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At least 991 records · Page 55Linked to original sources
PubMed1979

[Foreign bodies in the airways. Role of endoscopy in their diagnosis and treatment].

The inhalation of foreign bodies gives rise to a symptom picture that will depend on the nature and size of the foreign body, its location in the airways, the age of the patient, and the presence of prior lung affections. Non-invasive removal of such bodies is often enough to resolve both acute and chronic symptomatologies. In view of the striking nature of the symptoms and the imminent risk of complications or exacerbation associated with the continued presence of foreign bodies and the therapeutic strategy to be adopted, many workers consider that treatment should be given in a suitable environment, with proper equipment and an experienced staff. Reference is made to a personal series collected at the Chieti and Bologna resuscitation centres in describing the criteria followed in the diagnosis and management of cases of recently inhaled or latent foreign bodies, and their parenchymal complications. Non-invasive management by means of direct bronchoscopy is advised in all cases except those in which the subsequent intervention of serious, evident and irreversible parenchymal alterations make surgery inevitable.

Adult↗
PubMed2004

[Tracheobronchial foreign bodies. Diagnostic and therapeutic aspects in children].

In this retrospective study, the authors reviewed 31 cases of tracheobronchial foreign body in children ranging in age from one to 15 years, recruited in Ariana hospital since 1987. 74% of the patients were male, and only 26% were less than 3 years old. The foreign body is mostly revealed by a radio-clinical presentation of a feverish bronchopneumonia (32%); children were referred to the hospital within 15.4 months. Although penetration syndrome was reported in 61% of patients, it represented the reason of consultation in only 19% of cases, and children were referred within 4.5 days. The main radiographic findings were atelectasis (32%) and non specific foci of pneumonia (19%). Air trapping was noted in just 10% of cases. 55% of foreign bodies were vegetable in nature, with sunflower seeds at the head of the list (16%). They have been lodged preferentially in the right bronchial tree (58%) and 51% of them were found in the mainstem bronchus. 71% were removed by endoscopic procedures; a surgical operation was performed in 6 cases (19%): one case of pneumotomy to extract a metallic foreign body from distal respiratory tract, and five cases of parenchymal excision, including four for bronchiectasis. 77% of patients had symptoms that lasted at least 2 weeks before diagnosis; the long delay in diagnosis (average of 7.6 months) explains the high-level of bronchiectasis in our study (22%). The authors emphasize the necessity to promote preventive measures by information parents and physicians on risks of foreign body aspiration, which early diagnosis can save much trouble in children.

Adolescent↗
PubMed1999

Review of oesophageal foreign bodies in Harare Central Hospital.

OBJECTIVE: To review our experience in the management of patients with oesophageal foreign bodies. DESIGN: Retrospective analysis. SETTING: Harare Central Hospital, Harare, Zimbabwe. SUBJECTS: Sixty eight patients who presented with foreign body ingestion from October 1990 to December 1991. INTERVENTION: All but two patients underwent rigid oesophagoscopic examination. RESULTS: Sixty five of the cases with foreign bodies in the oesophagus had their foreign bodies retrieved by rigid oesophagoscopic procedure. CONCLUSION: A high index of suspicion will help in early diagnosis especially in children who present with recent and inexplicable onset of respiratory symptoms.

Adolescent↗
PubMed1986

An unusual foreign body in hand. A case report.

Small sharp foreign bodies are common in dominant hand. A case of an unusual, large, blunt, metallic foreign body in the non-dominant hand, with treatment and result, is reported.

Accidents, Occupational↗
PubMed1999

[A method for the intraoperative localization of foreign bodies in the esophagus not removable endoscopically].

In the last years the cases of swallowing deliberately "starlet" foreign bodies made especially for that purpose became more often. They lodge mostly in the esophagus. In most of the cases the endoscopic extraction is impossible and the only way for removing the body is by operation. Usually the patients are operated after the foreign body has been for a long period there and it is found that there are serious esophagitis, periesophagitis and mediastinitis. That makes it difficult to localize the foreign body and necessitates making a big esophagotomy which complicates the post-operative period. We work out a method for intraoperative localization of endoscopically unremovable foreign bodies in the esophagus. This method has a number of advantages and they improve the results from the surgical treatment of these patients.

Esophagoscopes↗
PubMed1982

Endoscopic removal of foreign bodies in the large bowel.

Endoscopic removal of foreign bodies from the intestinal tract is an extremely useful method. In our series, foreign bodies passing down from the upper intestinal tract were removed endoscopically from the rectum and colon of 13 patients. No complications were observed. It can be concluded that endoscopy is a simple, safe and effective method which, in many cases, avoids surgical procedures.

Colon↗
PubMed1989

[Experimental studies of intrabronchial foreign bodies in the dog].

Results obtained from clinical, endoscopic, bacteriological, and roentgenological investigations, following artificial introduction of foreign bodies into the tracheobronchial system of dogs, are reported in this paper. The foreign bodies included gauze pads, plastic halma pieces, larch, alder, and wood cones. Twenty of the 22 foreign bodies artificially placed into the bronchial tree of the experimental dogs were spontaneously coughed up, 16 of them between the 1st and 14th days from introduction. The cause underlying such high spontaneous healing rate of tracheobronchial foreign bodies in dog is discussed in some detail.

Animals↗
PubMed1992

[An intraorbital foreign body with fulminant phlegmon].

The authors describe the case of an intraorbital foreign body of plant origin. An extensive phlegmon in the orbit caused by the foreign body led in the end to enucleation. The authors discuss diagnostic possibilities for detection and localization of foreign bodies in the orbit, focused in particular on CT.

Adult↗
PubMed1992

[Foreign bodies in the bronchial tree].

In the study tree cases of foreign bodies in bronchial tree were discussed to illustrate a proper way for their removal. According to time of their remaining in bronchial tree a foreign body may be removed immediately after aspiration or after special preparation with surgical and anesthetic assistance. Our studies documented the use of flexible fiberoptic bronchoscope in foreign body removal.

Adult↗
PubMed1995

Retained foreign body: associations with elevated lead levels, pica, and duodenal anomaly.

A 14-month-old girl presented with elevated lead levels and a metallic foreign body was detected on abdominal radiograph. Subsequent evaluation, performed after the child failed to pass the foreign body with cathartics, revealed a bezoar proximal to a partial duodenal obstruction. The metallic foreign body was later removed and found to contain lead, however, the patient has subsequently had recurrent elevations of lead levels with episodes of pica. This case reiterates the need to evaluate children with retained foreign bodies for lead poisoning due to associated pica. In addition, retained foreign bodies should point to possible congenital anomaly of the duodenum causing partial obstruction.

Diverticulum↗
PubMed2006

Tracheobronchial foreign body aspiration: a continuing challenge.

OBJECTIVE: The aim was to present the features and outcomes for 140 cases of foreign body aspiration and to discuss specific problems and new management recommendations. STUDY DESIGN AND SETTING: Records were retrospectively reviewed and the following data were recorded for each patient: age, sex, symptoms, duration of symptoms, findings on physical examination and chest radiography, location and type of foreign body, complications related to aspiration itself or to extraction, and outcome. RESULTS: Seventy-eight (55.7%) patients presented within 24 hours of aspiration. The most common symptoms and findings were cough, dyspnea-stridor, decreased breath sounds, radiopaque foreign body, air trapping, and atelectasis. All 140 patients underwent rigid bronchoscopy, and 110 had the foreign material extracted via the scope. No foreign body was detected bronchoscopically in 25 cases. In the other 5 cases, the material was visualized but could not be removed via the scope, and 3 of these patients required thoracotomy for removal. Eleven patients developed morbidity after bronchoscopy. CONCLUSIONS: History suggestive of foreign body aspiration is a definite indication for bronchoscopy, and bronchoscopic extraction should only be performed by experts. Each case tends to present different challenges, and endotracheal intubation and tracheotomy may be required.

Bronchi↗
PubMed1985

Colorectal foreign bodies. Management update.

A nine-year experience with 55 colorectal foreign bodies extracted from 51 patients is presented. Adherence to a management protocol according to the classification of the level of the foreign bodies within the rectum is emphasized. The therapeutic principles of pre-extraction biplane abdominal roentgenograms, appropriate anesthesia for adequate sphincter relaxation, transanal extraction under direct vision whenever possible, proctosigmoidoscopy and inpatient observation following removal of the foreign body have resulted in no morbidity or mortality in this series.

Adult↗
PubMed2003

Vegetative intraocular foreign body of 25 years' duration.

Retained intraocular organic foreign bodies, particularly wooden bodies, are frequently encountered in ophthamlologic practice. We treated a patient with a retained intraocular foreign body--a single splinter from a broom--which had remained in the eye for 25 years.

Adult↗
PubMed1996

Atypical intranasal foreign body.

This report records the findings of a long-standing intransasal foreign body in a six-year-old boy from a remote, semidesert region of Kenya. He had nasal obstruction for 20 months and as a result had developed chronic otitis media and severe malnutrition. Removal of the mass was accomplished piecemeal by aspiration, revealing that the entire septum and both lateral nasal walls had been destroyed by the process, thought to be due to a vegetal foreign body. Following removal of the foreign body, his health improved, the otitis media cleared up and he gained weight.

Child↗
PubMed2002

A metallic foreign body presenting in the anterior chamber angle.

PURPOSE: This article describes a case in which a patient presented with a previously undetected metallic foreign body in the anterior chamber angle. METHODS AND RESULTS: A 42-year-old Hispanic man presented with a 5-day history of foreign-body sensation and redness in his left eye. He had been using a hand saw without safety glasses 2 days before the onset of his initial symptoms. Physical examination revealed a metallic foreign body embedded in the inferior angle of his left eye. Surgical removal of the foreign body was performed, and the patient remains well 1 year after surgery. CONCLUSIONS: All physicians should maintain a high degree of clinical suspicion for intraocular foreign bodies when presented with a patient who may have sustained ocular trauma. All eye-care providers need to emphasize the need for proper eye protection to patients who engage in high risk activities that may lead to penetrating ocular trauma.

Adult↗
PubMed1985

Anesthesia for foreign bodies in the tracheo-bronchial tree in children.

The authors present the anesthetic and ventilation techniques, used in 106 children, who were suspected of foreign body aspiration in the respiratory tract. In 62 children a foreign body was found. The youngest child was 8 months old and the oldest 13 years, with an age distribution peak in the 1 to 2 years age group. A predominance for the male sex (60%) was present. Foreign bodies of organic nature were found most frequently (80%), 39 of them consisting of peanuts. The bronchi were involved more often than the trachea and the foreign body was located more frequently at the right bronchus (38 pt). The children were ventilated initially with an intermittent oxygen jet injection technique, using a home made apparatus, but since 1978 with HFPPV, using the AGA Bronchovent. Induction of anesthesia was done with halothane and maintenance with etomidate infusion (10-20 micrograms/kg/min.) or thiopental increments (2 to 3 mg/kg). The technique so far used, proved to be satisfactory, specially since HFPPV is used. Few complications occurred. One child died during the bronchoscopic procedure and in an other child a tracheostomy had to be performed for extraction of the foreign body.

Adolescent↗
PubMed1996

Nasal foreign bodies in children.

This study investigates the pattern of pediatric nasal foreign body impaction and its management in a metropolitan area. Data was obtained from 147 children presenting to the Accident and Emergency Department over a 4-year period. The majority of foreign bodies were toys and household products. Complications which occurred, such as ingestion of the foreign body or epistaxis were usually related to attempts at removal. Fourteen cases of local complications resulted from button battery impaction. Most of these patients can successfully be managed without complication if correct procedures are adopted.

Child, Preschool↗
PubMed1992

[Foreign bodies in the bronchi of adult patients].

846 bronchoscopies were carried out in adults between 1.01.1988 and 31.01.1991. 11 of these were performed in order to remove endobronchial foreign bodies. In 5 cases the foreign bodies were located in the bronchi of the right lung. In 1 case the foreign body was localized in the left lung. All were removed bronchoscopically. The youngest patients had 54 years, the oldest 82. The author discussed the diagnosis and removal of endobronchial foreign bodies. No complications were observed.

Aged↗