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At least 1,153 records · Page 64Linked to original sources
PubMed1996

Spondylodiscitis and mediastinitis after esophageal perforation owing to a swallowed radiolucent foreign body.

A 6-year-old boy with aphagia presented with a radiolucent foreign body, esophageal perforation, mediastinitis, and a C6-C7 spondylodiscitis. A rigid plastic gear wheel was removed via thoracotomy, and the mediastinal abscess was drained through the esophagomediastinal fistula. Treatment included antibiotics as well as nonsurgical orthopedic management of the spondylodiscitis. The recovery period was uneventful, and the patient has remained asymptomatic for 2 years. Physicians must be aware of radiolucent foreign bodies. Computed tomography is very helpful in establishing the diagnosis of radiolucent foreign body, mediastinal abscess, and spondylodiscitis.

Abscess↗
PubMed1983

[Vitrectomy for intraocular foreign bodies and their complications].

Results of vitrectomy in 16 cases are reported. In one group of 7 patients the operation immediately preceded the extraction of a non-metallic or metallic capsulated foreign body by means of foreign body forceps, or a magnetized metal thread using the one- or two-way "pars plana" approach. In the second group of 9 cases a "pars plana" vitrectomy was carried out to treat sequelae from a double perforation caused by lead shot. The Douvas roto-extractor was used in all eyes. Results obtained in the first group (combined foreign body extraction and vitrectomy) were satisfactory in all but one case, which ended with-phtisis bulbi. Visual acuities were of 0,2 or more. In the second group (reparative vitrectomy) an acceptable V.A. was obtained except in two cases. Results were less satisfactory than in the first group.

Ciliary Body↗
PubMed2006

[The value of spiral CT scan to diagnose the respiratory tract foreign body with negative chest X-rays].

OBJECTIVE: To study the value of spiral CT scan in diagnosis of the respiratory tract foreign body in children. METHOD: Eighty-four patients with negative chest X-rays who were considered to have respiratory tract foreign body were done chest spiral CT scans. RESULT: All cases were found foreign body under spiral CT scans. CONCLUSION: Spiral CT scan is a special and valuable diagnostic method for respiratory tract foreign body. It can make up for the lack of chest X-rays.

Child↗
PubMed1992

Delayed myelopathy after a stab wound with a retained intraspinal foreign body: case report.

A case of delayed myelopathy appearing 15 years after a stab wound to the thoracic spine with a retained foreign body in the spinal canal is reported. Severe inflammatory reaction to iron corrosion was found, with granuloma and sterile pus formation. Removal of the foreign body and partial excision of the granuloma resulted in clinical improvement. Reaction to foreign body corrosion is believed to be the major cause of delayed neurologic deficit and is an important guideline for removal of asymptomatic intraspinal foreign bodies.

Foreign Bodies↗
PubMed2006

An unusual case of foreign body knee that spontaneously migrated inside and out of the joint: arthroscopic removal.

Cause of acute knee pain and locking episodes in a young sports person can be due to foreign bodies which penetrated unnoticed into the joint cavity. Here we report an unusual injury of this kind where a glass foreign body remained in the subcutaneous tissue for many years and then migrated late into the knee joint cavity. Complaints occurred for the first time in adult age. Arthroscopy revealed a circular defect in the posterior capsule beyond which a 1.6 cm glass foreign body was lying in an extra capsular location. The late and episodic migration of the glass piece into the joint from its extracapsular location produced symptoms of acute pain and locking. There is no reported case of such spontaneous and episodic migration of a glass foreign body inside and out of the knee joint resulting in acute episodes of pain and locking during sporting activity mimicking a torn meniscus or a chondral lesion. This report highlights the importance of accurate history taking, thorough physical examination, besides describing this unusual extra capsular location of the glass foreign body during arthroscopic surgery.

Adolescent↗
PubMed1980

[Swallowed foreign bodies: problems, prognosis, and treatment (author's transl].

This is a report about 1465 cases of swallowed foreign bodies. Surgery is not necessarily indicated when foreign bodies are swallowed, because 90% of the objects are discharged spontaneously. Complications (perforation, ileus) occur only in 0.5% of the cases. Endoscopic extraction should be attempted; surgical removal is indicated only in cases of acute abdominal symptomatology or ileus. Foreign bodies can be left in the intestine for years without any noticable problems or pain (eight observed cases).

Digestive System↗
PubMed1997

Detection and localization of steel intraocular foreign bodies using computed tomography. A comparison of helical and conventional axial scanning.

PURPOSE: To compare the sensitivity and specificity of detection, and accuracy of localization, of small steel intraocular and episcleral foreign bodies, using conventional axial and helical computed tomographic scanning in an experimental model. METHODS: Small steel foreign bodies ranging in size from 0.048 to 0.179 mm3 were placed in intraocular and episcleral locations in eye bank eyes mounted in the orbits of a human skull and scanned using helical and conventional axial techniques. Helical scanning was performed using 1-mm and 3-mm thick sections. Conventional axial scanning was performed using 3-mm thick sections. Images were reviewed by masked observers to determine sensitivity, specificity, and accuracy of localization for each imaging method. RESULTS: Steel foreign bodies as small as 0.048 mm3 were detectable with each scanning protocol. Although the helical scans appeared to provide higher levels of sensitivity compared to conventional axial scanning, the difference in outcome between the scan types was not statistically significant. Sensitivity was dependent on the size of the foreign body and ranged from 45% to 65% for the smaller ones (< 0.06 mm3) to 100% for the larger ones (> 0.06 mm3). Multiplanar reformatting of images was helpful in achieving optimal accuracy. CONCLUSION: In an experimental model of steel intraocular foreign body, helical computed tomographic scanning provided images of high quality similar to that of conventional axial scanning.

Cadaver↗
PubMed1996

Foreign body in the hypopharynx--an unusual presentation.

A case is described of a foreign body (a metallic paper clip) in the hypopharynx of an 18 month old child presenting with recurrent respiratory tract infections. The child was treated with antibiotics at two accident and emergency departments without any benefit. A high degree of suspicion is necessary in young children, as a history of ingestion of a foreign body may not be forthcoming. It is important to be aware of the possibility of a foreign body in young children, particularly when the clinical presentation is atypical.

Emergencies↗
PubMed1978

[Organic foreign bodies in the maxillary sinus].

A case was reported in which a foreign body was identified in the maxillary sinus during the course of a radiologic dental examination. The foreign body proved to be a calculus. Analysis of the calculus revealed no foreign body responsible for the crystallization. The possibility of local formation of a calculus of the maxillary antrum was discussed.

Aged↗
PubMed1985

Foreign body masquerading as a ruptured globe.

Low density orbital foreign bodies may not be detected on plain x-ray. In this case, a large anterior orbital foreign body was seen by examiners, but was misinterpreted as a ruptured globe. This misdiagnosis was supported by conventional x-rays which failed to show the object. It was later easily visualized on CT scan.

Adult↗
PubMed1976

Experimental foreign body reactions to toothpaste abrasives.

Some clinical oral foreign body reactions have been reviewed. The testing of the foreign body potential of substances used as abrasives in toothpastes has shown a number to be capable of this. The clinical implications are briefly discussed. The initial studies were conducted when the author was on the faculty of the School of Dentistry, University of Birmingham, England.

Animals↗
PubMedDate not supplied

[Foreign bodies and blind wounds of the maxillofacial area in children].

In 42 children aged 2 months to 16 years who had foreign bodies and blind wounds in the maxillofacial region, the authors examined the causes of damages which had caused penetration of foreign bodies into this anatomical part. Clinical examinations showed that there was a relationship between age, the nature of damage, and the variety of foreign bodies in children in contrast to adults. A working scheme was proposed, which reflects the nature of foreign bodies and blind maxillofacial wounds depending on the physiological periods of childhood.

Adolescent↗
PubMed1976

Brass intraocular foreign body: early intervention and combined surgical approach.

The rapid development of suppurative reaction in response to a copper-containing intraocular foreign body disposes the eye to a poor prognosis. An intraocular brass foreign body case involving cornea, iris, lens, vitreous and retina was satisfactorily managed by early foreign body removal and corneal transplantation followed by scleral buckling for retinal detachment. Early intervention is advocated as alternative management with expectation of improvement in the prognosis for recovery of useful visual function.

Child↗
PubMed1985

Massive hemoptysis associated with foreign body removal.

Exsanguinating hemoptysis accompanied removal of an endobronchial foreign body in a 12-year-old child. Preparations to treat this complication should be made prior to removal of any foreign body of prolonged sojourn in the tracheobronchial tree.

Bronchi↗
PubMed1998

Wooden foreign body in the orbital cavity: a case report.

Orbital foreign bodies in Thailand are uncommon. The diagnosis depends on history taking, physical examination and complete investigations. A case of orbital foreign body was reported with satisfactory result of treatment by transethmoidal approach: ethmoidectomy with antrostomy.

Adult↗
PubMed1987

Removal of esophageal foreign bodies with a Foley balloon catheter under fluoroscopic control.

Between 1982 and 1985 removal of a nonorganic, smooth, radiopaque foreign body in the esophagus with a Foley balloon catheter under fluoroscopic control without sedation was attempted in 38 children. An ultra-low-dose fluoroscopic unit was used. In 35 children the foreign body (a coin) was either easily removed (in 29 cases) or advanced into the stomach (in 6). No complications of the procedure were observed. In three children the foreign body could not be removed by this means; it was subsequently removed by endoscopy (in two cases, both of coins) or esophagotomy (in two cases, both of coins) or esophagotomy (in one, of a stone). When carefully performed, removal of blunt, recently ingested esophageal foreign bodies with a Foley catheter under fluoroscopic control is a safe mode of treatment.

Catheterization↗
PubMed2000

Endoscopic management of foreign bodies in the tracheobronchial tree: predictive factors for complications.

We reviewed the records of 504 patients admitted to the American University of Beirut Medical Center during a 10-year period for treatment of aspiration of a foreign body into the tracheobronchial tree. All underwent rigid fiberoptic bronchoscopy for removal of the foreign body. Complications occurred in 42 patients (8%) and were classified as intraoperative (7 patients), postoperative (25 patients), and failure to retrieve the foreign body by bronchoscopy (9 patients). These complications included respiratory distress necessitating tracheotomy and/or assisted ventilation, bronchial pneumonia, pneumothorax, bradycardia, and cardiac arrest. Variables that were examined were the age and sex of the patient, history of multiple previous bronchoscopies, delay in diagnosis and/or treatment, duration of the procedure, type and location of the foreign body, and use of corticosteroids during surgery. The most important variables that were of value in predicting the occurrence of complications were the history of previous bronchoscopy, the duration of the procedure, and the type of foreign body. Age, sex, delay in diagnosis and treatment, and intraoperative use of corticosteroids, while important, had no predictive value. Detailed results with guidelines for prevention and management are presented.

Adolescent↗
PubMed1992

Foreign body perforation of the normal oesophagus.

Over an 11-year period, 12 patients with foreign body perforation of a previously normal oesophagus were treated in our institution. The foreign bodies were most commonly bones (10 cases), 5 of which were chicken bones; other species were pigeon, rabbit, veal, pork and fish (one each); 2 perforations were due to swallowed dentures. The mean age was 60 years (range 42-73) and 6 patients were female. A degree of psychosocial dysfunction was present in 3 patients. Seven patients presented late (> 48 h after ingestion). The commonest presenting symptoms were fever and pain (8 patients). Other symptoms included dysphagia (7), respiratory distress (3), and late cervical abscess formation (3). The diagnosis was established by contrast oesophagography or rigid oesophagoscopy. A third of the perforations were cervical, the remainder intrathoracic. All patients were treated by surgical drainage with or without primary closure of the perforation. There were no operative deaths. Five patients developed postoperative oesophageal leaks which required reoperation in 1 patient. All patients were well and swallowing normally on discharge from hospital. Follow-up endoscopy or oesophagography was carried out in all patients and confirmed the absence of oesophageal disorders. Foreign body perforation of the oesophagus is a rare but important subentity of oesophageal perforation which responds well to surgical treatment.

Adult↗