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At least 1,369 records · Page 76Linked to original sources
PubMed1986

Subglottic foreign bodies in pediatric patients.

Impacted subglottic foreign bodies may produce upper airway obstruction and clinical signs simulating croup or asthma. We identified the roentgenologic and clinical features in six patients. In four of these patients, the parent had not observed the aspiration episode, so that the diagnosis was delayed. Roentgenologic studies demonstrated subglottic narrowing of the upper airway with a homogeneous, poorly defined radiodensity within the narrowed segment. These roentgenologic studies are usually diagnostic; therefore, if infants or young children present with stridor of undetermined cause, soft-tissue upper airway roentgenography is indicated.

Asthma↗
PubMed2006

Intracranial foreign body in a globe-perforating injury.

CASE REPORT: To report a case with an intracranial foreign body in the setting of a globe-perforating injury. A 53-year-old man experienced a sudden pain in his right eye while he was breaking a stone with a sledgehammer. Upon examination, a 1.5 mm superomedial corneoscleral perforation site was noted. Cranial sections of axial orbital computed tomography (CT) revealed a foreign body at the middle cranial fossa. COMMENTS: A high index of suspicion is required to detect an intracranial foreign body in ocular injuries. Orbital CT must be included in preoperative evaluation of these patients and cranial sections must also be examined carefully.

Brain Injuries↗
PubMed1996

[Esophageal perforations by foreign bodies. A contribution of three cases].

Oesophageal perforations due to foreign bodies are a rare pathology with an increased index of complications. Early diagnosis and treatment can reduce the mortality, which accounts for 28 percent. We report 3 cases of oesophageal perforations due to foreign bodies, 2 of them localized at the cervical level and the 3rd, at the end of the thoracic oesophagus, the later ending ominously.

Aged↗
PubMedDate not supplied

Copper intraocular foreign body: diagnosis and treatment.

Copper intraocular foreign bodies (IOFB) are relatively common after penetrating eye injuries. Ocular signs and symptoms vary greatly in relation to the copper content, ranging from chronic uveitis and severe visual loss for IOFB containing more than 85% copper, to local copper deposits with no severe ocular damage for less toxic alloys. Reported here is the case of a ten-year-old boy who suffered from recurrent chronic uveitis five months after a perforating eye injury due to copper wire. Diagnostic ultrasound and computerized tomography revealed an IOFB within the lens and X-ray spectrometry (DXS) indicated the nature of the IOFB as copper, and accurately measured the dissolution of the metal. The patient underwent cataract extraction and standard three-port pars plana vitrectomy with gas-fluid exchange. Twelve months after surgery the retina was flat and visual acuity had risen to 20/60. Undiluted vitreous samples obtained in the course of the intervention, studied by immunohistochemical techniques, showed an inflammatory reaction with a prevalence of PMN-N and CD3 T-lymphocytes. DXS thus appears to be a new and reliable diagnostic tool for the early detection and management of copper and other toxic metal IOFB.

Child↗
PubMedDate not supplied

Orbitocranial wooden foreign body diagnosed by magnetic resonance imaging. Dry wood can be isodense with air and orbital fat by computed tomography.

In computed tomographic (CT) scans, a wooden foreign body can appear as a lucency with nearly the same density as air or fat, and it can be indistinguishable from orbital adipose tissue. Magnetic resonance imaging (MRI) can localize these wooden foreign bodies in the orbit. We studied a case in which a wooden golf tee lodged in the right optic canal of a nine-year-old boy. The head portion lodged in the orbital apex and the tip entered the interpeduncular fossa. Clinical examination revealed a right paranasal laceration; the right eye had no light perception and a peripapillary hemorrhage, but was otherwise normal. Surgical exploration and evaluation by CT failed to locate the foreign body. However, the golf tee was demonstrated by MRI as a low intensity image. Although it was removed by craniotomy with good neurological results, bacterial panophthalmitis led to enucleation of the eye. This case emphasizes the diagnostic value of MRI and the hazards of retained wooden foreign bodies.

Adipose Tissue↗
PubMed1999

Endoscopic management of gastrointestinal foreign bodies in children.

Endoscopic removal of foreign bodies (FBs) is an important part of therapeutic endoscopy in children. Children most often ingest coins, pins, keys, round stones or marbles, nails, rings, batteries and toys. Coins were the most common FB in the pediatric series of 139 children, who underwent endoscopic removal in Seoul National University Children's Hospital, Korea. The management of FBs depends on the type (sharp or dull, pointed or blunt, and toxic or nontoxic) and the size, along with the location of FB in the gastrointestinal tract. The endoscopist should decide whether endoscopic intervention is necessary and how urgently it has to be done. Indications for removal of FBs from the gastrointestinal tract in children are 1) All esophageal FBs, 2) Gastric or duodenal FBs if they are sharp or pointed, of more than 4 cm long or 2 cm wide in young infants and children; if containing toxic substances and if blunt objects remaining after 2 week observation in the stomach or 1 week observation in the duodenum. Esophageal FBs should be removed within 24 hours because of the risks of perforation and serious fistula formation. Disk batteries can cause corrosive injury to the esophagus within 4 hours. Coin retrieval can be done using the W-shape FB grasping forceps without an endotracheal general anesthesia. Blunt FBs, such as marbles can be best removed with a stone retrieval basket, which can be made from a condom. Disk batteries cannot be grasped with the FB forceps and snares, but very safely with the powerful magnet attached to the tip of the scope. Overtubes and protective rubber hoods are useful for removing sharp or pointed objects. It is important to test the available grasping accessories on a duplicate of the FB as a "dry run" to determine which accessories will grasp the FB securely.

Age Distribution↗
PubMedDate not supplied

Therapeutic endoscopy: removal of gastrointestinal foreign bodies in children.

Endoscopic removal of foreign bodies (FBs) is an important part of therapeutic endoscopy in children. The majority of FB ingestion occur in children under 5 years. Children most often ingest coins, pins, keys, round stones or marbles, nails, rings, batteries and toys, and coins are the most common in the pediatric series of 139 children, who underwent endoscopic removal in Seoul National University, Children's Hospital. The management of FBs in children depends on the type (sharp or dull, pointed or blunt, and toxic or nontoxic) and the-size, along with the location of FB in the gastrointestinal tract. The endoscopist should decide whether endoscopic intervention is necessary and how urgently it has to be done. Indications for removal of FBs from the gastrointestinal tract in children are 1) all esophageal FBs. 2) gastric and duodenal FBs if they are sharp or pointed, if more than 4 cm long or 2 cm wide in young infants and children, if containing toxic substances and if blunt objects after 2 weeks observation in the stomach or 1 week observation in the duodenum. All FBs impacted in the esophagus should be removed within 24 hours because of the risks of perforation and serious fistula formation. Disk batteries can cause corrosive injury to the esophagus within 4 hours, and should be removed as soon as possible. Coin retrieval can be done very securely by the W-shape FB grasping forcep without an endotracheal general anesthesia. Blunt FBs, such as marbles can be best removed with a stone retrieval basket, which can be made from a condom. Disk batteries can not be grasped with the FB forceps and snares, but very safely with the powerful magnet attached to the tip of the scope. Overtubes and protective rubber hoods are useful for removing sharp or pointed objects. It is important to test the available grasping accessories on a duplicate of the FB as a "dry run" to determine which accessories will grasp the FB securely.

Adolescent↗
PubMed1999

Use of rigid hysteroscope for extraction of foreign bodies embedded in lower urinary tract.

PURPOSE: To introduce the use of the 20F rigid hysteroscope in urologic procedures. MATERIALS AND METHODS: The 20F hysteroscope was used to remove deeply embedded foreign bodies from the lower urinary tract of three patients in whom previous attempts with standard cystoscopic equipment were unsuccessful. RESULTS: In all three cases, the hysteroscope easily passed into the urethra and with the use of rigid instruments was able to remove the foreign bodies without complication. CONCLUSION: Situations may arise when the removal of embedded foreign bodies is not possible with standard cystoscopic equipment. The hysteroscope, which is available in most operating rooms, was able to extirpate even deeply embedded foreign bodies.

Aged↗
PubMed1997

Esophageal foreign bodies: safety and efficacy of Foley catheter extraction of coins.

OBJECTIVE: Continued controversy over the role of fluoroscopically guided Foley catheter removal of esophageal foreign bodies has limited the use of this technique despite its significant economic advantages. We reviewed our experience for the safety, efficacy, and applicability of this technique with pediatric patients who had swallowed coins. MATERIALS AND METHODS: We retrospectively reviewed 10 years of experience with pediatric patients who had undergone fluoroscopically guided Foley catheter removal of coins. All the pediatric patients with a suspected esophageal foreign body were first evaluated by plain film radiography. Foley catheter extraction was attempted when a radiopaque coin was seen and the patient lacked signs of significant esophageal edema resulting in tracheal compromise. During the 10 years covered by our review, 14 pediatric radiologists with specific training in the Foley catheter technique were involved in such removals. A separate review (of consecutive pediatric patients who had a history of or symptoms suggesting ingestion of a foreign body) focused on the percentage of these patients in which the Foley catheter technique was used. RESULTS: Of the 337 coin extractions attempted using a Foley catheter, coin extraction was successful in 322 (96%) of 337 patients. No complications were encountered. Our focused review found 422 consecutive patients who had undergone radiography to rule out foreign bodies. A radiopaque object was found in 249 (59%) of 422 patients. Of these 249 objects, 208 (84%) were ingested coins. Of 208 coins, 123 (59%) were retained in the esophagus; of these 123 coins retained in the esophagus, 116 (94%) were amenable to fluoroscopically guided Foley catheter extraction. CONCLUSION: Fluoroscopically guided Foley catheter extraction of retained coins in pediatric patients who lack evidence of significant esophageal edema causing tracheal compromise is a safe and efficacious technique. It should be considered the technique of choice for such extractions.

Catheterization↗
PubMed1975

Radiographic aids in the management of intraocular foreign body in the chamber angle.

A technique of bone free radiography for the purpose of diagnosis of a minute intraocular foreign body and for the purpose of confirming the removal of the foreign body under sterile operating room conditions has been described. In addition to the obvious medical advantage of absolutely confirming the removal of an intraocular foreign body there is also the medico-legal benefit of documentation before leaving the operating room.

Adult↗
PubMed1996

[Surgical treatment of aortoesophageal fistula induced by foreign body in esophagus].

It is well known that there is no effective therapy to cure aortoesophageal fistula induced by a foreign body in the esophagus all over the world. In 220 cases of foreign body in esophagus, 4 developed the life-threatening complication of aortoesophageal fistula as the foreign body eroded through the esophageal wall and perforated the aorta. Although 3 of 4 patients were operated upon, only one survived by means of profound hypothermia and circulatory arrest. According to the successful experience and a review of the literature, the authors considered that some patients with aortoesophageal fistula may be saved if an emergency operation is undertaken immediately after the diagnosis made. Meanwhile, they divided this disease into 3 pathological types, and suggested the optimal operation procedure individualized to the different pathological types.

Adult↗
PubMed2005

Late presentation of tracheobronchial foreign body aspiration in children.

The diagnosis of tracheobronchial foreign body (FB) aspiration in children is often delayed or overlooked. The aim of this study is to examine the causes of delay (>1 month) in the diagnosis and to study the complications of late presentation and their management. During the period between July 1993 and August 2002, 128 patients with suspected FB aspiration were admitted to KKUH, Riyadh, Saudi Arabia. Twenty-eight patients out of 128 patients presented late (>1 month). The medical records of those 28 patients were reviewed in respect to: history of FB aspiration, physical signs of symptoms, reason for delayed presentation, radiological investigation, complications and their management, and follow-up. There were 16 males and 12 females; the average age was 3.28 years (range 1--11 years). All of them experienced chronic cough at presentation. Thirteen (48 per cent) children had a history suggestive of FB aspiration. Seventeen (63 per cent) children presented with complications that included pneumonia (n=13), bronchiectasis (n=3), and bronchoesophageal fistula (n=1). The diagnostic delay was attributed to physician misdiagnosis (n=9), failure by parents to seek early medical advice (n=4), patients left against medical advice (n=1), and the cause of delay was unknown in the remaining 14 children. Rigid bronchoscopy was performed in all patients. FB was found in all cases except four. Complications were treated as follows: pneumonia with intravenous antibiotics, bronchiectasis conservatively and bronchoesophageal fistula repaired surgically. Follow-up ranged from 6 to 48 months. Diagnostic delay of tracheobronchial FB aspiration has significant morbidity in children. A high index of suspicion and early referral are essential in preventing such complications.

Adrenal Cortex Hormones↗
PubMed1995

Ingested foreign bodies--a contemporary management approach.

A prospective study of all foreign body complaints presenting through our Accident and Emergency Department was conducted in a population where the condition is endemic. All patients were managed by otolaryngologists. Six hundred and eight patients were attended to yielding 179 foreign bodies. Making use of modern equipment and a practical approach, the requirement for examination under general anesthesia was 6.3 per cent. In this series there was a complication rate of 0.5 per cent.

Adolescent↗
PubMedDate not supplied

[Voluntary or accidental ingestion of foreign bodies: clinical considerations in 142 cases].

The authors report on a series of 142 patients who had swallowed foreign bodies over the period 1981-1999. After outlining the various ways in which the foreign bodies were swallowed and the fact that they were eliminated spontaneously by natural routes in 80-90% of cases, the authors deal at some length with the serious complications that occurred in some of these cases, which, as a result of their characteristics and mode of ingestion, may require emergency surgery for their resolution. In particular, the authors describe 6 cases of foreign bodies that were urgently removed by endoscopy and also describe 3 cases in detail (1 perforation and 2 bowel obstructions) in which a laparotomy was required not only to correct the complication but also to definitively clarify the diagnosis.

Adult↗
PubMed1989

[Aortoesophageal fistula by swallowed foreign body--a case report and review of the literature].

A case of aortoesophageal fistula is presented. The etiology, symptoms, and diagnosis of aortoesophageal fistula are reviewed. A 22-year-old nurse died just after massive hematemesis. The autopsy finding revealed massive hemorrhage in the gastrointestinal tract and conspicuously pale organs. The fistula between the thoracic descending aorta and esophagus was observed. Microscopically, acute inflammation and blood clots containing bacterial colonies were found around the fistulous tract. Eight days before her death, she felt retrosternal sticking pain just after eating a baked slice of sea bream. She consulted a family doctor, but no foreign body was discovered in the esophagus with radiography and endoscopy. As a dull pain and slight fever did not disappear and continued intermittently, she often consulted the doctor. A small hemorrhage in the left wall of esophagus was noted 2 days before her death with endoscopy. She was hospitalized over the night and the next day she was discharged and get home. After taking a nap, she felt a syncopal attack in the afternoon. A tarry stool was noticed in the evening. The next morning, she died suddenly in exsanguination. The clinical feature of aortoesophageal fistula is uniform and has been described as Chiari's triad, i.e., the chest pain, the symptom-free interval and the signal hemorrhage, and the fatal hemorrhage. The present case showed the typical symptom of aortoesophageal fistula by swallowed foreign body, though fish bone or any foreign body was not discovered with examinations. Approximately 100 cases of aortoesophageal fistula by esophageal foreign body have been reported since 1818. The present case is the second one reported in Japan as caused by foreign body.

Adult↗
PubMed1996

Foreign body in the throat migrating through the common carotid artery.

We present a 55-year-old lady who swallowed a 3 cm pointed metal foreign body whilst eating a sardine salad. The foreign body migrated from the hypopharynx through the parapharyngeal space and traversed the common carotid artery over a period of 12 days. The foreign body was removed by exploration of the neck.

Carotid Artery, Common↗