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Reticular foreign bodies. Causative or coincidence?

A radiographically identified penetrating reticular foreign body is a near-certain cause of traumatic reticulitis, parareticular abscessation, or peritonitis. An extrareticular wire or nail is the most likely cause of reticulitis or peritonitis in an animal with compatible clinical signs. An immobile reticular foreign body may be trapped in the reticular mucosa, penetrating a mucosal fold (but not the reticular wall), or piercing the wall of the reticulum.

Animals↗

Selective endoscopy in management of ingested foreign bodies of the upper gastrointestinal tract: is it safe?

During a four-year period, 308 patients presented following ingestion of foreign bodies. Ingestion was accidental in 272 cases (88.3%) and deliberate in the remainder. Symptoms at presentation included dysphagia, odynophagia, nausea and vomiting, chest pain and pharyngeal discomfort. Sixty-eight patients were asymptomatic. A policy of expectant management and selective endoscopy was employed. Following initial assessment 202 patients (65.6%) were discharged without treatment, 30 (9.7%) of whom were later reviewed as outpatients and did not require admission. Forty-nine patients (16%) were admitted for treatment; 27 had oesophagoscopy, five bronchoscopy and two had foreign body extraction with direct laryngoscopy. In nine patients who were endoscoped, no foreign body was identified. Twenty-seven others were referred to the otorhinolaryngology service in another hospital. There were no deaths in the group and morbidity was 1.2%. We conclude that a policy of selective endoscopy is safe and effective in the management of patients following ingestion of foreign bodies.

Adolescent↗

Neck needle foreign bodies in intravenous drug abusers.

Intravenous drug abusers often resort to deep cervical venous access if peripheral access is problematic. Deep cervical injection can occasionally result in needle breakage and needle foreign body. The records of 50 patients with neck needle foreign bodies related to intravenous drug abuse treated at The Johns Hopkins Hospital were reviewed retrospectively. Only half of these patients presented to this hospital with a complaint of a neck needle. Complications related to neck needles were manifested in 5 (10%) of the patients at the time of initial presentation. No delayed complications occurred. Human immunodeficiency virus seropositivity for this group of patients was 77% compared to a rate of 29% for all intravenous drug abusers at the same institution. The demographics and management of neck needle foreign bodies are discussed, and the importance of recognition of neck needle foreign bodies is emphasized.

Abscess↗

[Is esophageal foreign body still underestimated today?].

The reasons for underestimating oesophageal foreign bodies even today, and possibly persisting despite all advances in medicine, are illustrated by the case of a swallowed glass splinter in which the patient initially did not agree to endoscopy and in which the diagnosis of oesophageal wall perforation could be made only with the occurrence of the complication. Ultimately, oesophageal foreign bodies may in their complexity become a medicolegal problem.

Adolescent↗

Otolaryngological foreign bodies: a study in Jos, Nigeria.

The incidence of foreign bodies in ears, nose and throat is quite high in Jos Community of Nigeria, 411 cases having been observed over a period of three years. These occurred most frequently in the ears, while the oesophagus was the second commonest site. The foreign bodies were removed in the outpatient or the casualty department in 270 cases (66.7%) while the remaining 141 cases had to be admitted to hospital.

Adult↗

Foreign body in the medial pterygoid space.

Retained intra-oral foreign bodies have been reported rarely in the literature. A case of a foreign body retained for an extended period of time in the medial pterygoid space is reported here.

Adult↗

Sharp foreign bodies in the tracheobronchial tree.

Aspiration and/or ingestion of foreign bodies is a common occurrence. Six cases of scarf pin aspiration are described. Scarf pin inhalation as a cultural and ethnic hazard in an Arab woman is highlighted. [Editorial comment: The authors illustrate the dangers of holding a straight pin in the mouth. Management of these sharp, potentially penetrating foreign bodies is described.]

Adolescent↗

[Animal experiments on particulars of the time factor in the development and solving of pulmonary atelectasis caused by foreign body (author's transl)].

In literature are only older publications about the temporal beginning of the acute atelectasis after obstructive foreign body occlusion of the bronchial system which are operated at the open thorax. For this reason experiments on animals were made to find out the earliest beginning of an atelectasis by a simple bronchial occlusion as an imitation of a natural process of a foreign body aspiration. The alterations in each single phase of development showed regularly based on serial radiographies and by the autopsy macroscopic and microscopic that about 2 or 3 h after aspiration of an obstructive foreign body it will be reckoned with a complete atelectasis. Only now correlate the clinical result, the X-ray and the pathological-anatomical alterations. The histological picture of the complete atelectasis follows the macroscopic result only in longer temporal distance. Atelectasis occuring before the mentioned moment cannot be explained by an absorption of air from the alveolar tissue, but they depend on foreign body independent reflexes (= reflex contraction atelectasis). In other series of experiments the retroplasia of an atelectasis showed no regularity after the release of the bronchial occlusion, as the time of development, but it is possible to say that it takes more time of retroplasia the longer the atelectasis lasts. Dependent on that the respiratory exchange was jerky into the atelectatic lung after a resting period without prefering any lobes of lungs where localised atelectatic foci remain a longer time.

Animals↗

[Risks and artifacts in MRT (1.5 tesla) caused by metallic foreign bodies. Studies on phantoms and 60 patients].

Our experience of the effects of metallic foreign bodies on MRT high field examinations is described. In vitro measurements showed moderate magnetic torsion or displacement in a few cases. The findings in 60 patients with various metal foreign bodies and the resulting artifacts are discussed. Despite local loss of information, in the majority of cases there is additional evidence provided by MRT, which suffers less from foreign body artifacts than does CT. Stainless steel implants result in some signal loss and geometric distortion, but do not usually constitute a danger to the patient and do not affect the diagnostic information from surrounding structures.

Foreign Bodies↗