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PubMedDate not supplied

Foreign body in vagina--an uncommon cause of vaginitis in children.

An intravaginal foreign body of long duration can pose diagnostic dilemma in children. We present a case of eight and a half years old girl who was suffering from blood stained vaginal discharge for 3 years for which she was treated by few gynaecologists. A vaginal examination performed under general anaesthesia revealed a foreign body (lead pencil). In cases of pediatric vaginitis one should always look for foreign body in vagina.

Child↗

PubMed1992

[Fibro-endoscopic therapy of intraesophageal foreign bodies].

We have studied by means of flexible endoscopy 298 patients with a suspicion of esophageal foreign body. Only a third of them were proven, prevailing in women older than 60 years. We verify the meaning of some symptoms (dysphagia, odynophagia, retrosternal pain, and pharyngeal parestesias) according to the presence or not of the foreign body, and we confirm its general tendency to locate in the proximal esophagus and Killian's ring becoming nailed or impacted in a high percentage (73.8%) of cases. The lesions caused by such foreign bodies were slight in general, and no special treatment was required. The incidence of serious complications was very low (0.97%). The success of treatment by flexible endoscopy was 92.3%, making this the best method for extracting the foreign bodies of the upper digestive tract.

Adult↗

PubMed2003

Inhibition of foreign-body sarcoma by mammalian RNA?

Long-implanted foreign bodies can provoke sarcoma in several species, although rarely in man. In neoplasia, RNA metabolism is highly active. Several kinds of RNA from 5 species were tested for prevention of foreign-body sarcoma in 8 experiments. Nitrocellulose filters or dialysis bags were the implants used. RNA, usually 1 g/dl, was applied to saturate the filters. They were implanted in groups of 30--50 mice, while concomitant controls received saline-saturated implants. The filters surfaces were 9.8 or 19.6 sq cm with pore diameters (roughness) of 0.05, 0.1 and 0.22 mu. The dialysis bags had 6.3 sq cm surface area and RNA content. Tumour yield was logged weekly. It was compared to that of the controls in each experiment and in the series of trials. Mammalian RNA decreased tumour yield in 9 of 11 trials (1 only at p<0.05), ribosomal RNA (85% reduction) being best. Yeast RNA was inactive. RNA from E.Coli increased tumour yield. Two of three samples of bovine RNase also increased tumour yield, an effect counteracted by admixed RNA. The results would indicate an antitumour effect of mammalian RNA, or a species or concomitant of it, which was irregularly present in the fractions tested, perhaps of ribosomal origin and dialysable.

Animals↗

PubMed1991

[Chest radiograph of foreign bodies in the tracheobronchial tree].

Chest radiographs in 14 children with foreign bodies in the tracheobronchial trees were evaluated retrospectively. The most common causative materials were nuts, and both main bronchi were most commonly involved. The initial chest radiographs that were used for analysis were obtained one hour to 50 days after aspiration or onset of symptoms. Of the nine cases in which chest radiographs were taken within 7 hours after aspiration, six showed hyperlucency with (three cases) or without overinflation (three cases) in the affected lungs, and the other three showed normal chest radiographs. Two patients had indeterminate diagnoses on chest radiographs at inspiration: one patient underwent chest radiographs at expiration and the other underwent fluoroscopy. Air-trapping was demonstrated in both patients. Of another five cases in which chest radiographs were taken 18 hours after aspiration of a foreign body, three cases showed atelectasis or consolidation and the other two showed hyperlucent lung. From these observations, hyperlucent lung indicates an early stage of the disorder while atelectasis or consolidation indicates a fairly advanced stage. In patients with clinically suspected foreign bodies, we advocate that additional examinations be performed to establish a final diagnosis, even when chest radiographs are normal or indeterminate.

Bronchi↗

PubMed2002

Percutaneous retrieval of intravascular foreign bodies: experience with 19 cases.

From April 1994 to June 2002, 17 catheter fragments and two guidewires became intravascular foreign bodies during venous catheterization at our hospital. Retrievals of these 19 foreign bodies were performed percutaneously with loop snare techniques (10 cases), Dormia basket retrievers (eight cases) and grasping forceps (one case). The percutaneous retrieval procedures were successful in 18 of 19 cases. A broken Port-A catheter fragment anchored and entrapped in the vascular wall of the right brachiocephalic vein failed to be removed. No complication was noted during or after these percutaneous procedures. Our experience indicates that intravascular foreign bodies can be removed easily, safely, and successfully with currently available percutaneous methods. As a result, major surgical procedures can be avoided if interventional radiologists are familiar with a variety of techniques for the removal of the expanding spectrum of intravascular foreign bodies currently encountered.

Adult↗

PubMed2004

[Pictorial essay: foreign body of the gastrointestinal tract in emergency radiology].

The ingestion of a foreign body is a relatively common gastrointestinal emergency that causes significant morbidity. Radiological procedures play a very important role in revealing the presence, the location and the nature of an ingested foreign body, thus enabling the best therapeutic approach. We present the radiological features of common and uncommon foreign bodies ingested or with transanal insertion, differentiated on the basis of the location in the gastrointestinal tract. Diagnostic pitfalls are also considered.

Diagnosis, Differential↗

PubMed1996

A retained intraretinal foreign body.

A patient with an 11-mm retained intraretinal foreign body is described. Absence of any history of trauma or foreign body entry with no obvious wound of entry and little damage to the ocular structures makes this case unusual.

Adult↗

PubMed2002

Bronchoscopy and tracheotomy removal of bronchial foreign body.

On rare occasions, endoscopic extraction of airway foreign bodies is not feasible or may be associated with large risk for the patient; in those situations, open surgery is indicated. The authors report a case of an 8-year-old boy presenting with an airway foreign body that was too large to be extracted through the subglottic region. After several attempts, extraction was accomplished through a tracheotomy with bronchoscopic control. After removal, the cervical opening was closed. Since the tracheal suture was firm and without air leaks, a tracheostomy cannula was not placed. The tracheal tube was removed after 3 days. Follow-up 1 month after the procedure showed that all respiratory symptoms had disappeared.

Bronchi↗

PubMed1992

[Surgical treatment of perforating eye injuries due to intraocular foreign bodies].

Twenty-three consecutive cases of perforating ocular injuries with retained intraocular foreign body (IOFB) are examined in this retrospective study. The group most affected was that of males with mean age of 32 years, who sustained a job injury, presenting with a single corneal laceration. Of the 23 cases with injuries 22 (95%) were due to metallic foreign bodies. Of these, 12 (54%) involved foreign bodies of ferromagnetic origin. At surgery 14 (61%) of the 23 IOFB were removed with forceps and 9 (39%) with electromagnet. From these patients 87% obtained visual acuity equal or better than that on admission.

Accidents, Occupational↗

PubMedDate not supplied

Deliberate ingestion of foreign bodies by institutionalised psychiatric hospital patients and prison inmates.

Deliberate and recurrent foreign body ingestion is a common problem among institutionalised patients. We review our experience with 36 cases of deliberate foreign body ingestion by prisoners or psychiatric patients, thirty of whom were institutionalised at the time of ingestion. Symptoms were frequently severe in the prison inmate group but, in contrast, psychiatric patients presented with few, if any, symptoms. A majority of objects pass spontaneously or remain in situ without complication. Twenty-four patients were discharged following initial evaluation and without specific treatment. Eight of these were reviewed electively and discharged within one week. Twelve patients were admitted for observation, seven of whom were discharged within 48 hrs. Upper gastrointestinal endoscopy was performed in four patients and an intragastric foreign body identified in two cases. Laparotomy was performed in two cases for unresolving mechanical intestinal obstruction. Management should be conservative when possible, with surgery indicated only for complications.

Adolescent↗

PubMed1994

[Foreign body in the esophagus].

A ten year retrospective survey of 346 cases of oesophageal foreign bodies is reported. Although coins were the most frequent foreign bodies in the pediatry group, meat was the most common offender in the material taken as a whole. Rigid oesophagoscopy in general anaesthesia was performed on 312 patients. A foreign body was removed in 281 cases (90%). Only one case of oesophageal cancer was discovered. The risk of iatrogenic perforation of the oesophagus was greatest in old patients who had a lump of meat stuck in the distal third of the oesophagus.

Adolescent↗

PubMed1989

Magnetic resonance imaging of intraocular foreign bodies.

Magnetic resonance imaging was performed with a low field strength scanner (0.08 tesla) on 15 bovine eyes into which had been inserted various magnetic and non-magnetic foreign bodies. The precise location of the foreign bodies was determined by dissection. Magnetic resonance imaging was accurate in locating 11 of the 13 non-magnetic foreign bodies in this study. In addition a further five bovine eyes containing 10- to 20-mm long steel needles were scanned and dissected. No ocular damage attributable to movement of the foreign bodies could be seen.

Animals↗

PubMed2003

Foreign body aspiration in children: experience of 1160 cases.

Hospital records of 1160 children <or=15 years old referred for suspected foreign body aspiration were reviewed. Bronchoscopy under general anaesthesia was performed on all patients. Foreign bodies were successfully removed in 1068 (92%) children. The majority, 885 (76.3%), presented with a definite history of foreign body aspiration. Bronchoscopy was negative in 85 (7.3%) children. Watermelon seeds, found in 414 (38.7%) children, were the most commonly aspirated foreign bodies. Open surgical procedures were required for 21 (1.8%) children. Bronchial rupture related to bronchoscopy occurred in four children, two of whom died post-operatively. The overall mortality rate was 0.8%.

Adolescent↗

PubMed1993

Foreign bodies of the gastrointestinal tract.

The majority of foreign bodies in the gastrointestinal tract require no medical or surgical intervention for removal. Prior to the era of modern gastrointestinal endoscopy, the management of ingested objects or nontherapeutic objects placed in the rectum required general anesthesia and was relegated to the general surgeon or otolaryngologist. With the advancement of therapeutic endoscopy, fewer affected individuals require surgical intervention. The physician involved with the initial evaluation of these patients must have a working knowledge of foreign bodies of the gastrointestinal tract to facilitate appropriate and timely management and referral.

Digestive System↗

PubMed1999

Foreign-body ingestion in children: experience with 1,265 cases.

BACKGROUND/PURPOSE: This study aims to elucidate the clinical presentation, the effectiveness of investigations, and treatment of foreign body ingestion in children and to formulate an algorithm of management. METHODS: The records of children admitted to a single institution who had a history of foreign body ingestion over 33 years were reviewed. Symptoms, radiological findings, and endoscopic findings were assessed. RESULTS: Foreign bodies were detected in 552 (43%) of the 1,265 children admitted. The age of the children ranged from 6 months to 16 years (mean, 5.2 years). The preschool toddlers (mean age, 3.8 years) were most prone to ingest inanimate objects. The most common objects were coins (49%) and nonmetallic sharp objects (NMSO; 31%). Although x-rays could detect all the metallic objects and 86% of glass objects, the sensitivity of fish bone detection is only 26%. Absence of symptoms was common (50% in metallic group and 29% in NMSO group). Forty-one percent of coins and 95% of NMSO were lodged at sites suitable for removal by direct laryngoscopy alone with success rates of 86% and 77%, respectively. There were 3 disease-related complications and 1 mortality. Two of these children were mentally retarded and presented late. CONCLUSIONS: Efforts for prevention of ingestion of inanimate foreign body should focus on the preschool toddler group. Particular attention should be paid to mentally retarded children with vague gastrointestinal symptoms. Absence of symptoms does not preclude presence of foreign body in children. Children with history of NMSO ingestion should undergo direct laryngoscopy despite negative radiological finding, both as a screening procedure or treatment.

Child↗

PubMed1997

[An unusual case of a foreign body in the maxillary sinus].

An unusual case of a foreign body in the maxillary sinus was presented with a 13-year-old boy. The boy led a sewing needle into the maxillary sinus through a tooth destroyed by caries. Trying to remove the needle, the boy broke it. The existence of the foreign body was proved by an X-ray picture. The operation was conducted according to the Caldwell-Luc's method. A two centimeter piece of the needle was extracted. The interior of the sinus was cleaned and inflammated mucous membrane, and granulation were removed. The cause tooth was extracted. The tooth-socket was sewn and the fistula at the bottom of the sinus was covered with a peduncular layer of mucous membrane of the nasal duct. Post-operational conduct without any complications.

Adolescent↗

PubMed2006

[Congenital unilateral malformations of lung referred as bronchial foreign bodies].

OBJECTIVE: To investigate the resemblances and differences of congenital unilateral malformations of lung and bronchial foreign bodies in clinical manifestation, physical sign and radiological examination, and to summarize the characteristics and to introduce diagnostic methods of the congenital unilateral malformations of lung. METHOD: Ten patients with the congenital unilateral malformation of lung, who were diagnosed the pulmonary atelectasis or the bronchial foreign body initially, were analyzed. Three typical cases were analyzed in details. RESULT: Four patients were confirmed by rigid bronchoscope. Four patients were confirmed by X-ray and high resolution CT of lung, one patient by high- resolution CT and 3D stereographs of lung, one patient by autopsy. Six cases were the congenital malformations of the right lung and 4 cases were the left lung. Three cases of them combined with congenital cardiovascular diseases and other malformations. CONCLUSION: There are many resemblances between the congenital unilateral malformation of lung and the bronchial foreign body in clinical manifestation and physical sign. The congenital unilateral malformation of lung was referred as the bronchial foreign body easily. Although it can be confirmed by rigid bronchoscope, the risk of the operation for these children was very high. So if the disease was considered, high resolution CT and 3D -stereographs of lung can make a definite diagnosis.

Adolescent↗

PubMed1999

[Foreign bodies in the esophagus not removable endoscopically--the surgical procedure and treatment].

During 1991-1997 period 37 patients with foreign bodies in the esophagus were treated in our clinic. In 36 cases the foreign body was "starlet". That is a construction made for this special purpose. It lodges mainly in the upper digestive tract. The most usual localization is the middle third of the esophagus. Unlike the foreign bodies that impact there by accident the operative activity is very high in these cases. Out of the total number of 37 patients 22 were operated, in 7 cases an endoscopic extraction was performed and in one case the foreign body eliminated spontaneously. Three patients died before we performed any manipulations whatsoever and four of them refused any treatment. We offer methods for treating such patients which in our opinion are the most appropriate ones for this type of pathology.

Esophagoscopy↗