presented to the Emergency Department with a suspected coin ingestion. A physical examination and radiographic examination revealed no evidence of the coin, and the child was prepared for discharge. When the child continued to refuse to drink, digital examination of the hard palate revealed the coin lodged behind the upper incisors. It was only possible to visualize when the patient's neck was fully extended. This case represents an unusual presentation of coin ingestion. It points out the importance of a meticulous physical examination and the need for reevaluation when findings are contradictory.

Child, Preschool↗
PubMed2002

Extracting coins from the upper end of the esophagus using a Magill forceps technique.

OBJECTIVES: To assess the efficiency of a Magill forceps technique (MFT) in removing coins from the upper end of the esophagus. METHOD: The study population was 75 patients, all of them were children under the age of 12 years. This study was carried out in ENT department at Princess Basma Teaching Hospital during the period October 1996-September 1999. MFT is based on the insertion of a Mc-Intosch laryngoscope into the pharynx to elevate the larynx and to expose the esophageal entrance, then Magill forceps were advanced into the esophagus and opened in order to see and extract the coin from the esophagus. RESULTS: Seventy-one coins were successfully removed without any complications from 75 children admitted with coins in the upper end of the esophagus. In the remaining four cases, the coins had slipped down into the stomach. The average time taken to remove the coin was 30 s. CONCLUSION: MFT is a quick, easy and safe technique for removing coins from the upper end of the esophagus.

Child↗
PubMed1998

Spontaneous passage of coins lodged in the upper esophagus.

Coin ingestion with subsequent esophageal coin impaction is common in children. Although spontaneous passage to the stomach of coins at the gastroesophageal sphincter is fairly common, spontaneous passage of coins from the upper or mid-esophagus has only rarely been reported. Thus, in an effort at cost savings, an endoscopist might forego obtaining a second set of radiographs prior to removal of an esophageal coin. We present two cases of spontaneous passage of coins from the upper esophagus, both of which occurred hours after coin ingestion. These cases suggest that spontaneous passage of proximal esophageal coins does, in fact, occur in some children. A second set of radiographs, therefore, may identify these children, and prevent unnecessary invasive removal procedures.

Child, Preschool↗
PubMed1998

The centenary of discovery of radium.

Henri Becquerel presented the discovery of radium by Pierre and Marie Curie at the Paris Academy of Science on 26th December 1898. One century later, radium has been abandoned, mainly for radiation protection difficulties. It is, however, likely that modern techniques of brachytherapy have inherited to those designed for radium sources, and that radium has cured thousands and thousands patients all over the world for about eighty years. The history of discovery and medical use of radium is summarised.

Famous Persons↗
PubMed2002

Dawn of prostate brachytherapy: 1915-1930.

PURPOSE: To investigate the origins of prostate brachytherapy. METHODS AND MATERIALS: A review of contemporary journals and texts was conducted. RESULTS: Prostate brachytherapy was performed frequently by leading urologists before 1930. Both temporary and permanent implant techniques were developed using radium and radon through intracavitary and interstitial approaches. Transperineal implantation of permanent sources was first performed 80 years ago. CONCLUSION: Prostate brachytherapy has its origins in the early part of the last century.

Brachytherapy↗
PubMedDate not supplied

Accidental ingestion of coins by children: management at the ENT Department of the João XXIII Hospital.

UNLABELLED: The ingestion of foreign bodies by children is frequently seen in emergency departments. ENTs can manage those lodged in the esophagus but experience is important for a successful intervention. AIM: Describe seven cases of children that ingested coins, managed at the ENT Department of João XXIII Hospital. STUDY DESIGN: Clinical/prospective. MATERIALS AND METHODS: We describe seven cases (gender, age, family status, coin size and treatment/evolution). RESULTS: Age ranged from one to nine years. Two patients were only children and five were the youngest in their families. Coins sizes ranged from 1.9 to 2.5 cm. After eight hours of observation, three cases were treated in the surgery room because the foreign body was lodged in the cricopharynx. Four cases resolved spontaneously. CONCLUSION: The ENT department has good results removing coins lodged in the upper esophagus using forceps and laryngoscopy; and also using rigid esophagoscopy for the lower esophagus. In this study it was not possible to establish the importance of coin size and patient age in attempting to predict spontaneous resolution, nor if the child being an only child or the youngest in the family may have some predisposition in this kind of accident.

Child↗
PubMed1989

A coin as a tracheal foreign body for 30 years.

A rare case of long-standing tracheal foreign body, a coin retained in the trachea for over 30 years, is presented. A 35-year-old female patient came to the hospital complaining of recurring cough and sensation of a lump in the throat since childhood. A round radiopaque shadow between the clavicles was found in routine chest X-ray film. She recalled swallowing a coin at about the age of five. Reviewing an old film taken for her cough problem at another hospital 11 years previously, we noted the same shadow at the same level. A rusty coin was removed through a ventilating bronchoscope from the trachea, where a narrow sulcus and some granulation tissue were found. Her complaints disappeared thereafter.

Adult↗
PubMed2001

Nickel release from coins.

Nickel allergy is the most frequent contact allergy and is also one of the major background factors for hand eczema. The clinical significance of nickel release from coins was discussed when the composition of euro coins was decided. Current European coinage is dominated by cupro-nickel coins (Cu 75; Ni 25); other nickel-containing and non-nickel alloys are also used. Nickel release from used coinage from the UK, Sweden and France was determined. It was shown that nickel ions are readily available on the surface of used coins. After 2 min in artificial sweat, approximately 2 microg of nickel per coin was extracted from cupro-nickel coins. Less nickel was extracted from non-nickel coins. Nickel on the surface was mainly present as chloride. After 1 week in artificial sweat approximately 30 microg/cm2 was released from cupro-nickel coins: less nickel was released from coins made of other nickel alloys. Theoretically, several microg of nickel salts may be transferred daily onto hands by intense handling of high-nickel-releasing coins.

Allergens↗