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At least 1,567 records · Page 87Linked to original sources
PubMed1996

Chronic bronchial foreign body mimicking peripheral lung tumor.

We describe a case with chronic bronchial foreign body presenting with recurrent hemoptysis mimicking a peripheral lung tumor, and the outcome of surgical resection. A 61-year-old female with recurrent hemoptysis had a peripheral nodule in the right lower lobe. A right bronchial arteriogram showed dilatation and hypervascularity in the nodule. Surgical removal of the nodule contained a small branch of a white cedar. Chronic bronchial foreign body, while rare in adults, should be considered in the differential diagnosis of peripheral lung tumors associated with recurrent hemoptysis.

Angiography↗
PubMed1996

[Difficulties in bronchoscopic diagnosis of the foreign bodies located in lower respiratory tract in children].

Diagnostic difficulties and causes of incorrect interpretation of bronchoscopic examination in the cases of foreign body (f.b.) aspiration in children are presented. In 16 out of 280 children (5.7%) treated in our Institute due to f.b. aspiration in the years 1979-1993, f.b. were not diagnosed (incorrectly excluded or not confirmed) although bronchoscopic examination have been performed. Recurrent or persistent symptoms of bronchitis or bronchopneumonia were indications for performing diagnostic bronchoscopy in our hospital. The causes of diagnostic difficulties during the first bronchoscopy were as follow: 5-most likely inflammation, 2-peripheral deposition of foreign body, 2-only tracheoscopy was performed. In 7 cases the lack of necessary technical competence for performing bronchoscopy was probably the cause. Foreign bodies were deposited in 2 cases in the trachea, in 4 cases in the right bronchial tree and in 10 cases in the left bronchial tree. One child with diagnostic problems is describe in details. We have found that: -for exclusion of f.b. aspiration detailed examination of segmental or even subsegmental bronchi is necessary, -diagnosis and treatment of f.b. aspiration requires good bronchological knowledge and experience, -persistent symptoms of bronchial patency disturbances should be the indication to the control bronchoscopy.

Adolescent↗
PubMed1999

[Longitudinal bronchotomy on the pars membranacea for endoscopic foreign body extraction].

Purpose of this paper is to report a case of foreign body obstructing the middle lobe bronchial origin, surgically removed through a longitudinal bronchotomy on the pars membranacea, reached by passing posteriorly to the lung. Anatomical considerations suggest that longitudinal bronchotomy on the pars membranacea of the main bronchial axis (stem bronchi, intermedius br (right), and lower lobar bronchus) gives direct visualization from inside also of foreign bodies sited into the lobar bronchi (sup, middle and lingula), allowing an easy bronchotomy repair, without lumen distortion or stenosis. Since the pulmonary artery is not in contact with this pars membranacea, broncho-arterial fistula in case of suture line dehiscence is quite improbable.

Bone and Bones↗
PubMed1996

Oral Ambu-bag insufflation to remove unilateral nasal foreign bodies.

The nose is perhaps the most common site for the insertion of foreign bodies by children. Removal is essential. We report the successful use of the oral Ambu-bag insufflation technique to remove unilateral nasal foreign bodies in three children. Conscious sedation was not required. There were no complications.

Child, Preschool↗
PubMedDate not supplied

Fine needle aspiration cytology of foreign bodies presenting as cystic abdominal masses. A report of three cases.

BACKGROUND: Foreign body material (gauze sponges) presented as cystic abdominal masses and were confused with malignant tumors. CASES: Two females and one male presented with abdominal masses. They had undergone laparotomy 5-12 years earlier. Clinically the masses were diagnosed as benign or malignant cystic lesions. Fine needle aspiration revealed necrotic material, hemosiderin-laden macrophages, foreign body giant cells, cholesterol crystals and many fragments of birefringent material. The possibility of malignancy was ruled out. Cut sections of the excised cystic lesions revealed gauze sponges surrounded by a thick, fibrotic wall. CONCLUSION: This report underscores the usefulness of fine needle aspiration in ruling out malignancy.

Abdomen↗
PubMed1995

Nonmetallic foreign bodies of the skull base: a diagnostic challenge.

Cases of physical trauma have become more common in emergency departments, since life in modern society has become increasingly dangerous. Foreign bodies in the head and neck region are more common, therefore, and management principles are well-defined. Typically, these foreign bodies are metal, plastic, or glass and often easily diagnosed; however, wooden foreign bodies pose special problems for the physician and, therefore, warrant separate consideration. We present the case of a 21-year-old male who was stabbed in the submental region with a large wooden stake and discuss the surgical and follow-up treatment of this interesting case, including the roles and limitations of angiography, computerized tomography, and magnetic resonance imaging.

Adult↗
PubMed1997

Tracheobronchial foreign bodies: a review of children admitted for bronchoscopy at King Fahd Specialist Hospital, Al Gassim, Saudi Arabia.

This is a review of 147 patients suspected of foreign body (FB) inhalation, admitted to King Fahd Specialist Hospital in Al Gassim, Saudi Arabia from July 1989 to December 1994. Age, sex, foreign body type and site, presenting symptoms and signs, radiological findings, diagnosis and complications are analyzed and discussed. All foreign bodies were removed by rigid bronchoscopy under general anaesthesia. The study highlights the magnitude of the problem in the region and reviews the clinical presentation of patients who have inhaled an FB and recommends bronchoscopy as a means of early diagnosis and management.

Age Distribution↗
PubMedDate not supplied

Laser-assisted removal of a foreign body from the colon.

An 81-year-old woman underwent a colonoscopy because of a sigmoiditis poorly responding to conservative therapy. A rod-shaped foreign body found in the sigma proved impossible to remove conventionally. Irradiation with a low laser energy caused the foreign body to break apart, after which its extraction was straightforward. The further clinical course was uncomplicated. In this case a partial sigmoidectomy would have been indicated had the laser-supported extraction not been successful. The authors suggest that a similar procedure could be helpful in the management of foreign bodies in the esophagus.

Aged↗
PubMed1981

Current management of esophageal foreign bodies.

Between 1972 and 1978, a total of 159 cases of esophageal foreign body were treated at the University of Minnesota Affiliated Hospitals, Minneapolis. Although coins were the most frequent offending agent in the pediatric group, meat was the most common in the entire series (60%). Eighty percent of coins were impacted in the upper esophagus, while meat impaction occurred most frequently in the distal esophagus (42%). Rigid esophagoscopy was performed in 134 patients. The foreign body was removed during esophagoscopy in 122 cases, advanced into the stomach in two cases, and not found in ten cases. In addition to esophagoscopy, when meat obstruction was suspected, several pharmacologic agents were successful in relieving the obstruction, such as parenterally administered diazepam (Valium) (8/27) and glucagon (6/14). Spontaneous passage was noted in seven cases. No cases of esophageal carcinoma were discovered in this series.

Adolescent↗
PubMed1988

An alternative approach to management of Fogarty catheter disruption associated with endobronchial foreign body extraction.

The Fogarty balloon catheter is a useful adjunct in removing aspirated foreign bodies, but its use is not without risks. A case is presented of Fogarty catheter disruption while attempting to remove a foreign body. The resulting debris in the distal airway was inaccessible to bronchoscopic retrieval. An effective treatment plan is outlined to deal with this problem.

Bronchi↗
PubMed1992

Recurrent brain abscess due to an unexpected foreign body.

We report an exceptional case of a patient with chronic frontal sinusitis complicated by chronic osteomyelitis and a cutaneous fistula. A recurrent brain abscess developed and was only cured after a very unusual wooden retained foreign body was removed at surgery. The hazards of wood as a foreign body are discussed and it is stressed that the possibility of a retained foreign body, even unsuspected, must always be borne in mind.

Adult↗
PubMed2005

Foreign body in the vallecula presenting as acute epiglottitis with unilateral supraglottitis.

Life threatening inflammatory swelling of the epiglottic and supraglottic regions secondary to a foreign body in the vallecula is an unusual occurrence. Upper airway obstruction is potentially a life threatening sequela. We present a unique case of acute epiglottitis with unilateral supraglottitis secondary to foreign body in the vallecula, which gradually improved after emergency endotracheal intubation for respiratory arrest, followed by intensive conservative management with intravenous antibiotics, cortisone and intravenous fluids. This case emphasizes that a foreign body in the vallecula presenting with severe dysphagia should be taken seriously as it may lead to life threatening complications.

Acute Disease↗
PubMed1984

Foreign body reactions secondary to cellulose lint fibers.

Twenty-four cases of foreign body reactions secondary to cellulose lint fibers have been identified in three Portland area hospitals over a 5 year period. Ten of these cases involved extraperitoneal granuloma and 14 cases intraperitoneal granuloma. Six of the intraperitoneal reactions resulted in acute granulomatous peritonitis, and one of these patients died from this complication. Twenty-two additional operations were performed on these patients because of complications directly associated with this reaction. As estimated 400 days of additional hospitalization were required secondary to complications of foreign body reaction. Several precautionary measures have been identified that have decreased the incidence of this complication in our hospitals. Polypropylene drapes and gowns may provide a solution to this problem in the future.

Acute Disease↗
PubMedDate not supplied

[Glass foreign body in the kidney].

A rare case is reported of a glass foreign body which hit the kidney of a 25-year-old man in the moment of left lumbar injury with window glass. A large fragment of the glass was removed outpatiently, but the second fragment which penetrated into the left kidney was not detected. The patient was admitted to the urological hospital 2 months after the injury. The wound on the left side of the low back has healed, but the patient had macrohematuria, pains and declined function of the left kidney. Echography and x-ray detected a foreign body in the parenchyma of the left kidney upper segment penetrating into the upper caliculus and pelvis. After lumbotomy and pyelotomy the fragment 6.2x0.8x0.3 cm was taken out from the kidney. A complete recovery of renal function followed.

Adult↗
PubMed1991

Foreign-body-associated experimental osteomyelitis induced with Bacteroides fragilis and Staphylococcus epidermidis in rabbits.

Bacteroides fragilis and Staphylococcus epidermidis, alone and in combination, were used to induce foreign-body-associated osteomyelitis in a rabbit model. In this model, a catheter, used as a foreign body, was implanted into the medullary cavity of the tibia. Only two of five animals infected with S. epidermidis alone developed culture-positive osteomyelitis, whereas all three animals infected with B. fragilis alone developed osteomyelitis. All six animals infected with both microorganisms developed culture-positive osteomyelitis. Roentgenographic and histologic evaluations confirmed the diagnosis of osteomyelitis. Transmission and scanning electron microscopy showed that when the two microorganisms are involved in a mixed infection, S. epidermidis predominates on the foreign body and B. fragilis predominates in the infected bone and marrow.

Animals↗