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PubMed1975

[Studies on the method of removing foreign bodies from the reticulum with the use of the Eisenhut probe].

So far a number of different opinions have been published in various publications on the possibilities of preventing diseases caused by foreign bodies--by removing them from the reticulum with the use of the magnetic probe. It was decided to test the practical value of the Eisenhut probe. Studies on 58 cows were carried out in the 1967-1973 period. Among the tested animals fere those suffering persistent rumen fistula and others which were being examined after rumenotomy. The animals under observation were divided into 5 groups. The object of the experiment was to test: a) the properties of the probe and possible dangers which might have resulted from its application. b) the usefulness and effectiveness of this rather expensive instrument. On the strength of experiments carried out it was found that the possibilities in moving the end of the probe, when introduced into reticulum, are very limited and, what more, a direct application of that into the reticulum cavity is difficult in "mass-probing", thus largely restricting the efficiency of the given instrument. The "retrieving crown" of the magnetic end has no essential part in the process of removing foreign bodies from the reticulum. Results obtained after having starved the animals for a period of time were even worse. When applying the probe to animals in good health, cases of rupturing the oesophagus and thus aspiring the alimentary content into the respiratory tract were recorded. When using the above-mentioned instrument, it was never possible to recover more than 50% of the foreign bodies introduced previously into the reticulum, which was mainly due to the difficulty in introducing the magnetic end into the reticulum.

Animals↗
PubMed2004

Foreign body granulomas secondary to retained sponge fragment following mitomycin C trabeculectomy.

BACKGROUND: Bleb related inflammation following trabeculectomy is usually seen in the late post operative period and is unusual in the first 6 months after surgery We report the clinical findings and course of two patients with early bleb related inflammation secondary to retained cellulose sponge fragments used to apply mitomycin C on the scleral surface. METHODS: Retrospective review of medical records of two patients and pathology from one patient. RESULTS: Both patients developed bleb related inflammation four months after a combined fornix based trabeculectomy and cataract procedure in which mitomycin C was applied using filter paper discs (Whatman filter paper #1). Material suggestive of cellulose fragments was noted in the filtering bleb in both patients. Patient 1 had a bleb leak at time of presentation and pathologic examination of foreign body material obtained from the site of the leak demonstrated a granulomatous reaction surrounding cellulose fibers. The foreign body material was removed in both patients. This led to resolution of the bleb leak in the first patient and at one year following the procedure both patients had functioning blebs in the affected eye. CONCLUSIONS: Retention of sponge fragments is rare but may be a cause of bleb inflammation as a result of a foreign body granulomatous reaction. The choice of sponge material that does not shred may help in avoiding this unusual complication.

Aged↗
PubMed1987

[A case of foreign body granuloma caused by cotton pledgets that remained during intracranial operation].

A case of intracranial foreign body granuloma is reported which was caused by cotton pledgets after total removal of meningioma. A 46 year-old woman was admitted on July 10, 1982, complaining of generalized convulsive seizures. CT and cerebral angiography revealed a left falx meningioma. The meningioma was totally removed under the left frontoparietal osteoplastic craniotomy. Microscopical findings were meningotheliomatous meningioma without malignancy. Despite the total removal, she developed two attacks of convulsion. Cerebral CT revealed a slightly high density mass with contrast-enhancement where the meningioma had been removed. Re-operation was performed on July 16, 1983. There was a granuloma with cotton fibers surrounded by yellow capsule without residual or recurrent meningioma. Only two cases have ever been reported in the literature so far reviewed. The differential diagnosis of foreign body granuloma is discussed and it is stressed to pay attention not to leave cotton pledgets during operations.

Brain↗
PubMed1998

Eosinophilic foreign body granuloma after multiple self-administered bee stings.

A bee sting can cause a foreign body granuloma of the skin, due to activated macrophages at the stinging site. A 52-year-old woman presented with a large doughnut-shaped ulcerative tumour on the left side of her face. A bean-sized facial papule had grown to a 4.0 x 3.9 x 1.1 cm mass after multiple bee stings induced by herself over a period of 1 year. Histology showed epidermal ulceration with granulomatous inflammatory cell infiltration of many eosinophils. No micro-organisms or foreign bodies were identified. Intralesional triamcinolone acetonide was not effective, but an excellent outcome was obtained using carbon dioxide laser vaporization of the lesion.

Animals↗
PubMed2004

[Primary intention to treat intraocular metallic foreign body using radical vitrectomy].

In order to compare the prognosis of eyes with a metallic intraocular foreign body withdrawn with a complete versus incomplete vitrectomy, our retrospective study analyzes the functional result and complications in a consecutive series of 13 eyes, depending on whether the vitrectomy included or not the removal of the posterior hyaloïd and the shaving of the vitreous base. Six eyes underwent one of these 2 surgical maneuvers. Three eyes underwent both of these 2 maneuvers and ended up with 10/10 visual acuity and no complications or reoperations. Among the 4 eyes that did not benefit from any of these 2 maneuvers, 3 required a vitrectomy revision because of a retinal detachment or a secondary hemorrhage. We conclude that a radical vitrectomy could improve the prognosis of eyes with an intraocular metallic foreign body.

Adult↗
PubMed2003

Food allergy masquerading as foreign body obstruction.

BACKGROUND: Allergic reactions to peanut and tree nuts can present as upper airway obstruction. OBJECTIVE: To increase awareness that food allergy should be considered in the differential diagnosis of upper airway obstruction in children. METHODS: We report an allergic reaction to cashew that was initially misdiagnosed as foreign body aspiration. RESULTS: When the presenting signs and symptoms of food allergy are limited to upper airway obstruction, they can be confused with foreign body aspiration. CONCLUSIONS: As peanuts and tree nuts are common causes of both food allergy and foreign body aspiration in children, both of these diagnoses should be considered in the differential diagnosis of airway obstruction.

Airway Obstruction↗
PubMed1993

Effects of laminectomy and retained extradural foreign body on cauda equina adhesion.

The histologic effects of posterior lumbar surgery and retained extradural foreign bodies on the cauda equina were investigated in rats over time. The following four groups of rats were provided: Group 1, sham operation (laminar exposure alone); Group 2, laminectomy alone; Group 3, laminectomy with retained extradural silk thread; Group 4, laminectomy with extradural kaolin; and the control. Histological study was performed on the transverse sections of laminectomized (L5) and nonlaminectomized (L4) areas. In Group 1, adhesive changes involving the cauda equina, consisting of dilatation of nutrient vessels, and eosinophilic exudative changes between the adhering cauda rootlets were seen the day after surgery, but the fibrinous adhesion was resolved spontaneously in all rats after 1 week without permanent sequelae. In Groups 2 and 3, postoperative adhesion of the cauda equina roots was conspicuous, but it resolved by 6 weeks. In Group 4, obvious adhesion persisted through the 12th week after surgery. Destruction of the myelin sheath and axonal loss of the cauda equina occurred in the first week after surgery in all the experimental groups except in the sham group. The severity and extent of the neural degeneration were mostly parallel to the severity of inflammatory changes in the epidural areas. At the nonlaminectomized area (L4) in each group, the arachnoid and cauda equina tended to congregate the day after surgery, but these changes were all transitory. The severity and persistency of the arachnoiditis and neural degeneration directly corresponded to the magnitude of the inflammation and wound healing processes. This seems to imply that careful surgical intervention with no use of foreign bodies is necessary to reduce postoperative adhesive arachnoiditis.

Animals↗
PubMed2006

[Intraocular foreign bodies: a descriptive and prognostic study of 52 cases].

BACKGROUND: The aim of this study was to determine prognostic factors as well as anatomical and functional outcomes in patients undergoing surgical removal of an intraocular foreign body, according to the ocular findings at presentation and surgical management. MATERIALS AND METHODS: Retrospective (1993-2003) clinical study of 52 consecutive patients, with univariate analysis adjusting for the initial and final clinical examinations, for the surgical strategy and complications. RESULTS: Final best corrected visual acuity of 5/10 or more was obtained in 35 patients (67%) and of 1/10 or more in 44 patients (85%). The prognostic factors of a final visual acuity less than 5/10 identified were an initial visual acuity less than 5/10 (p<0.001), age over 40 years (p=0.015), a foreign body larger than 3 mm (p=0.0015), and multiple surgeries (p=0.015). CONCLUSION: Thanks to recent surgical progress, final visual outcomes were excellent in 67% of patients. The initial visual acuity, age, the length of the foreign, and the number of surgical interventions were significant predictor factors. However, the anatomical and functional prognosis of intraocular foreign bodies remains difficult to establish at the initial clinical examination.

Adolescent↗
PubMed1995

The role of sonography in the detection of vaginal foreign bodies in young girls: the bladder indentation sign.

The cases of four young girls with vaginal foreign bodies, successfully diagnosed by ultrasound, are presented. The sonographic signs include varying echogenicity and acoustic shadowing, but always an indentation of the posterior bladder wall was clearly observed. Sonography should be considered as the first step in the evaluation of suspected vaginal foreign bodies in young girls.

Child↗
PubMed1990

[Foreign bodies in the deglutition tract and their complications].

The authors demonstrate some pitfalls of the diagnosis of foreign bodies wedged in the hypopharynx (drawing instrument) and oesophagus (beef bone) in two children who developed extensive retropharyngeal abscesses. Both foreign bodies were endoscopically extracted on the eighth day after the event. The affected area recovered without sequelae.

Abscess↗
PubMedDate not supplied

[Foreign bodies in the gastrointestinal tract. Our cases and a review of the literature].

The ingestion or introduction of foreign bodies is a common situation in emergency surgery. The patients who usually ingest foreign bodies for different reasons are children, psychotics, alcoholics, prisoners and old people. The authors analyzed 65 cases observed in the I Institute of Surgery of the University of Rome "La Sapienza": 45 males and 20 females. Both the anal introduction and ingestion may be accidental or voluntary. The incidence of complications is estimated about 5 to 7%. The authors underline the opportunity of a conservative removal through endoscopic procedures especially for intraesophageal corps. This procedure is recommended to reduce morbidity and mortality rates, as well as hospitalization and social costs.

Adolescent↗
PubMed1997

[Penetrating trauma by foreign body in the left heart ventricle].

We present the case of a patient who suffered a cardiac penetrating trauma due to a 6-cm long steel splinter. He was self-admitted to the emergency room and was asymptomatic. Cardiac trauma was diagnosed by the presence of a foreign body in his chest X-ray. Transthoracic and transesophageal echocardiography showed pericardial effusion and a dense foreign body that crossed the left ventricle from upside down and forward to back. The patient underwent cardiac surgery under extracorporal circulation. A shooting wound was seen on the left ventricular free wall. Transesophageal echocardiography was performed during surgery in order to define the position of the foreign body and to discard lesions due to multidirectional injury. Lesions were repaired and the patient was discharged with no complications. This case report illustrates the possibility of survival after cardiac penetrating trauma, and the role of echocardiography in the diagnosis and surgical repair of this type of trauma.

Adult↗
PubMed2000

[Foreign body granuloma after lower eyelid avulsion and surgical revision with silicone tube splint].

BACKGROUND: Foreign-body-reactions with granulomas after use of silicone-containing biomaterials are of clinical importance [4]. HISTORY AND SIGNS: A 4-year old patient entered our hospital with a reddish vascularised tumor. The tumor's origin was in the conjunctiva of the nasal lid-angle of the right eye. THERAPY AND OUTCOME: After a traumatic disconnection of the canaliculus lacrimalis inferior, a bicanalicular silicon-tube intubation had been performed with the patient in the age of one year. Only 3 years after this intervention a secondary clinical examination could be performed. At this time, an extended solid conjunctival-tumor appeared at the operated eye. After removal and histological examination it could be classified as a foreign body granuloma. CONCLUSIONS: The blood- and tissue compatibility of silicone is only insufficiently guaranteed on the basis of the hydrophobic material-surface. After reconstructive lacrimal surgery postoperative care and the removal of the stabilizing silicone material is necessary.

Child, Preschool↗
PubMed1989

Pulmonary response to foreign body microemboli in dogs: release of neutrophil chemoattractant activity by vascular endothelial cells.

Pulmonary hypertension and foreign body granulomas are complications of the chronic intravenous injection of crushed, suspended pentazocine (Talwin) tablets. To evaluate the early cellular mechanisms underlying the response of the lung to foreign body microemboli, we examined lung histopathology and bronchoalveolar lavage (BAL) fluid in dogs for accumulation of inflammatory cells shortly after the injection of crushed, suspended pentazocine tablets. We found that the injection of suspended pentazocine tablets is associated with the rapid accumulation of neutrophils around intravascular talc crystals but not within the alveolar airspaces. To determine the cause of the observed neutrophil accumulation, we assayed plasma and lavage fluid for neutrophil chemoattractant activity (NCA). NCA appeared in pulmonary arterial (PA) and left ventricular (LV) plasma within 60 s of injection of the suspended tablets. However, there was no evidence of NCA in BAL. To determine whether appearance of chemoattractant activity found in plasma was modified by inhibitors of arachidonic acid metabolism, we infused dogs with indomethacin, diethylcarbamazine (DEC), or FPL 55712 and assayed plasma for NCA after the injection of suspended pentazocine tablets. We found that the appearance of NCA is prevented by the infusion of either DEC or FPL 55712 but not by the infusion of indomethacin. We found that cultured pulmonary arterial or aortic endothelial cells also release NCA when incubated with either the suspended pentazocine tablets or talc. Extraction with acidified diethyl ether partitioned all the NCA into the organic phase. The release of NCA from cultured endothelial cells was likewise prevented by coincubation with DEC or FPL 55712 but not by coincubation with indomethacin.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗
PubMed1980

Fogarty catheter removal of nasal foreign bodies.

The removal, without incident, of 14 nasal foreign bodies is described. None of the bodies was amenable to anterior instrumental extraction, and all were removed using a small-diameter Fogarty catheter.

Catheterization↗
PubMed1999

[Penetrating and perforating eye injuries with foreign bodies during motorized brush-cutting while wearing head protection gear].

BACKGROUND: Protective clothing is prescribed concerning gloves, shoes, protective trousers and a helmet for protection of hearing and the face during brush-cutter work. PATIENTS AND METHODS: Seven patients were observed in a time period from 1994 to 1998. Mostly a nylon head protection had been used. The side of the helmet has no protection shield. The 1- to 4-mm large foreign bodies passed the head protection shield from the side or by entering through the holes of the nylon mesh which may be not small enough to stop the foreign body. A pars plana vitrectomy with foreign body removal was performed after primary wound repair. RESULTS: An endophthalmitis was diagnosed in two patients after primary wound treatment. In these cases, a pars plana vitrectomy and antibiotic instillation was performed. In 5 patients visual acuity increased postoperatively. We measured a postoperative visual acuity from 1/50 to 1.6. The development of proliferative vitreoretinopathy with retinal detachment in 4 patients was the main complication observed after pars plana vitrectomy. CONCLUSIONS: A cosmetically satisfactory appearance of the injured eye was reached by pars plana vitrectomy in all patients. Anatomic and functional success was reached in most of the patients. For prophylaxis, a head-protection seems not safe enough. The additional usage of eye protection glasses may be imperative for the prevention of these eye injuries.

Adult↗