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PubMed1993

[The diagnosis and treatment of patients with foreign bodies in the stomach and intestines].

The results of treatment of 39 patients with complications caused by presence of foreign bodies in the stomach and intestine are presented. Conservative treatment was performed in detection of a single foreign body with a length up to 10 cm. The foreign body staying at the same place for three days should serve an indication for operation. The emergency operation should be performed in presence of multiple foreign bodies in the stomach, when their length is more than 10 cm. and in development of complications--perforation of a hollow organ, development of hemorrhage, abscess, or infiltrate in the abdominal cavity.

Adult↗
PubMedDate not supplied

[A case of foreign body in the parametrium].

A case is reported of a foreign body (surgical needle) in the parametrium. The needle was left while suturing postpartum cervical rupture. After many years symptoms developed requiring surgical intervention. Conventional methods of needle removal failed and only after fluoroscopy application the foreign body could be removed.

Adnexa Uteri↗
PubMed1995

Subcutaneous emphysema: an unusual presentation of foreign body in the airway.

Six children with a foreign body in the airway presented with progressive subcutaneous emphysema as a clinical feature. The aim of this report is to highlight this unusual clinical presentation of foreign body in the tracheobronchial tree. A peculiar arrangement of fascial planes in the neck, chest, and abdomen and an excessive pressure gradient at the alveolar level, facilitates extraalveolar migration of air in the subcutaneous tissue.

Child, Preschool↗
PubMed2003

CT virtual bronchoscopy in the evaluation of children with suspected foreign body aspiration.

OBJECTIVE: Computed tomography (CT) virtual bronchoscopy is a noninvasive technique that provides an internal view of trachea and major bronchi by three-dimensional reconstruction. The aim of this study was to investigate the usefulness of virtual bronchoscopy in the evaluation of suspected foreign body aspiration in children. MATERIALS AND METHODS: Twenty-three children (12 girls, 11 boys) with a mean age of 2.4 years (8 months-14 years) who were admitted to emergency room with a suspicion of foreign body aspiration were included in this study. Chest radiograms, spiral computed tomography scans and virtual bronchoscopy images were obtained. Then, rigid bronchoscopy was performed within 24 h. RESULTS: CT virtual bronchoscopy and conventional bronchoscopy revealed the location of the foreign body in seven patients. It was in the right main bronchus in four patients, in the right lower lobe bronchus in one patient, and in the left main bronchus in two patients. There was no discordance between two modalities. CT examination revealed hyperaeration of the ipsilateral lung in four patients, hyperaeration of the ipsilateral lung and mediastinal shift in one patient and bronchiectatic changes in one patient. CT detected no additional finding in one patient with a foreign body in the right main bronchus. In 10 of 16 patients without foreign body, CT examination demonstrated atelectasis, infiltration, peribronchial thickening, and paratracheal lymphadenpoathy. CONCLUSION: Helical CT scanning with virtual bronchoscopy should be performed in only selected cases with suspected foreign body aspiration. When the chest radiograph is normal and the clinical diagnosis suggests aspirated foreign body, helical CT and virtual bronchoscopy can be considered in order to avoid needless rigid bronchoscopy.

Adolescent↗
PubMed2000

[Foreign bodies in the rectum at our department during the last ten years].

During the past 10 years the authors have treated 17 patients on their department because of got stuck or injury-causing rectal foreign bodies. In 12 cases swallowed, in 3 cases "per anum"-placed up foreign bodies were observed, in 2 cases penetrating anorectal injury caused by the foreign body. In 9 cases after successful Recamier-dilatation the foreign bodies were removed per anum in 5 cases they were removed in short time narcosis by rectoscope. At 2 patients they had to compose colostoma. All their patients recovered. They stress the importance of the removing of the foreign bodies as soon as possible.

Adult↗
PubMed1984

Two rare cases of endoscopic extraction of foreign bodies from the stomach and duodenum.

This is the report of two cases of successful endoscopic foreign body extraction from the gastrointestinal tract. The first case describes the extraction of 18 objects from the stomach and duodenum of an insane patient done 6 months ago. The second case presents a patient with a prior bile duct operation in whom a transpapillary drain had been left behind 8 years ago. The authors suggest a number of recommendations concerning easier and safer technique of endoscopy. Roentgeno-endoscopic diagnostic localization of foreign bodies and choice of active or temporizing tactics is given special attention. Detailed description of foreign body extraction and further treatment of patients is given. In conclusion the authors suggest that endoscopy should be more often used after operations to reveal and remove possible iatrogenic foreign bodies from the gastrointestinal tract.

Adult↗
PubMed1990

[Diagnosis and treatment of foreign bodies of the lungs and pleural cavity].

The foreign bodies of the lungs and pleural cavity were the cause of non-specific suppurative pulmonary diseases in 0.4% of the patients. They are conditioning pneumonia, blood spitting, pulmonary hemorrhage, circumscribed pleural empyema. The removal of foreign bodies is necessary, because the risk of their remaining is not justified.

Adult↗
PubMed1975

[Difficulties in the diagnostic of endobronchial foreign bodies (author's transl)].

Diagnostic Difficulties in 27 cases of inhaled or swallowed foreign bodies are critically reviewed. Possible sources of diagnostic errors are emphasized. 25 foreign bodies were removed by endoscopical procedures. 1 fatal case concerning an eight months' old child is described in extenso. One foreign body localized in the upper esophagus and causing the symptoms of tracheal stenosis was removed by esophagotomy.

Adolescent↗
PubMed2003

Foreign body in the maxillary sinus--possible plastic tube: a case report.

We experienced the case of a patient who had a foreign body in the maxillary sinus. The patient complained of recurrent unilateral badly smelling rhinorrhea. The computed tomography and the magnetic resonance images revealed a foreign body in the maxillary sinus. The foreign body was removed via the Caldwell-Luc approach. The foreign body was a plastic tube, which was supposed to be designed for the drainage of the maxillary sinus. However, the patient did not remember having been subjected to a treatment using such kind of tube. After the surgical removal, the patient became free from the nasal symptoms.

Adult↗
PubMed1981

[Mediastinal emphysema extending to the chest, neck and head as complication of a foreign body in the bronchi (author's transl)].

A rare complication of a foreign body in the bronchi system described. It caused emphysema of the Mediastinum entering the chest, neck, and head. The foreign body was stuck in the right main bronchus, and worked as a valve permitting air to enter but not to leave again. Increasing air pressure in the pulmonary alveoli caused their rupture, and escaping of air along the large pulmonary vessels to the mediastinum. From there the emphysema extended to the chest, neck and head through the subcutaneous tissue. All signs of air in the mediastinum and subcutaneous tissues were gone a few days after bronchoscopy and removal of the foreign body.

Bronchi↗
PubMed2005

Case report: Foreign body granuloma mimicking liver metastasis.

In this study, foreign body granuloma mimicking liver metastasis diagnosed on routine follow-up examination in a 41-year-old woman with rectal adenocarcinoma is reported. To our knowledge, this is the first study in English-language literature reporting foreign body granuloma indistinguishable from liver metastasis on radiological examination.

Adult↗
PubMed1994

[Intra-abdominal adhesions and foreign-body granulomas following earlier laparotomy].

OBJECTIVE: To determine the prevalence of foreign body granulomas in intra-abdominal adhesions in patients subjected to relaparotomy. DESIGN: Cross-sectional. SETTING: University Hospital Rotterdam-Dijkzigt, the Netherlands. METHOD: From July 1991 to September 1992, 119 patients were subjected to relaparotomy. Presence, distribution and quality of adhesions were scored during the relaparotomy and adhesion samples were taken for histological examination. RESULTS: Adhesions were present in 94% of the patients; they were most frequently attached to small bowel (83%) and omentum (78%). The number of adhesions was significantly smaller in patients with a history of only one minor operation than in those with one major or multiple laparotomies. Foreign body granulomas were found in 22% of the patients with adhesions. These were caused by suture material (19%) or starch glove powder (6%); a combination of both occurred in 3% of the patients. When granulomas were present, the median interval between present and most recent laparotomy was significantly shorter than when no granulomas were found. In patients with adhesions who had had the previous operation less than 6 months previously, granulomas were present in 71%. In contrast, 13% of the patients operated upon longer than 6 months previously had granulomas. CONCLUSIONS: In young adhesions foreign body granulomas occur in large percentages of the cases. This suggests that the intra-abdominal presence of foreign material is an important cause of adhesion formation. Therefore, intra-abdominal contamination with suture material and glove powder should be avoided.

Cross-Sectional Studies↗
PubMedDate not supplied

Stingray spine foreign body in the foot.

An unusual case report of a retained stingray spine foreign body in the foot is presented. The case is interesting in that the foreign body, although visualized on radiograph, was difficult to locate intraoperatively. A review of techniques for localizing foreign bodies in the foot is presented as well as a discussion on stingray injuries in general. Because of the possibility of spine breakage in a stingray puncture wound, radiographs should be considered in injuries of this type.

Adult↗
PubMedDate not supplied

[Early management of foreign bodies in the upper digestive tract with flexible fiberendoscopy].

We present our five year experience (1983-1988) in 74 patients who intentionally or accidentally ingested foreign bodies, and their management with flexible fibroendoscopy. A higher incidence was observed in children under 6 years of age, and adults between 30 and 50 years of age. The major presenting symptom was the "sentation of foreign body", and 24% of patients presented no symptomatology. The most commonly encountered foreign bodies were: fishbone, coins, chicken bones, and meat fragments. An esophageal location was the most commonly found, predominantly in the proximal third. Flexible endoscopy performed in 59 patients (80%), successfully removing the foreign body in 93.2%. In the remaining cases it was demonstrated previously that the foreign body could not be reached by the endoscope.

Adolescent↗
PubMed1995

Laser-assisted removal of a foreign body in the bronchial system of an infant.

BACKGROUND AND OBJECTIVE: Foreign body aspiration is an important cause of acute respiratory distress in children. Removal by use of rigid tracheobronchoscopy under general anesthesia is usually the treatment of choice, but this technique is sometimes unsuccessful. Thoracotomy in these instances often cannot be avoided. STUDY DESIGN/PATIENTS AND METHODS: Case report with review of the literature. The patient was 19 months old with an aspirated foreign body. A Neodym:YAG laser with a special small-size delivery system was inserted into the rigid "baby" bronchoscope. The Neodymium:YAG laser with a wave-length of 1,064 nm and a Helium-Neon 630 nm light guide provided an aiming beam to weaken and cut the aspirated chicken bone. RESULTS: The foreign body could be easily removed with a regular biopsy forceps. CONCLUSION: We discuss a patient in whom laser-assisted rigid tracheobronchoscopy obviated the need for thoracotomy.

Aluminum Silicates↗
PubMed2006

Healthcare givers' skill and foreign bodies in the ears of children in the tropics.

OBJECTIVE: The aim is to find out the place of clinical skill in the management of foreign bodies in the ear of children by various healthcare givers. METHOD: Case files of children with foreign bodies in the ears seen in the Otorhinolaryngology Department of University College Hospital, Ibadan, Nigeria from 1996 to 2005 were reviewed for all essential clinical data. RESULT: Of 323 patients studied, 171 (53.00%) males and 152 (47.00%) females, 168 (52.01%) had prior removal attempts done by anxious caregivers or general practitioners before referral; 154 (91.67%) of these had complications. Only 10 (6.45%) of the 155 (47.99%) with removal by ENT registrars had complications. CONCLUSION: Complications found appear to be related to level of clinical skill of individual health caregiver. Wherever possible, first attempt at removing aural foreign bodies should be done by an otorhinolaryngologist. Anxious parents must be discouraged from attempts but if they must attempt to remove ear foreign body, it must be by a safe ear syringing. General practitioners must be aware of their limitations and ENT registrars must be supervised by senior registrars with help of operating microscope to remove foreign bodies from the ears.

Adolescent↗
PubMed1993

Foreign body associated infection.

One of the major complications associated with the use of medical devices and implants is foreign body associated infection. Its significance in modern medicine and its pathogenesis are discussed. Adherence to and colonization of a foreign body material and the interference of microbial products with the host defence are critical steps leading to foreign body infections. Therapy is difficult and hence the immediate administration of antibiotics and the removal of an infected device or implant is still preferred. New strategies for the prevention of foreign body infections are briefly introduced.

Anti-Bacterial Agents↗
PubMed1999

Intraocular foreign bodies. Factors influencing final visual outcome.

PURPOSE: To identify the prognostic factors of poor visual outcome (visual acuity < or =6/240) in eyes with intraocular foreign bodies. METHODS: The records of 95 consecutive patients were retrospectively reviewed for 6 years (1990-1995). All eyes underwent a primary surgical repair and foreign-body removal (electromagnet or vitrectomy). The mean follow-up period was 25 months (6-72 months). Single analysis and multiple logistic stepwise regression analysis were performed to determine predictors of poor vision. RESULTS: Thirty patients (31.6%) showed 6/240 or worse vision at the end of their follow-up period. Three significant predictive factors had independent and combined effects on post-operative visual outcome: a corneo-scleral entry wound (odds ratio (OR)=14.5, p=0.001), largest diameter of IOFB (OR=1.21, p=0.01) and the presence of secondary retinal detachment (OR=9.48, p=0.0002). Post-operative complications included traumatic cataracts (51%), retinal detachments (28%) and phthisis bulbi (8%). CONCLUSION: Using multivariate analysis, corneo-scleral entry wound, largest diameter of foreign body and secondary retinal detachment were found to be predictors of poor visual outcome after intraocular foreign body removal. Our results suggest that patients with high-risk intraocular foreign body trauma should be candidates for pars plana vitrectomy rather than electromagnet procedure.

Adolescent↗