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PubMed2004

[A iatrogenic case of foreign body in the frontal sinus].

The authors show a case of long behinding iatrogenic foreign body in frontal sinus, which in spite of over twelve years recurrent pain syndromes hasn't diagnosed and treated. Pay attention to great weight of surveyform and stratiform radiological investigations in foreign body diagnostic. The patient has been operated with retirement syndromes. After operation we have settled supposed causes leaving foreign body in frontal sinus.

Foreign Bodies↗
PubMedDate not supplied

Orbital wooden foreign bodies--a case report.

A case of multiple wooden foreign bodies is presented. Any case presenting with a history of injury and a discharging sinus with osteomyelitis warrants a thorough exploration of the orbit. Anterior orbitotomy was performed and 4 pieces of arhar sticks were taken out. The guidelines for the management of the wooden foreign bodies are highlighted.

Child↗
PubMed2001

Colorectal trauma caused by foreign bodies introduced during sexual activity: diagnosis and management.

PURPOSE: The aim of this study is to describe 17 cases of colorectal foreign bodies introduced during sexual activity, gathered by the authors over the past twenty years (1980-2000), and to establish diagnostic and therapeutic guidelines for these situations. MATERIAL AND METHODS: A total of 17 patients were treated for rectal trauma caused by foreign bodies due to unusual sexual practice. The extraction of the foreign body was possible through the canal anal in 10 cases using different techniques (gynecological forceps, Foley catheters, etc.), whereas 7 patients required surgical treatment; in five patients a protective colostomy was needed, and in the other two a simple suture of the rectal lesion was performed. RESULTS: There were no deaths and no post-operative complications. In all cases the colostomy was closed 3-6 months after surgery. There were no cases of anal incontinence. CONCLUSIONS: A detailed clinical history and physical examination are essential for the diagnosis and management of these lesions, in addition to any other diagnostic techniques that might be necessary. Great care should be taken when extracting the foreign body so as to avoid its breakage inside the rectum, which would complicate a rather simple problem.

Adolescent↗
PubMed1978

[Phenumopericardium and pneumomediastinum depend upon bronchial foreign body (author's transl)].

A case with pneumopericardium and pneumomediastinum produced by a bronchial foreign body (pieces of a nut) is reported. The pathomechanism is discussed: In state of check valve the bronchial foreign body produces an interstitial emphysema by rupture of the alveolar membranes in the overinflated lung. The interstitial air travels along the sheaths of the pulmonary blood vessels to the root of the lung, to mediastinum, and to pericardium. In state of stop valve, depending on the inflammatory swelling of the mucosa, the affected lung becomes atelectatic. After removing the foreign body air passage will be free. Other therapeutic measures are not necessary.

Airway Obstruction↗
PubMed1994

[Intracranial foreign body granuloma caused by fine cotton fibers: a case report].

Reported here is a rare case of intracranial foreign body granuloma caused by fine cotton fibers originating from the cotton sheet, which was used in the previous operation. The patient was a 54-year-old woman who presented with headache and right hemiparesis. CT scan demonstrated a large enhanced tumor in the left temporal lobe. During the operation, the tumor bled easily and was hard to remove. The brain surface was covered with oxidized cellulose (Oxycell) after the tumor was subtotally removed. Cotton sheets (Surgical Patty) were also used during the operation. The microfibrillar collagen hemostat (Avitene) was not applied. The histological diagnosis was astrocytoma. Radio-chemotherapy was given. CT and MRI on the 40th day after the operation, showed a large tumor in the left temporal lobe, which led to suspicions of tumor recurrence. The second operation disclosed a mass which was harder in consistence than the previous one. The histological diagnosis was foreign body granuloma, which contained a lot of fine cotton fibers. Oxycell was not found in it. The cotton-sheet is well documented as a cause of granuloma in the literature, but it is seldom mentioned that the foreign body granuloma is caused by cotton fibers, scattered in the operative fields. This case report suggests the possibility of cotton-fiber granuloma and our simple experiment indicated that a lot of cotton fiber might be scattered in the operative fields, if dry cotton sheets are used. These results stress that washed cotton sheets should be applied to avoid the possibility of the development of cotton-fiber foreign body granuloma.

Adult↗
PubMed1978

[Special sound probe for foreign body localisation (author's transl)].

A recently developed sound probe (10 MHz and 3 mm diameter) is suitable for sparing preoperative localisation of foreign bodies in perforated eyes; especially mural foreign bodies can be exactly located intraoperatively. Followed scleral incision foreign bodies can be extracted on the optimal route.

Eye Foreign Bodies↗
PubMed2006

18F-FDG PET/CT findings of a right subphrenic foreign-body granuloma.

We report a case of an 85-year-old woman with a foreign-body granuloma which accumulated 18F-fluorodeoxyglucose (FDG). Unenhanced computed tomography showed a hyperdense mass with a hypodense rim in the right subphrenic space. FDG PET/CT images showed intense FDG uptake in the hypodense rim and little FDG uptake in the center of the mass, showing a ring-shaped appearance. The fusion imaging of FDG PET/CT represented the metabolic features of the foreign-body granuloma. When a ring-shaped FDG uptake is noted in the abdomen of a patient with a history of abdominal surgery, a foreign-body granuloma should be included in the differential diagnosis.

Abdomen↗
PubMed2001

[Imaging features of retained surgical foreign bodies].

PURPOSE: To study the clinical and radiological manifestations in patients with retained surgical foreign bodies. PATIENTS AND METHODS: Over the last five years, seven patients were found to have retained surgical foreign bodies after abdominal surgery. An analysis of the clinical signs, laboratory findings and imaging features was performed. RESULTS: The clinical and laboratory data were non-specific. The diagnosis of textiloma was suggested based on imaging findings and surgical history before surgical exploration. The characteristic imaging findings at ultrasound and computed tomography consisted of a fluid collection with internal wavy structures. The differential diagnosis includes pyogenic abscesses, hematomas and ruptured hydatid cysts. CONCLUSION: Ultrasonography and computed tomography are essential for the diagnosis and management of retained surgical foreign bodies after abdominal surgery.

Abdomen↗
PubMed1996

Foreign body simulating a hard palate lesion in a child.

Foreign bodies embedded in the palate are unusual findings and can occasionally mimic other types of oral cavity pathology. We present a case report of a foreign body in the palate of a infant girl which mimicked an odontogenic cyst. A review of the literature and a brief discussion of the differential diagnoses are included.

Dentigerous Cyst↗
PubMed1990

Management of subretinal foreign bodies with a cannulated extrusion needle.

We treated two patients who had nonmagnetic subretinal foreign bodies (metallic pellet and lens nucleus fragment) in the presence of a retinal detachment and a distant retinal break. After the pars plana vitrectomy, the soft, flexible tip of the cannulated extrusion needle was used to push the foreign object gently away from the posterior pole toward the retinal break where it was grasped and removed from the eye. This technique for subretinal foreign body removal is preferable to creating a large posterior retinotomy overlying the foreign body because of the potential risks of further macular trauma, hemorrhage, or proliferation of periretinal membranes from the retinotomy site.

Adolescent↗
PubMed1979

Management of nonmagnetic intraocular foreign bodies: a new approach with the aid of diagnostic x-ray spectrometry.

A new approach is suggested for the management of nonmagnetic intraocular foreign bodies. This approach is based on diagnostic x-ray spectrometry, which is capable of detecting noninvasively the dissolution of metallic intraocular foreign bodies. As long as no copper dissolution is observed, foreign bodies of reasonable size are left in the eye and extraction is recommended whenever a persisting copper dissolution is detected. Of the 32 patients examined and followed up, 23 did not show any copper dissolution. The majority of these patients, one of whom has retained a foreign body for 28 years, have satisfactory visual functions. Of the nine patients in whom copper dissolution was observed, five were operated on. In three of the remaining four patients, the operation was delayed and the dissolution was found to be temporary. These patients retained good visual functions.

Adolescent↗
PubMedDate not supplied

Percutaneous extraction of two deeply lodged foreign bodies.

Interventional radiologists have long been familiar with percutaneous removal of intravascular foreign bodies. Catheter fragments and other foreign bodies can, however, also lie within extravascular soft tissues and should be amenable to extraction by similar techniques. We successfully removed fractured catheter fragments embedded in the soft tissues of 2 patients. In both cases, percutaneous needle puncture under radiologic guidance was used to gain directed access. Technical considerations of this method and its potential application are discussed.

Adolescent↗
PubMed2002

Diagnosis and management of an intra-articular foreign body in the foot.

We describe a case of a small intra-articular foreign body in the foot presenting 48 hours following injury, which at operation showed early evidence of septic arthritis. It is essential to accurately localise periarticular foreign bodies in the foot and proceed to arthrotomy and debridement in all cases where there is radiological or clinical evidence to suggest intra-articular retention of a foreign body.

Child↗
PubMed2000

Removal of corneal foreign bodies that project into the anterior chamber: use of a suture needle.

PURPOSE: To describe and illustrate a simple and reliable technique for removing penetrating corneal foreign bodies. METHODS: A 6-mm needle was placed through the cornea beneath the corneal foreign body to provide support and illumination posteriorly. RESULTS: In eight eyes of eight patients all penetrating corneal foreign bodies were removed completely without severe complications. CONCLUSIONS: The use of a suture needle during removal of penetrating corneal foreign bodies is simple, effective, reliable, and inexpensive.

Cornea↗
PubMed1993

[Dog bite injuries with foreign body incorporation].

Dog-bite injuries represent a significant proportion of those injuries seen in a casualty department. Aside from primary wound management and determining the patient's vaccination status, X-ray examination is always indicated because of the possibility of foreign body inclusion as well as fractures. Plain X-ray views will reveal 88% of these foreign bodies. Our case involves a patient seeking workmen's compensation for a dog-bite injury and foreign body inclusion. Following removal of the foreign body, the patient was without symptoms and returned to his previous work.

Adult↗
PubMed1990

[Dynamic pulmonary densitography in the diagnosis of radiographically non-contrasting foreign bodies in the lower respiratory tract in children].

Densitographic examination of the regional pulmonary ventilation is a non-pretentious and non-invasive method which can be used even in very young children, which when aspiration of a non-contrasting foreign body is suspected can confirm by revealing localized bronchial obstruction the presence of a foreign body and determine its localization in the tracheobronchial tree. By repeated records of adequate ventilation at rest in all pulmonary fields it is possible with a minimal radiation load to rule out the suspicion and the child need not be subjected to an endoscopic examination. In five children aged 19 months to 13 years the usefulness of this procedure for the diagnosis of aspiration of a non-contrasting foreign body was proved, as the physical and skiagraphic finding was not convincing, there was discrepancy of anamnestic data and results of repeated skiagraphic examinations, negative auscultation and negative X-ray examination after an anamnestically obvious cse of aspiration, it ws used, for a more accurate localization of the aspired object, and to confirm localized obstruction of pulmonary ventilation in a chronic foreign body of plant origin in the airways. Foreign bodies of plant origin, most frequently aspired by children, are dangerous because they are fragile, swell and exert toxic action on the bronchial mucosa and there is also the danger of rapid development of serious bronchopulmonary complications. Therefore early diagnosis of aspiration is essential in these frequently obscure situations. When the direct skiagraphic signs of their presence in the lower airways are lacking dynamic pulmonary densitography contributes greatly to the diagnosis.

Adolescent↗
PubMed2006

Foreign body granuloma caused by monosodium glutamate after BCG vaccination.

We describe a 7-month-old male infant with a foreign body granuloma caused by monosodium glutamate (MSG) after a Bacille Calmette-Guérin (BCG) immunization. A ridged, erythematous, indurated plaque developed over a BCG injection site on his left upper arm 1 month after the first BCG immunization. Biopsy showed multiple noncaseating foreign body granulomas without detectable mycobacteria by both Ziehl-Neelsen stain and polymerase chain reaction assay. Birefringent crystals were identified in the foreign body giant cells with polarized light microscopy. The crystals were further determined to be glutamic acid by the method of fast atom bombardment. Hence, MSG, the only composite of BCG vaccine except the bacillus, was believed to be responsible for the granulomatous foreign body reaction. On review of the literature, we could find no previous report of an adverse reaction of BCG immunization attributable to MSG (glutamic acid).

BCG Vaccine↗