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PubMed1986

Subretinal neovascularization following metallic intraocular foreign-body trauma.

Two patients developed subretinal neovascularization after chorioretinal injury from a metallic intraocular foreign body. In the first patient, a metallic foreign body struck the retina temporal to the macula and settled inferiorly. Eight months later, subretinal neovascularization developed at the initial impact site. In the second patient, a piece of silver wire became embedded in the retina and choroid near the macula, and subretinal neovascularization occurred six months later at the nasal end of the wire. In both patients, the subretinal neovascularization was confirmed with fluorescein angiography and successfully obliterated with argon laser photocoagulation.

Adult↗
PubMed2005

An unusual endobronchial foreign body.

A 24-year-old male presented with features of pneumonia of right lower lobe. Chest radiograph after treatment showed cystic opacities in the right lower zone along with a radio-opaque foreign body at the right cardiophrenic angle. The foreign body was successfully removed via the fibreoptic bronchoscope. It was a very unusual type of foreign body with an equally unusual mode of aspiration.

Adult↗
PubMed1989

[Delayed extraction of an intraocular foreign body].

The authors describe two cases of siderosis of the bulbus which developed as a consequence of late diagnosis of intraocular foreign bodies. The character of siderosis differed, however, in the two patients. In the first patient the picture of generalized siderosis confirmed also by electroretinographic examination permitted the assumption of an adverse course of the disease already on admission, as was confirmed by the progression of the disease even after removal of the intraocular foreign body. In the second patient probable encapsulation of the foreign body led to focal siderosis and a favourable course of the disease.

Adolescent↗
PubMed1976

Retained intracranial metallic foreign bodies. Report of two cases.

The authors discuss two examples of extensive migration of retained metallic foreign bodies. The potential for further neurological injury from migration, formation of neurotoxic breakdown products, and the danger of infection are factors to be assessed when considering the removal of retained intracranial metallic foreign bodies.

Adolescent↗
PubMed1990

Vascular injury following foreign body perforation of the esophagus. Review of the literature and report of a case.

Esophageal perforation resulting from foreign body ingestion is a rare occurrence. Most of the complications associated with this event, such as retroesophageal abscess, mediastinitis, pericarditis, pneumothorax, and pneumomediastinum, are widely recognized. However, little attention has been directed to the possibility of vascular injury caused by the perforating object. Isolated case reports have described significant morbidity and mortality subsequent to major vascular trauma resulting from an esophageal foreign body, usually emphasizing the presence of a "signal" hemorrhage from the gastrointestinal tract as a key to diagnosis. This report describes a case of esophageal perforation caused by an ingested fishbone that resulted in significant aerodigestive hemorrhage, possibly as the result of an unusual isolated vascular injury. The literature on vascular trauma following foreign body perforation of the esophagus is reviewed, and suggestions for the diagnosis and treatment of these dreaded complications are made.

Adult↗
PubMed1991

[Foreign bodies of the stomach and intestines].

The experience with surgical treatment of foreign bodies of the stomach and intestine in 127 patients is summarized. In presence of acute foreign bodies, the use of drugs increasing intestinal peristalsis, or causing vomiting is not recommended.

Adolescent↗
PubMed1999

Esophagoaortic perforation by foreign body (coin) causing sudden death in a 3-year-old child.

We report an extremely unusual consequence to foreign body ingestion in a case of a 3-year-old boy who died suddenly and at autopsy was found to have an esophagoaortic fistula. This fistula was caused by a coin which lodged posteriorly and eroded through the esophagus into the aorta. Serious complications following foreign body ingestion are rare and include stricture formation, intramural abscess, and the formation of fistula tracts. This case illustrates the potentially unpredictable behavior of impacted foreign bodies. The child's parents were initially suspected of child abuse based on the terminal hemoptysis.

Aorta↗
PubMed1995

[Foreign body reaction after lens implantation. Correlation between visual acuity and density of giant cells].

In the early postoperative stage giant cells often appear on IOLs. Independent of this, a foreign-body reaction may start about 3 months after surgery from posterior synechia. Foreign-body reaction occur more frequently in diabetic patients or patients with glaucoma. In a prospective trial, we examined the surface of the IOLs from 115 patients with diabetes or glaucoma using specular microscopy. We compared the maximal density of the cells to visual acuity. One week and 1 month after surgery, the maximal density of giant cells was between 0 und 20/mm2; vision (median) was independent of the giant cell density in all groups between 20/25 and 20/30. Three months after surgery, the maximal density of giant cells was between 0 und 35/mm2; vision (median) was 20/25 in patients with no giant cells or cell densities up to 15/mm2. Seven patients had cell densities between 16 and 35/mm2; visual acuity (median) was 20/125. The difference was significance was (P < or = 0.05). Six months and 1 year later after surgery, the maximal density of giant cells was between 0 and 41/mm2; the vision (median) in patients with giant cell densities up to 15/mm2 was between 20/20 and 20/25. In five examinations the cell densities were found to be in the range of 16 to 40/mm2; visual acuity (median) was 20/80 in these cases. The difference is not significant (P < or = 0.05). A foreign-body reaction with more than 15 giant cells/mm2 is a rare complication of cataract surgery with lens implantation. Three months after surgery, this complication correlates with poor vision.

Aged↗
PubMed1996

An unusual foreign body migrating from pharynx to mediastinum.

A case of a swallowed foreign body migrating from the pharynx into the soft tissues of the neck is presented, whose management was complicated by its undetected migration to the superior mediastinum occurring between radiological localization in the neck three days prior to exploration and its attempted removal. A median sternotomy was then required to retrieve the object. Radiological guidance with regard to the localization of a foreign body in the neck can only be relied on when performed immediately prior to surgical removal.

Foreign-Body Migration↗
PubMed1990

Foreign bodies of the esophagus the San Pablo Hospital experience.

Between 1978 and 1990, a total of 76 cases of esophageal foreign bodies were taken to the operating suite at San Pablo Hospital. Of the 76 patients, 26 were in the pediatric age group, and 56 adults. Dysphagia and foreign body sensation were the predominant complaint. The radiographic study most frequently ordered was soft tissue neck x rays. Coins were the most common foreign body in the pediatric group, while bones were the most frequent in the adult group. Rigid esophagoscopy was the predominant form of treatment in both groups. The majority of cases were performed by the Otolaryngologist-Head and Neck Surgeon. Several complications occurred and there was one death. For the purpose of analysis and discussion the cases were divided into the pediatric age group and the adults.

Adolescent↗
PubMedDate not supplied

An esophagobronchial fistula caused by an unusual foreign body in the esophagus leading to mediastinitis with fatal outcome.

An 8(10)/(12) year old girl with infantile cerebral paresis (ICP), severe mental retardation and seizure disorder was admitted to the intensive care unit (ICU) with clinical signs of aspiration and died ten days later. Final diagnosis was esophagobronchial fistula caused by a foreign body in the esophagus provoking aspiration pneumonia, mediastinitis and respiratory distress syndrome (ARDS). The foreign body was found to be part of a plastic toy. The clinical relevance of aspiration in mentally retarded children and the peculiar nature of the foreign body impacted in the esophagus in this case are discussed. We conclude that in cases of aspiration pneumonia in mentally retarded children the presence of unusual foreign bodies should be suspected.

Bronchial Fistula↗
PubMed1999

Penetrating orbital injury with organic foreign bodies.

OBJECTIVE: The authors reviewed the clinical features, diagnostic workup, and management of patients of penetrating orbital injuries with retained organic foreign bodies. DESIGN: Retrospective, noncomparative case series. PARTICIPANTS: Nineteen patients (15 males, 4 females) with penetrating orbital injuries due to organic foreign bodies. RESULTS: The series included 15 (78.9%) males and 4 (21.1%) females who ranged in age from 6 months to 40 years (mean = 14.6 years); 12 (63.2%) patients were younger than 12 years of age. Twelve (63.2%) right and 7 (36.8%) left orbits were involved. Time between injury and presentation varied from a few hours to 9 months. Most common injury site was the superior orbit in 11 (57.9%) patients leading to abnormal extraocular motility (84.2%), proptosis (68.4%), and upper lid ptosis (47.4%). Associated pathologies also included acute cellulitis in 11, orbitocutaneous fistula in 5, and osteomyelitis in 2 patients. Preoperative computed tomography (CT) and magnetic resonance imaging (MRI) identified the foreign bodies in 42% and 57% of the patients, respectively. CONCLUSION: Preoperative identification of the foreign material in the orbit was found to be very helpful for patient management but was only possible in approximately 50% of our cases with the use of CT and MRI. The vision in our patients usually improved shortly after treatment; the long-term complications more often included extraocular muscle and eyelid motility problems and periorbital scarring.

Adolescent↗
PubMedDate not supplied

[Foreign body aspiration]

OBJECTIVE: To review the main publications on foreign body aspiration. SOURCES: A bibliographic search was carried out in Medline (1966-2000) and Lilacs (1979-1999), in Portuguese, Spanish and English, using the keywords "aspiration, foreign body, children, adolescents". SYNTHESIS OF DATA: The universal distribution of these accidents was confirmed. This condition is predominant in males (51.0-73.0% of the cases) and in children aged under 3 years (65.8-85.0% of the accidents). By analyzing clinical history and physical examination together, we found a sensitivity and specificity of approximately 80% and 40%, respectively. The radiological examination was very useful for diagnosis, showing a sensitivity between 57.9% and 100%. Nuts are the most common inhaled objects, amounting to approximately 70% of the episodes. CONCLUSIONS: Rigid bronchoscopy is the procedure of choice and requires specialized professional training and well-equipped services. However, the preventive aspects of these accidents were not sufficiently emphasized in the context of this condition. This review has a specific section on these aspects.

Journal Article↗
PubMed1990

[Ileal stenosis caused by chronic granulomatous inflammation secondary to a foreign body simulating Crohn disease].

A case of ileal stenosis due to foreign body induced chronic granulomatous inflammation simulating Crohn's disease with onset on an ileo-ileostomy carried out 23 years before due to iatrogenic rupture of ileal loop following clandestine abortion is reported. After noting the problem of attributing to the foreign body alone responsibility for the stenosis, the hypothesis that it might have been an acute occurrence of Crohn's disease or the expression of an association of Crohn's disease and granulomatous inflammation due to surgical material is advanced. This for the moment is the only plausible cause. It is concluded that for accurate nosological classification and, therefore, definitive clinical diagnosis, prolonged clinical control of the patient is indispensable.

Constriction, Pathologic↗
PubMed2006

[Children's bronchoscopy and bronchoalveolar lavage on endogenic foreign body in bronchus].

OBJECTIVE: To investigate the clinical effect of Children's bronchoscopy and bronchoalveolar lavage on endogenic foreign body in bronchus. METHOD: (1) Three hundred and thirty-seven cases had bronchoscopy and bronchoalveolar lavage whose chest X-ray diagnoses were bronchopneumonia with one or two lobe emphysema and/or pulmonary atelectasis, in which 22 cases had severe pneumonia with heart failure and respiratory failure. All cases had no history of foreign bodies' inhalation and become more dyspnea after a three-day treatment of antibiotics. Three hundreds and thirty one cases of bronchoalveolar lavages were divided into two groups randomly using saline or azythromycin, saline group had 126 cases (aged 0 approximately 10 years, mean age, 3 years ); azithromycin group had 211 cases(aged 0 approximately 8 years, mean age, 3.1 years). RESULT: There were 331 cases of endotracheal endogenous purulent emboli, 126 cases in left lung, 178 in right, and 27 cases in both sides. Judging from nature of emboli, 305 cases were mucus, 4 cases were milk valve, 22 cases were white membrane of plastic bronchitis. In azithromycin group, 172 cases (81.2%) were cured, 39 cases (18. 8%) showed effective, the total effective rate was 100 percent. In saline group, 96 cases were cured, 24 cases showed effective, the total effective rate was 100 percent. There wasn't statistically significant between two groups in total effective rate. The average hospitalization time had a statistical significance between saline group (11 days) and azithromycin group (6 days). Two cases of complication of pneumothorax happened in operation. They recovered through closed drainage of thoracic cavity and 3 cases dead. CONCLUSION: Bronchoscopy and bronchoalveolar lavage could shorten the course of endogenic foreign body in bronchus; especially it has significance to those cases of respiratory path obstruction with heart and respiratory failure. Plastic bronchitis could be determined by bronchoscopy and a pathologic histologic examination thereafter.

Bronchi↗
PubMed2006

Lower respiratory tract foreign bodies: a retrospective review of morbidity, mortality and first aid management.

OBJECTIVES: The authors describe 28 pediatric cases of foreign body inhalation requiring treatment in intensive care units between 1987 and 1999. The purpose of this study was: (1) to analyze the circumstances, diagnostic difficulties and initial treatment of serious foreign bodies and (2) to compare our series with other literature descriptions and define principles for optimal prevention and initial treatment. METHODS: Twenty-one children presented a penetration syndrome, which was responsible in 13 cases for asphyxia with cardiorespiratory arrest. All these children died, regardless of the initial treatment. Seven children were hospitalized for apparent asthmatic symptoms that did not respond to traditional treatment. RESULTS: The inefficiency of external extraction methods like the Heimlich maneuver and the mean delay between clinical signs and initial treatment lead us to propose a new strategy for the emergency treatment of foreign bodies with asphyxia. CONCLUSIONS: We recommend that emergency teams promote the use of a laryngoscope and Magill forceps. Flexible endoscopy is still recommended as the appropriate diagnostic tool to eliminate doubt in the case of a first severe asthma attack.

Child↗
PubMed1988

[Foreign body in the kidney: report of a case].

A 49-year-old man was admitted with the suspicion of renal foreign body. A fragment of wire rope was penetrated from his right lumbar region while working. Drip infusion pyelography and computed tomography films revealed a linear metallic object in the region of the right kidney. The foreign body was successfully extracted from the right renal parenchyma. The 38 cases of foreign bodies in the upper urinary tract including 12 in the renal parenchyma found in the literature are reviewed.

Accidents, Occupational↗
PubMed1983

Foley catheter removal of blunt esophageal foreign bodies. Experience with 100 consecutive children.

One hundred consecutive children with blunt esophageal foreign bodies were treated with a non-operative method of foreign body removal utilizing a Foley catheter. Dislodgement was successful in 98 children. There were no complications. Performed properly, the technique is rapid and safe. It precludes hospitalization and the slight hazards of endoscopy and general anesthesia.

Catheterization↗