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Sample records for attenuates foreign body

  1. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... percent of foreign body ingestions occur among children. Most foreign bodies pass through the gastrointestinal tract without ... fainting and shock. Foreign bodies in the airway: Most foreign bodies in the airway are usually expelled ...

  2. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... 80 percent of foreign body ingestions occur among children. Most foreign bodies pass through the gastrointestinal tract ... blockages that may require surgical removal of magnets. Children account for about 80 percent of foreign body ...

  3. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... limitations of foreign body detection and removal? What is Foreign Body Retrieval? Foreign body retrieval involves the ... or computed tomography (CT). top of page How is the procedure performed? There are a number of ...

  4. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... top of page What are the benefits vs. risks? Benefits Removal of a foreign body will reduce ... good tool for guiding foreign body removal procedures. Risks While foreign body removal procedures are safe and ...

  5. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... soft tissues. About 80 percent of foreign body ingestions occur among children. Most foreign bodies pass through ... account for about 80 percent of foreign body ingestions. Sometimes problems occur when button batteries are swallowed ...

  6. Foreign body orbital cyst

    DEFF Research Database (Denmark)

    Yazdanfard, Younes; Heegard, Steffen; Fledelius, Hans C.

    2001-01-01

    Ophthalmology, penetrating orbital injury, orbital foreign body, ultrasound, computed tomography (CT), histology......Ophthalmology, penetrating orbital injury, orbital foreign body, ultrasound, computed tomography (CT), histology...

  7. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... of page What are some common uses of the procedure? Foreign body retrieval is used to remove ... the foreign body. top of page What does the equipment look like? A variety of x-ray ...

  8. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... Us News Physician Resources Professions Site Index A-Z Foreign Body Retrieval Foreign body retrieval is the ... may undergo an ultrasound, x-ray or CT scan to locate and remove the object. Tell your ...

  9. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... of page What are some common uses of the procedure? Foreign body retrieval is used to remove ... the foreign body. top of page What does the equipment look like? A variety of x-ray ...

  10. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... surrounding tissues. top of page What are some common uses of the procedure? Foreign body retrieval is ... air-filled lungs, are poorly suited for ultrasound. Common equipment for identifying and removing foreign bodies from ...

  11. [Foreign Body in Esophagus].

    Science.gov (United States)

    Domeki, Yasushi; Kato, Hiroyuki

    2015-07-01

    An esophageal foreign body is the term for a foreign body in the esophagus. The 2 age groups most prone to this condition are children age 9 and under (and especially toddlers age 4 and under) and elderly individuals age 70 and over. A foreign body often lodges where the esophagus is most constricted. In toddlers, the foreign body is often currency or coins or a toy. In adults, the body is often a piece of fish, dentures, a piece of meat, a pin or needle, or a drug in its blister pack packaging. In children, an esophageal foreign body is treated by fluoroscopically guided removal of the body with a balloon catheter or magnetic catheter or removal of the body via endoscopy or direct esophagoscopy under general anesthesia. In adults, the best choice for treating an esophageal foreign body is removing the body with an endoscope but there are instances where surgery is performed because the body is hard to remove endoscopically, a puncture has occurred, or empyema or mediastinitis has developed. This paper reviews the diagnosis and treatment of an esophageal foreign body.

  12. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... but the foreign body remains trapped in the lung. This typically occurs in children and requires removal ... the body while other areas, especially air-filled lungs, are poorly suited for ultrasound. Common equipment for ...

  13. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... extended over the patient while an x-ray film holder or image recording plate is placed beneath ... through the body, recording an image on photographic film or a special detector. Many foreign bodies, like ...

  14. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... body ingestions occur among children. Most foreign bodies pass through the gastrointestinal tract without complication, and endoscopic ... be dislodged rather than removed so that they pass safely through the digestive system. top of page ...

  15. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... is located near vital structures like nerves and blood vessels, so your physician may choose to leave it ... other areas of the body, or enter your blood vessels. Removal of larger foreign bodies will ensure that ...

  16. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... only 10 to 20 percent of the time. Evaluation and treatment will depend on the type of ... bones also may be difficult to visualize. Additional evaluation is required when the suspected foreign body is ...

  17. Foreign Body Extraction Device

    Directory of Open Access Journals (Sweden)

    A. Lavy

    1999-01-01

    Full Text Available Foreign bodies in the gastrointestinal tract are common. Mostly they are swallowed accidentally by children but also by adults. When round and slippery, foreign bodies cause a technical problem for removal. After several days in the stomach they are covered with mucus and extraction becomes even harder. There are various devices designed for use through the flexible endoscope for grasping foreign bodies but due to the great variety of objects, one may face a real problem while trying to remove them. We faced a challenge in a woman who underwent vertical band gastroplasty and was obstructed by a round and slippery hazelnut. We managed to remove the nut using a simple homemade device. This device is easy to make, cheap, and simple to use and maybe useful for various foreign bodies.

  18. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... to numb your throat. This eliminates the gag reflex and enables the physician to perform the examination ... chances of suffering an infection or an allergic reaction. Prompt removal of the foreign body will ensure ...

  19. Multiple foreign body granulomas

    Directory of Open Access Journals (Sweden)

    Panvelkar V

    1991-01-01

    Full Text Available A case of multiple foreign body granulomas occurring after mine-blast injury in a soldier is reported. Systemic steroids with antibiotics given essentially for eczematoid dermatitis produced good clinical improvement with marked resolution of granulomas.

  20. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... especially to iodinated contrast materials. Leave jewelry at home and wear loose, comfortable clothing. You may be ... relative or friend accompany you and drive you home afterward. Foreign bodies are typically dealt with in ...

  1. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... pregnant. Many imaging tests are not performed during pregnancy so as not to expose the fetus to ... See the Safety page for more information about pregnancy and x-rays. If the foreign body is ...

  2. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... include coins, buttons, pins, nails, glass pieces, toothpicks, batteries, small toys or pieces of toys and fish ... foreign body ingestions. Sometimes problems occur when button batteries are swallowed as mercury within the batteries can ...

  3. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... may become lodged in the esophagus and cause pain, even though they are able to swallow. Larger ... the stomach or intestines can cause severe abdominal pain, fever, fainting and shock. Foreign bodies in the ...

  4. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... Soft tissue foreign bodies can cause infection and damage to surrounding tissues. top of page What are ... will reduce chances of an infection that could damage tissue, nerves and blood vessels, block blood flow ...

  5. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... examination consists of a radiographic table, one or two x-ray tubes and a television-like monitor ... to orient foreign bodies with the use of two snares. The catheter is guided into place just ...

  6. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... only 10 to 20 percent of the time. Evaluation and treatment will depend on the type of ... bones also may be difficult to visualize. Additional evaluation is required when the suspected foreign body is ...

  7. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... You also may need a tetanus shot to prevent a potentially deadly infection of the nervous system. ... the foreign body. You will remain in the recovery room until you are completely awake and ready ...

  8. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... tissue, such as a splinter embedded under the skin, you may undergo an ultrasound, x-ray or ... that gets embedded in the tissue under the skin. Soft tissue foreign bodies can cause infection and ...

  9. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... tissue, such as a splinter embedded under the skin, you may undergo an ultrasound, x-ray or ... that gets embedded in the tissue under the skin. Soft tissue foreign bodies can cause infection and ...

  10. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... You also may need a tetanus shot to prevent a potentially deadly infection of the nervous system. ... the foreign body. You will remain in the recovery room until you are completely awake and ready ...

  11. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... are a form of radiation like light or radio waves. X-rays pass through most objects, including ... Many foreign bodies, like coins and batteries, are radio-opaque, meaning that x-rays will not pass ...

  12. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... object is solid or filled with fluid). In medicine, ultrasound is used to detect changes in appearance, ... Anesthesia Safety X-ray, Interventional Radiology and Nuclear Medicine Radiation Safety Videos related to Foreign Body Retrieval ...

  13. Unusual orbital foreign bodies

    Directory of Open Access Journals (Sweden)

    Agarwal P

    1993-01-01

    Full Text Available Retained intraorbital organic foreign bodies, particularly wooden, are commonly encountered in ophthalmologic practice. We treated two children who had sustained such injury while playing. They presented to us with non-healing sinus with purulent discharge. In one of the patients, X-rays and CT scan helped to clinch the diagnosis, whereas in the other patient diagnosis was possible by correlating history with clinical findings. Surgical exploration in both patients helped us to remove the foreign bodies. Surprisingly, both the foreign bodies were 7 cm long wooden pieces. We, however, caution that management of such cases should be conservative and that surgical exploration be done only in case of complication. From our experience, we recommend proper localisation by all possible means, blunt dissection, careful haemostasis coupled with excellent lighting and exposure in the atraumatic removal of intraorbital foreign bodies.

  14. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... the soft tissues. Commonly swallowed objects include coins, buttons, pins, nails, glass pieces, toothpicks, batteries, small toys ... of foreign body ingestions. Sometimes problems occur when button batteries are swallowed as mercury within the batteries ...

  15. ‘ SILENT’ LARYNGEAL FOREIGN BODY

    Directory of Open Access Journals (Sweden)

    Chandrasekhar

    2015-06-01

    Full Text Available Laryngeal foreign bodies in adults are rare. The foreign bodies accidentally entering the larynx are symptomatic in the form of choking , stridor or even death. We are presenting a rare case of foreign body in the larynx in a 42 year old male who was symptom free except for dysphonia. The foreign body was removed successfully under local anesthesia.

  16. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... and push the object farther down. In some cases, prompt removal of the foreign body is necessary. Common procedures include: Flexible esophagoscopy Flexible esophagoscopy is a common diagnostic examination that enables a safe and detailed visual study of the esophagus while the patient is under ...

  17. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... and push the object farther down. In some cases, prompt removal of the foreign body is necessary. Common procedures include: Flexible esophagoscopy Flexible esophagoscopy is a common diagnostic examination that enables a safe and detailed visual study of the esophagus while the patient is under ...

  18. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... on the type of foreign body and how it was introduced. If it was swallowed, you may undergo a direct examination ... and esophagus or an x-ray examination. If it is lodged in a soft tissue, such as ...

  19. Foreign Body Retrieval

    Science.gov (United States)

    ... foreign bodies. You might require stitches or other treatments to close the wound, and your caregiver may give you antibiotics if the wound has a high risk of infection. You also may need a tetanus shot to prevent a potentially deadly infection of ...

  20. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... foreign bodies. You might require stitches or other treatments to close the wound, and your caregiver may give you antibiotics if the wound has a high risk of infection. You also may need a tetanus shot to prevent a potentially deadly infection of ...

  1. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... depend on the type of foreign body and nature of the symptoms. You should inform your physician of any medications being taken and if there are any allergies, especially to iodinated contrast materials . Also inform your doctor about recent illnesses or ...

  2. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... Español More Info Images/Videos About Us News Physician Resources Professions Site Index A-Z Foreign Body ... to locate and remove the object. Tell your doctor if there’s a possibility you are pregnant and ...

  3. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... on the type of foreign body and how it was introduced. If it was swallowed, you may undergo a direct examination ... and esophagus or an x-ray examination. If it is lodged in a soft tissue, such as ...

  4. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... used to guide the foreign body removal procedure. After you are positioned on the examination table, the radiologist or sonographer will apply some warm water-based gel on your skin and then place the transducer firmly against your ...

  5. Longstanding Endobronchial Foreign Body

    Directory of Open Access Journals (Sweden)

    R. Trisolini

    1999-01-01

    Full Text Available There are many circumstances in which the diagnosis of endobronchial inhalation of a foreign body (FB can be missed. Generally, in such cases, within weeks or at most months from the event, clinical bronchopulmonary symptoms develop which allow a correct diagnosis to be made and significant complications to be avoided. We report the case of a patient in whom an endobronchial FB remained undiagnosed, because of lack of symptoms, for almost three years, and then caused signifiicant complications before being identified and removed. Problems related to diagnosis and therapy are discussed.

  6. AN UNUSUAL RECTAL FOREIGN BODY

    Directory of Open Access Journals (Sweden)

    Rakesh Kumar

    2014-07-01

    Full Text Available : INTRODUCTION: Rectal foreign bodies are common, but foreign body made of glass with uneven sharp distal end and complicated with hypovolemic shock is very rare. It is very challenging to be removed by laparotomy and poses extra difficulty in emergency. PRESENTATION OF CASE: A 45-year-old man with complains of rectal foreign body and bleeding per rectum reported in emergency room. On examination patient was in hypovolemic shock and continuous bleeding through anal opening. Emergency laparotomy was per-formed and foreign body was retrieved successfully. DISCUSSION: Rectal foreign body made of glass with uneven sharp distal end towards distal end of rectum is very rare. Retrieval of these foreign bodies will be very difficult, especially for the emergency cases that are complicated with hypovolemic shock. Emergency laparotomy can be successfully performed to stop the bleeding and minimize rectal and anal canal trauma. To the best of our knowledge, such rectal foreign body has been rarely reported. CONCLUSION: Rectal foreign body with uneven sharp edges towards anal opening are difficult to retrieve trough transanal route. Hypovolemic shock due to bleeding and rectal perforation is major complications of these foreign bodies. Emergency laparotomy should be done in these cases.

  7. Uncommon, undeclared oesophageal foreign bodies.

    Science.gov (United States)

    Akenroye, M I; Osukoya, A T

    2012-01-01

    We report two cases of unusual and undeclared oesophageal foreign bodies. A small double-rounded calabash or bottle gourd Lagenaria siceraria, stuffed with traditional medicine designed to acquire spiritual power. A whole tricotyledonous kola nut Cola nitida also designed to make medicine to gain love from a woman after passing it out in stool. Each case presented with a sudden onset of total dysphagia and history of ingestion of foreign bodies was not volunteered by any despite direct questioning. Plain radiograph of the neck and chest in either case did not reveal presence of foreign body. Both were successfully removed through rigid oesophagoscopy.

  8. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... in the esophagus, you may receive an intravenous drug to relax the esophagus and allow the object to pass through the digestive tract. Other drugs taken by mouth can help blunt foreign objects ...

  9. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... saved. Using an ultrasound transducer to visualize the location of the object, the physician may make an ... the surgical instrument as it advances to the location of the foreign object in real-time. Your ...

  10. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... in the esophagus, you may receive an intravenous drug to relax the esophagus and allow the object to pass through the digestive tract. Other drugs taken by mouth can help blunt foreign objects ...

  11. Foreign body in the heart

    Institute of Scientific and Technical Information of China (English)

    LI Xin-min; ZHU Hong-yu; WANG Zhen-long; XU Zhao-hua

    2005-01-01

    @@ As an emergency, a foreign body in the heart should generally be removed as early as possible by surgical or non-surgical procedures in order to avoid any complications. Early treatment typically results in a better prognosis.

  12. Foreign body in the nose

    Science.gov (United States)

    Cukor J, Manno M. Pediatric respiratory emergencies. In: Marx JA, Hockberger RS, Walls RM, et al, eds. ... 168. Thomas SH, Goodloe JM. Foreign bodies. In: Marx JA, Hockberger RS, Walls RM, et al., eds. ...

  13. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... denotes child-specific content. Related Articles and Media Computed Tomography (CT) - Body Magnetic Resonance Imaging (MRI) - Body General Ultrasound Contrast Materials Anesthesia ...

  14. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... the equipment look like? How does the procedure work? How is the procedure performed? What will I experience during and after the procedure? Who interprets the results and how do I get them? What are the benefits vs. risks? What are the limitations of foreign ...

  15. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... be inhaled into the airway, swallowed or lodged in the throat or stomach, or embedded in the soft tissues. About 80 percent of foreign ... an x-ray examination. If it is lodged in a soft tissue, such as a splinter embedded ...

  16. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... sends out high-frequency sound waves (that the human ear cannot hear) into the body and then listens for the returning echoes from the tissues in the body. The principles are similar to ...

  17. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... sends out high-frequency sound waves (that the human ear cannot hear) into the body and then ... bodies. top of page How does the procedure work? Your physician may use an x-ray or ...

  18. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... sends out high-frequency sound waves (that the human ear cannot hear) into the body and then ... body. Once it is carefully aimed at the part of the body being examined, an x-ray machine produces a ...

  19. Foreign bodies in the torax

    Directory of Open Access Journals (Sweden)

    Ćerimagić Zenaida

    2007-01-01

    Full Text Available Background. Metallic foreign bodies in the lung could be recognized using radiography. Non-metallic foreign bodies make difficulties because they are not as dense as metals. The aim of this report was to present the case of nonmetallic foreign bodies in the lung. Case report. A soldier of the Federation Army of Bosnia and Hertzegovina, injured in the explosion in 1998 was presented. The soldier was subjected to thoracic drainage and surgery tretment of the wound. After one year, the pulmologist treated him with tuberculostatics because of hemoptysis and pulmonary infiltration shown by a radiogram. This therapy had no effects, and the pulmologist presented this case to the thoracic surgeon who made thoracotomy removing a piece of wood (13 × 2 × 0.7 cm, 20 different-size pieces of wood, and a piece of textile from the lung. Conclusion. Patients with penetrating explosive lung injuries without metallic foreign bodies shown by a radiogram, with complications as hemoptisis, lung abscess, bronchiectasis, obstruction of the bronchus, chronic pneumonia should be subjected to thoracotomy for removing suspected foreign bodies without resecting the lung.

  20. Overlooked retained intraocular foreign body

    Directory of Open Access Journals (Sweden)

    Adžić-Zečević Antoaneta

    2015-01-01

    Full Text Available Introduction. The most common cause for litigation against ophthalmologists in a trauma case is a missed intraocular foreign body (IOFB. IOFBs cause internal eye damage, but some will come to rest in the posterior segment of the eye. Case report. We presented a 57-year-old male who was referred to the ophthalmologist due to decreased visual acuity in his left eye. Slit lamp examination of his left eye showed no pathological findings. Goldmann contact lens examination showed IOFB which was lying in the vitreous body in the inferior-temporal region. Retinal rupture was noticed at 7 o’clock. The optical coherence tomography (OCT examination was performed and it showed atrophic macular area as well as decreased peripapillar retinal fiber layers thickness. Ultrasound showed the IOFB in vitreous body cavity. History revealed that the patient had an accidental trauma, 48 years ago, when an old bomb from World War II (WWII exploded. Due to the decrease in visual acuity and fibrosis of the vitreous body surgical intervention was performed on his left eye (phacoemulsification with intraocular lens implantation, pars plana vitrectomy and instrumental extraction of foreign body. Conclusion. The intraocular foreign body (IOFB was asymptomatic for 48 years. Symptoms depend on material and localization of the foreign body and the type of injury.

  1. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... by probing the wound. Additional tests may include magnetic resonance imaging (MRI) or computed tomography (CT). top of page How ... Related Articles and Media Computed Tomography (CT) - Body Magnetic Resonance Imaging (MRI) - Body General Ultrasound Contrast Materials Anesthesia Safety ...

  2. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... small burst of radiation that passes through the body, recording an image on photographic film or a special detector. Many ... and then place the transducer firmly against your body, moving it back ... until the desired images are captured. There is usually no discomfort from ...

  3. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... by probing the wound. Additional tests may include magnetic resonance imaging (MRI) or computed tomography (CT). top of page ... Related Articles and Media Computed Tomography (CT) - Body Magnetic Resonance Imaging (MRI) - Body General Ultrasound Contrast Materials Anesthesia Safety ...

  4. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... sends out high-frequency sound waves (that the human ear cannot hear) into the body and then ... for the procedure. You may or may not remain awake, depending on how deeply you are sedated. ...

  5. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... areas of the body while other areas, especially air-filled lungs, are poorly suited for ultrasound. Common ... introduced with gentle pressure as the patient swallows. Air is blown into the esophagus for improved visualization, ...

  6. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... exam. The transducer sends out high-frequency sound waves (that the human ear cannot hear) into the ... skin to send and receive the returning sound waves), as well as the type of body structure ...

  7. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... bodies, like coins and batteries, are radio-opaque, meaning that x-rays will not pass through them, ... of cases. top of page What will I experience during and after the procedure? You will feel ...

  8. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... single exam. The transducer sends out high-frequency sound waves (that the human ear cannot hear) into ... patient's skin to send and receive the returning sound waves), as well as the type of body ...

  9. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... bodies. top of page How does the procedure work? Your physician may use an x-ray or ... examination that enables a safe and detailed visual study of the esophagus while the patient is under ...

  10. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... bodies. top of page How does the procedure work? Your physician may use an x-ray or ... these links. About Us | Contact Us | FAQ | Privacy | Terms of Use | Links | Site Map Copyright © 2017 Radiological ...

  11. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... sends out high-frequency sound waves (that the human ear cannot hear) into the body and then ... objects from the esophagus. Open surgery You may need surgical intervention in cases of perforation or abscess ...

  12. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... during a single exam. The transducer sends out high-frequency sound waves (that the human ear cannot hear) ... the skin, it directs small pulses of inaudible, high-frequency sound waves into the body. As the sound ...

  13. Foreign Body Retrieval

    Medline Plus

    Full Text Available ... of inaudible, high-frequency sound waves into the body. As the sound waves bounce off internal organs, fluids and tissues, the sensitive receiver in the transducer records tiny changes in the sound's pitch and direction. These signature ...

  14. Foreign bodies ingestion: what responsibility?

    Science.gov (United States)

    Ricci, Serafino; Massoni, Francesco; Schiffino, Luigi; Pelosi, Marcello; Salesi, Marialucia

    2014-03-01

    The ingestion of foreign bodies is one of the most important and difficult emergencies for a physician to diagnose. Accidental ingestion is more common in children, in patients with dental implants, in individuals with mental disability and in drug users. Voluntary ingestion is found in patients who are psychologically unstable, in prisoners or those who attempt suicide. Foreign bodies may be divided into food as fish bones, chicken bones, food bolus, meat, etc. or real foreign bodies such as orthodontic implants, needles, pins, glass, coins, etc. The authors present a case of management, from the medicolegal point of view, of a female patient age 80, who complained, for some weeks of modest pain in the left iliac fossa, and afterwards the endoscopy showed a toothpick into the wall of the sigmoid colon. Assessed of the clinical status of the patient presented severe cardiac comorbidities so that before processing the patient to a second resolutive endoscopy, it was necessary to obtain the hemodynamic stability. However the management of cases of accidental ingestion of foreign bodies is particularly difficult. Medical errors can arise from the very first contact with the patient resulting in delays in appropriate treatment. The doctor to avoid compromising its position on medical liability, must use all the knowledge and diligence known by the art and science of medicine.

  15. Foreign Body Aspiration in Pregnancy

    Directory of Open Access Journals (Sweden)

    Andrew L. Atkinson

    2012-01-01

    Full Text Available A 24-year-old morbidly obese African American gravida 1, with a history of severe asthma complicated by multiple inpatient admissions, presents at 30 weeks gestation with a foreign body in her left main stem bronchus. After a failed bronchoscopy postpartum, the patient slipped into respiratory failure and was subsequently intubated, spending two weeks in the intensive care unit. After two more attempts of trying to retrieve the foreign object from her lung via bronchoscopy, she eventually contracted a postobstructive pneumonia and underwent a left lower lung lobectomy for curative treatment.

  16. Unusual Foreign Body of Pancreas: Surgical Management

    Directory of Open Access Journals (Sweden)

    Thakur Deen Yadav

    2013-11-01

    Full Text Available Context The foreign ingestion is common occurrence but migration to pancreas is rare entity. Most of foreign bodies passspontaneously through the anus but about 1% can perforate the wall of stomach or duodenum to reach solid organ.Pancreatic foreign body can results in fatal complication. Pancreatic foreign body can be removed endoscopically orsurgically. Case report We are reporting a case of successful removal of pancreatic foreign body (sewing needle by surgery. Conclusion Pancreatic foreign body is a uncommon entity and surgical removal is warranted in majority of cases.

  17. Esophagial Foreign Body in Children

    Directory of Open Access Journals (Sweden)

    Bayram Metin

    2014-04-01

    Full Text Available Esophageal foreign bodies (OYC are common in children and prevention and timely treatment is not a current problem that can cause serious morbidity and mortality. In the United States, depending on\\' OYC people a year die of approximately 1500-1600 . Gastrointestinal esophageal stricture at the narrowest point of destination, and contains in itself three. First stenosis at the level of the cricoid cartilage, the second stenosis, nearby the left main bronchus crosses the diaphragm and passes in the region and third place. This is due to the properties of 28-ie 68% esophageal foreign bodies are seen in the digestive tract. OYC anticipated or hidden for a long time the clinical diagnosis can be difficult and serious complications. OYC the removal of rigid esophagoscopy under general anesthesia is a safe and effective method. OYC the early diagnosis and treatment is very important for the prevention of life-threatening complications

  18. Ingested and Aspirated Foreign Bodies.

    Science.gov (United States)

    Green, S Sarah

    2015-10-01

    Esophageal and aspirated foreign bodies have important clinical significance, and both should be considered carefully when the history or physical examination findings raise sufficient suspicion. The published evidence regarding the diagnosis and management of foreign body ingestion or aspiration is weighted disproportionately with observational studies, case controls, expert opinion, and systematic reviews. Most of the publications would receive a categorization of C (observational studies including case-control and cohort design) and D (expert opinion, case reports, and clinical reasoning). One of the few prospective studies examining the diagnostic evaluation of foreign body aspiration in children could be considered level B evidence (randomized clinical trials, systematic reviews, or diagnostic studies with minor limitations). This study found that the medical history is the most important predictive part of the evaluation. There is evidence for considering bronchoscopy if there is significant history suggestive of foreign body aspiration, even in the setting of normal physical examination findings. (28). Most ingested foreign bodies spontaneously pass without incident. However, special attention should be paid to objects in the esophagus as well as to batteries and magnets. Based on a systematic review of the literature (level B evidence) and the potential for rapid and life-threatening damage, batteries in the esophagus should be removed immediately. (10) Other objects, such as coins, may be observed for passage in an asymptomatic patient. In addition, given the high risk of significant complications, ingestion of high-powered magnets should be quickly and carefully evaluated. Although single magnets are likely to pass without complication, multiple magnets or magnets ingested with other metal objects can cause significant damage and should be removed if there is any concern for mural entrapment, bowel perforation, or failure to progress. (10

  19. Foreign body in children?s airways

    Directory of Open Access Journals (Sweden)

    Cassol Vitor

    2003-01-01

    Full Text Available OBJECTIVE: To determine the clinical characteristics and the results of bronchoscopic treatment of children due to foreign body aspiration in a university hospital. METHOD: Time series of children who underwent bronchoscopies for foreign bodies aspirated into the airway between March 1993 and July 2002. Each patient was analyzed for age, sex, initial clinical diagnosis, nature and location of the foreign body, duration of symptoms between aspiration and bronchoscopy, radiological findings, results of bronchoscopic removal, complications of bronchoscopy and presence of foreign bodies in the airways. RESULTS: Thirty-four children, 20 (59% boys, ages ranging from nine months to nine years (median = 23 months. In 32 (94% children the foreign body was removed by rigid bronchoscope, and two resulted in thoracotomy. Foreign bodies were more frequent in children under three years of age (66%. A clinical history of foreign body inhalation was obtained in 27 (80% cases. Most of the foreign bodies removed were organic (65% and more frequently found in the right bronchial tree (59%. Foreign bodies were removed within 24 hours in 18 (53% cases. The most frequent radiographic findings were: unilateral air trapping, atelectasis and radiopac foreign body. Major bronchoscopy complications occurred in seven children (22%, and there were no deaths. CONCLUSIONS: More attention is necessary to the respiratory symptoms of aspirations, mainly in boys at early ages, with clinical history and compatible radiological findings. Most foreign bodies removed were of organic nature. In this case series, therapeutic rigid bronchoscopy was effective with few complications.

  20. Intestinal perforation by an ingested foreign body*

    Science.gov (United States)

    Nicolodi, Gabriel Cleve; Trippia, Cesar Rodrigo; Caboclo, Maria Fernanda F. S.; de Castro, Francisco Gomes; Miller, Wagner Peitl; de Lima, Raphael Rodrigues; Tazima, Leandro; Geraldo, Jamylle

    2016-01-01

    Objective To identify the computed tomography findings suggestive of intestinal perforation by an ingested foreign body. Materials and Methods This was a retrospective study of four cases of surgically proven intestinal perforation by a foreign body, comparing the computed tomography findings with those described in the literature. Results None of the patients reported having ingested a foreign body, all were over 60 years of age, three of the four patients used a dental prosthesis, and all of the foreign bodies were elongated and sharp. In all four patients, there were findings indicative of acute abdomen. None of the foreign bodies were identified on conventional X-rays. The computed tomography findings suggestive of perforation were thickening of the intestinal walls (in all four cases), increased density of mesenteric fat (in all four cases), identification of the foreign body passing through the intestinal wall (in three cases), and gas in the peritoneal cavity (in one case). Conclusion In cases of foreign body ingestion, intestinal perforation is more common when the foreign body is elongated and sharp. Although patients typically do not report having ingested such foreign bodies, the scenario should be suspected in elderly individuals who use dental prostheses. A computed tomography scan can detect foreign bodies, locate perforations, and guide treatment. The findings that suggest perforation are thickening of the intestinal walls, increased mesenteric fat density, and, less frequently, gas in the peritoneal cavity, often restricted to the point of perforation. PMID:27818542

  1. Intestinal perforation by an ingested foreign body

    Directory of Open Access Journals (Sweden)

    Gabriel Cleve Nicolodi

    Full Text Available Abstract Objective: To identify the computed tomography findings suggestive of intestinal perforation by an ingested foreign body. Materials and Methods: This was a retrospective study of four cases of surgically proven intestinal perforation by a foreign body, comparing the computed tomography findings with those described in the literature. Results: None of the patients reported having ingested a foreign body, all were over 60 years of age, three of the four patients used a dental prosthesis, and all of the foreign bodies were elongated and sharp. In all four patients, there were findings indicative of acute abdomen. None of the foreign bodies were identified on conventional X-rays. The computed tomography findings suggestive of perforation were thickening of the intestinal walls (in all four cases, increased density of mesenteric fat (in all four cases, identification of the foreign body passing through the intestinal wall (in three cases, and gas in the peritoneal cavity (in one case. Conclusion: In cases of foreign body ingestion, intestinal perforation is more common when the foreign body is elongated and sharp. Although patients typically do not report having ingested such foreign bodies, the scenario should be suspected in elderly individuals who use dental prostheses. A computed tomography scan can detect foreign bodies, locate perforations, and guide treatment. The findings that suggest perforation are thickening of the intestinal walls, increased mesenteric fat density, and, less frequently, gas in the peritoneal cavity, often restricted to the point of perforation.

  2. Intestinal perforation by an ingested foreign body

    Energy Technology Data Exchange (ETDEWEB)

    Nicolodi, Gabriel Cleve; Trippia, Cesar Rodrigo; Caboclo, Maria Fernanda F.S.; Castro, Francisco Gomes de; Miller, Wagner Peitl; Lima, Raphael Rodrigues de; Tazima, Leandro; Geraldo, Jamylle, E-mail: gabrielnicolodi@gmail.com [Hospital Sao Vicente - Funef, Curitiba, PR (Brazil)

    2016-09-15

    Objective: To identify the computed tomography findings suggestive of intestinal perforation by an ingested foreign body. Materials and Methods: This was a retrospective study of four cases of surgically proven intestinal perforation by a foreign body, comparing the computed tomography findings with those described in the literature. Results: None of the patients reported having ingested a foreign body, all were over 60 years of age, three of the four patients used a dental prosthesis, and all of the foreign bodies were elongated and sharp. In all four patients, there were findings indicative of acute abdomen. None of the foreign bodies were identified on conventional X-rays. The computed tomography findings suggestive of perforation were thickening of the intestinal walls (in all four cases), increased density of mesenteric fat (in all four cases), identification of the foreign body passing through the intestinal wall (in three cases), and gas in the peritoneal cavity (in one case). Conclusion: In cases of foreign body ingestion, intestinal perforation is more common when the foreign body is elongated and sharp. Although patients typically do not report having ingested such foreign bodies, the scenario should be suspected in elderly individuals who use dental prostheses. A computed tomography scan can detect foreign bodies, locate perforations, and guide treatment. The findings that suggest perforation are thickening of the intestinal walls, increased mesenteric fat density, and, less frequently, gas in the peritoneal cavity, often restricted to the point of perforation. (author)

  3. Oroesophageal Fish Bone Foreign Body.

    Science.gov (United States)

    Kim, Heung Up

    2016-07-01

    Fish bone foreign body (FFB) is the most frequent food-associated foreign body (FB) in adults, especially in Asia, versus meat in Western countries. The esophageal sphincter is the most common lodging site. Esophageal FB disease tends to occur more frequently in men than in women. The first diagnostic method is laryngoscopic examination. Because simple radiography of the neck has low sensitivity, if perforation or severe complications requiring surgery are expected, computed tomography should be used. The risk factors associated with poor prognosis are long time lapse after FB involvement, bone type, and longer FB (>3 cm). Bleeding and perforation are more common in FFB disease than in other FB diseases. Esophageal FB disease requires urgent treatment within 24 hours. However, FFB disease needs emergent treatment, preferably within 2 hours, and definitely within 6 hours. Esophageal FFB disease usually occurs at the physiological stricture of the esophagus. The aortic arch eminence is the second physiological stricture. If the FB penetrates the esophageal wall, a life-threatening aortoesophageal fistula can develop. Therefore, it is better to consult a thoracic surgeon prior to endoscopic removal.

  4. Endoscopic Removal of 15 Gastrointestinal Foreign Bodies

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    Bircan Savran

    2015-09-01

    Full Text Available Foreign body ingestion occurs commonly in children, elderly, mentally impaired or alcoholic, and psychiatric patients. We present a 15-year-old boy with mental retardation and uncontrolled psychiatric disorder admitted to the hospital with abdominal and chest pain. He was diagnosed with foreign body ingestion and 15 foreign objects, including a sharp knife, were successfully removed endoscopically by using an over-tube.

  5. Splinters and Other Foreign Bodies in the Skin

    Science.gov (United States)

    ... Share Splinters and Other Foreign Bodies in the Skin Page Content Article Body Definition A foreign body ( ... skin. Symptoms of a Foreign Body in the Skin Pain : Most tiny slivers (eg, cactus spine) in ...

  6. Radiography of Unusual foreign body in Ruminants

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    Semieka

    Full Text Available The present study was carried out on 10 animals (6 buffaloes, 3 cattle and one camel.The animals were admitted to the Veterinary Teaching Hospital, Assiut University affected by unusual size, type, and location of foreign bodies. Diagnosis and description of the foreign bodies were depend mainly on radiographic examination. Most of the foreign bodies recorded in this study were of metallic origin (needles and nails.These foreign bodies reached to the animals by several routes (ingestion, during surgery and lodged at various areas of animal tissues (throat, Oesophagus, thoracic cavity, reticulum, udder cistern, stifle region. Surgery was performed in most cases for removal of the foreign bodies. [Veterinary World 2010; 3(10.000: 473-475

  7. Endotoxin contamination delays the foreign body reaction

    NARCIS (Netherlands)

    van Putten, Sander M.; Wubben, Maike; Plantinga, Josee A.; Hennink, Wim E.; van Luyn, Marja J. A.; Harmsen, Martin C.

    2011-01-01

    Biomaterials are at continuous risk of bacterial contamination during production and application. In vivo, bacterial contamination of biomaterials delays the foreign body reaction (FBR). Endotoxins such as lipopolysaccharides (LPS), major constituents of the bacterial cell wall, are potent stimulato

  8. [Foreign bodies in the esophagus of adults].

    Science.gov (United States)

    Castellón Ortega, J; Hernández Díaz, A; Pila Pérez, R; Pila Peláez, R; Pila Peláez, M

    2000-01-01

    A prospective descriptive observational study was made to determine the incidence of esophageal foreign bodies in adults who had been admitted to the Manual Ascunce Domenech teaching hospital of Camaguey, Cuba in the period from 1 September 1997 to 31 August 1998. The highest frequency of patients with this diagnosis was in 31 to 50 year-old men. Dysphagia and salivary retention in the pyriform sinuses were the prevalent symptoms. The state of the oral cavity was poor in 82.50% of patients. The foreign body was removed in the first 24 hours in 83.33% of patients. The radiological diagnosis was positive in 75% of patients. The upper third was the most common location in radiological and endoscopic studies. Fish bones were the prevalent foreign body. A quarter of the patients had complications and stable esophagoscopy was used to extract the foreign body in 96.67% of cases.

  9. Techniques for Intravascular Foreign Body Retrieval

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    Woodhouse, Joe B.; Uberoi, Raman, E-mail: raman.uberoi@orh.nhs.uk [Oxford University Hospitals (United Kingdom)

    2013-08-01

    As endovascular therapies increase in frequency, the incidence of lost or embolized foreign bodies is increasing. The presence of an intravascular foreign body (IFB) is well recognized to have the potential to cause serious complications. IFB can embolize and impact critical sites such as the heart, with subsequent significant morbidity or mortality. Intravascular foreign bodies most commonly result from embolized central line fragments, but they can originate from many sources, both iatrogenic and noniatrogenic. The percutaneous approach in removing an IFB is widely perceived as the best way to retrieve endovascular foreign bodies. This minimally invasive approach has a high success rate with a low associated morbidity, and it avoids the complications related to open surgical approaches. We examined the characteristics, causes, and incidence of endovascular embolizations and reviewed the various described techniques that have been used to facilitate subsequent explantation of such materials.

  10. Unusual foreign bodies of upper gastrointestinal tract.

    Science.gov (United States)

    Nijhawan, S; Rai, R R; Agarwal, S; Vijayvergiya, R

    1995-01-01

    We report management of unusual foreign bodies of upper gastrointestinal tract, namely beer bottle cap, raisins and pistachu, mango peel, betelnut and plum seed at a university hospital in Northern India.

  11. Tracheobronchial Foreign Body Aspiration: Dental Prosthesis

    Directory of Open Access Journals (Sweden)

    Ataman Köse

    2014-01-01

    Full Text Available It is important to extract foreign bodies for avoiding life-threatening complications. They can lead to death if they are not treated. Different signs and symptoms could occur according to the complete or partial airway obstruction. Foreign body aspiration is a rare incident in adults. The organic foreign materials such as foods are found to be aspirated more commonly and are usually settled in the right bronchial system. However, dental prosthesis and teeth aspirations are rare in literature. In our study, a 52-year-old male patient who had aspirated the front part of his lower dental prosthesis accidentally is presented and the foreign body is extracted by using rigid bronchoscopy. There are many causes of aspiration but dental prosthetic aspirations should be kept in mind during sleep. For this reason, dental apparatus must be taken out while asleep.

  12. [Nasal foreign body in infants].

    Science.gov (United States)

    Claudet, I; Salanne, S; Debuisson, C; Maréchal, C; Rekhroukh, H; Grouteau, E

    2009-09-01

    Provide a descriptive analysis of children admitted to a tertiary care pediatric emergency department (PED) for a nasal foreign body (NFB) and describe the current knowledge and management of such accidents. A retrospective study was conducted from January 2003 to May 2008, including all patients aged less than 15 years admitted for a NFB. The data collected were age, sex, geographic origin, time and day of admission, duration in PED, duration of NFB insertion, nostril location, symptoms and clinical signs, prehospital extraction attempts, facial x-ray, extraction mode, referral to an ENT specialist, progression, and complications. For statistical analysis, the data were entered in Microsoft Excel spreadsheets. The data were analyzed with StatView 5.1 (SAS Institute) and EpiInfo 6.04fr (VF, ENSP Epiconcept). In the descriptive analysis, the data are presented as mean values with standard deviation, median with extreme values or with 95% confidence intervals where appropriate, unless otherwise indicated. To compare qualitative variables, a chi(2) test (Mantel-Haenszel) was used and the two-tailed Fisher exact test if the expected value was 5 or less. Statistical significance was set at pChildren aged less than 4 years accounted for 71% of the studied population. The mean age was 3.5+/-1.6 years (range, 1.4-13 years). The majority of accidents occurred at home (95%). The length of time spent in the PED was 78+/-57 min. The NFB duration of insertion was unknown in one-quarter of cases, present for less than 4 h in 65% of cases. No symptoms were described in most cases (88%). When symptoms were described, bleeding, pain or nasal discomfort, and foul nasal odor were the principal symptoms. The right nostril was the predominant location (60%). This difference tended to disappear in the group of children aged less than 4 years. Five children had bilateral NFB. Nonorganic compounds accounted for 80% of the NFB: plastic beads or balls (39%), plastic or toy parts (20

  13. FOREIGN BODY ASPIRATION: A CASE REPORT

    Directory of Open Access Journals (Sweden)

    Nafia Ozlem Kazanci

    2013-03-01

    Full Text Available Foreign body aspiration (FBA is common under 3 years of age. FBA can cause sudden respiratory failure. Furthermore, it leads to many respiratory system complications. Therefore, FBA is an important cause of mortality and morbidity for this age group. FBA cases are usually followed by diagnoses like pneumonia, bronchitis or bronchial asthma in the late period that history, clinical and laboratory findings suggesting foreign body aspiration can not be detected. We reported a 2-year-old male patient with pneumonia, who were administered various treatments. In thorax CT of this case, an image compatible with foreign body was seen in the right middle lobe-upper lobe separation area. Granulation tissue was detected in the entrance of the right main bronchus by rigid bronchoscopy and marked improvement occured in lung aeration after bronchoscopy. This case was reported to emphasize the importance of early diagnosis of foreign body aspiration because of high mortality and morbidity and the necessity of considering the foreign body aspiration in children with recurrent pulmonary infections. [J Contemp Med 2013; 3(1.000: 58-61

  14. An unusual foreign body of esophagus

    Directory of Open Access Journals (Sweden)

    Surinder K Singhal

    2010-07-01

    Full Text Available We report a rare case of an unusually long foreign body (Datun impacted in the esophagus of a 56 year-old gentleman. He was literate, without any psychiatric illness and had been using “Neem” (Azadirachta indica stick for cleaning his teeth for the past twenty years. Neem sticks are used for brushing teeth, perhaps one of the earliest and very effective dental care. On closer questioning he revealed his habit of passing the Neem stick into his throat with the aim of cleaning it too while cleaning his teeth. He presented to our emergency early in the morning with this strange long foreign body impacted in his esophagus which was removed successfully using a Jackson’s adult rigid oesophagoscope. We believe this to be the first case of such an unusually long foreign body to be reported in the literature.

  15. Detecting Foreign Bodies in a Head Laceration

    Directory of Open Access Journals (Sweden)

    Thomas R. Fowler

    2015-01-01

    are not identified prior to wound closure. The importance of imaging of lacerations was underscored by a recent case where a 20-year-old male collided with a friend’s mouth on a trampoline sustaining a simple, superficial scalp laceration. The wound was evaluated in typical fashion including irrigation and local exploration and was prepared for closure. The friend was then evaluated and noted to have multiple extensive dental fractures. An increased index of suspicion generated further evaluation of the first patient’s wound. Plain radiography obtained of the first patient’s skull was noted to have bony foreign bodies consistent with teeth, which were then removed after further exploration. Superficial wounds are common and complications arising from retained foreign bodies are a potential source of substantial morbidity and consequently medical litigation. This case serves as a reminder to be vigilant and maintain a high index of suspicion regarding the potential for foreign body.

  16. Foreign Body Induced Neuralgia: A Diagnostic Challenge

    Directory of Open Access Journals (Sweden)

    S. Padmashree

    2013-01-01

    Full Text Available Neuropathic pain is caused by neural injury or painful states associated with either peripheral or central nerve injury. One of the aetiologies of this type of pain is iatrogenic trauma. This case highlights the features of peripheral neuropathic pain caused by foreign body left in the mental foramen following a previous surgical procedure. The foreign body was detected on routine radiographic evaluation. Once the foreign body was removed by surgical intervention, the pain resolved. This stresses the importance of routine radiographic evaluation in proper diagnosis and treatment planning in the management of neuropathic pain. This paper also sheds light on the role of iatrogenic mechanical cause of peripheral neuropathic pain and warrants a tough degree of caution on the part of oral clinicians.

  17. Esophageal Foreign Body Causing Direct Aortic Injury

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    ECS Lam

    2003-01-01

    Full Text Available Foreign bodies in the esophagus are uncommon causes of esophageal perforation. Many nonperforating cases are successfully managed by flexible gastroscopy. However, complicated foreign bodies such as those that result in esophageal perforation and vascular injury are best managed surgically. Gastroscopy remains the primary method of diagnosis. A case of a 59-year-old woman who developed retrosternal and intrascapular pain, odynophagia and hematemesis after eating fish is reported. Flexible gastroscopy showed arterial bleeding from the midthoracic esophagus. Computed tomography scan localized a 3 cm fish bone perforating the esophagus with surrounding hematoma. An aortogram did not reveal an actively bleeding aortoesophageal fistula. The fish bone was surgically removed and the patient recovered with no postoperative complications. This case illustrates the importance of early consideration for surgical intervention when confronted with a brisk arterial bleed from the esophagus with suggestive history of foreign body ingestion.

  18. Orthopedic approach to foreign body stings

    Directory of Open Access Journals (Sweden)

    Celil Alemdar

    2013-12-01

    Full Text Available Objective: Although foreign body injuries are quite common, there are an insufficient number of publications on this matter. The aim of this study was to evaluate patients with foreign body injuries, and to determine the treatment algorithm. Methods: A total of 97 patients were evaluated, including 53 men and 44 women. Ninety-one patients underwent surgery, and six patients were treated conservatively. Surgery was performed in the operating room in all cases. To ensure that the foreign body was removed, fluoroscopic control was completed during and after the procedure. Antibiotics were administered routinely to all patients, and the need for tetanus prophylaxis was evaluated in each patient. Results: The mean age of the patients was 16.5 (range: 2-58 years. Regarding the type of foreign body, there was injury due to: a needle in 65 patients, glass in 14, wood in 7, iron spit in 1, iron bar in 1, pieces of metal in 3, and other foreign bodies were found in 6 patients. There were 25 injuries of the upper extremity, and 72 of the lower extremity. The time of admission to the hospital after the injury ranged from 1 day to 3 years. Obvious signs of infection were detected in 10 patients. There were no complications after the follow-up of patients who were treated conservatively. Conclusion: Foreign body penetration is a severe injury that may cause significant problems when ignored. Treatment algorithms prepared according to the type of injury would guide the most appropriate approach to these injuries. J Clin Exp Invest 2013; 4 (4: 443-448

  19. [Penetrating ocular trauma with intraocular foreign body].

    Science.gov (United States)

    Musat, O; Ochinciuc, Uliana; Gutu, Tatiana; Cristescu, T R; Coman, Corina

    2012-01-01

    We present the case of a 65 years old pacient which was admitted for the sudden decrease of visual acuity in the left eye, accompanied by ocular pain and conjunctival hiperemia, simptoms appeared after an ocular trauma. After the clinical and paraclinical examination we determined the diagnosis of OS: Penetrating ocular trauma with retention of a foreign body; posttraumatic cataract. Surgical treatement was warrented and we performed OS : Facoemulsification + PFK implant in sulcus + 23 Ga posterior vitrectomy + peeling of the posterior hyaloid membrane + extraction of the foreign body + LASER endofotocoagulation + transscleral cryotherapy + SF6 gas injection. The post-operatory evolution was favorable.

  20. [Case report: intestinal perforation by foreign body].

    Science.gov (United States)

    Martínez Portilla, Karol A; Zubiri, Cecilia; Balcarce, Norma; Zosi, Anabella; Chereau, Clara I

    2017-02-01

    Accidental ingestion of foreign bodies in childhood is a common event that rarely requires interventional management and presents very few complications involving surgical treatment. We present a clinical case of a 10 month old infant, without abdominal manifestations, in whom it was incidentally found a foreign radiopaque body of 7 cm in length in the abdomen, compatible with a screw. It was not possible to extract it by endoscopy. Therefore, it was necessary to perform surgery and a perforation of the second and third portion of the duodenum was encountered.

  1. Increasing trend in retained rectal foreign bodies

    Science.gov (United States)

    Ayantunde, Abraham A; Unluer, Zynep

    2016-01-01

    AIM To highlight the rising trend in hospital presentation of foreign bodies retained in the rectum over a 5-year period. METHODS Retrospective review of the cases of retained rectal foreign bodies between 2008 and 2012 was performed. Patients’ clinical data and yearly case presentation with data relating to hospital episodes were collected. Data analysis was by SPSS Inc. Chicago, IL, United States. RESULTS Twenty-five patients presented over a 5-year period with a mean age of 39 (17-62) years and M: F ratio of 2:1. A progressive rise in cases was noted from 2008 to 2012 with 3, 4, 4, 6, 8 recorded patients per year respectively. The majority of the impacted rectal objects were used for self-/partner-eroticism. The commonest retained foreign bodies were sex vibrators and dildos. Ninty-six percent of the patients required extraction while one passed spontaneously. Two and three patients had retrieval in the Emergency Department and on the ward respectively while 19 patients needed examination under anaesthesia for extraction. The mean hospital stay was 19 (2-38) h. Associated psychosocial issues included depression, deliberate self-harm, illicit drug abuse, anxiety and alcoholism. There were no psychosocial problems identified in 15 patients. CONCLUSION There is a progressive rise in hospital presentation of impacted rectal foreign bodies with increasing use of different objects for sexual arousal. PMID:27830039

  2. Atypical Presentation of Multiple Foreign Body Ingestion

    Science.gov (United States)

    Bent, Sultan; Ayan, Burak

    2017-01-01

    Foreign body ingestion is very common in childhood especially under 3 year of age. Pica syndrome is characterized by an appetite for substances that are largely non-nutritive. We present a 3-year old girl who presented to ER with symptoms and signs of intestinal obstruction. PMID:28164004

  3. Computed tomographic diagnosis of nongastrointestinal foreign bodies in dogs.

    Science.gov (United States)

    Jones, Jeryl C; Ober, Christopher P

    2007-01-01

    Clinical data and computed tomography (CT) studies were reviewed for 13 dogs with confirmed nongastrointestinal foreign bodies. Locations of foreign bodies were the nasal cavity, thoracic wall, retropharyngeal region, and cerebellum. Types of foreign bodies included small plant components, blades of grass, wooden sticks, cloth fibers, and a needle. Foreign bodies in five dogs were not identified on CT, and secondary reactions resembled neoplastic or fungal disease. In eight dogs, foreign bodies were recognized by their shape and/or internal architecture. In two dogs, three-dimensional reformatting helped demonstrate foreign bodies in relation to palpable bony landmarks.

  4. Intraocular foreign body removal: Case report

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    Kovačević Igor

    2013-01-01

    Full Text Available Introduction. An intraocular foreign body may traumatize the eye mechanically, introduce infection or exert other toxic effects on the intraocular structures. Removal of a metallic intraocular foreign bodies (IOFB use an internal (vitrectomy followed by forceps or internal magnet use or external approach (large electromagnet. Outline of Cases. A 51-year-old man sustained injury of the left eye by a metal foreign body. On admission visual acuity was normal (VOS=1.0 and intraocular tension was within normal limits (TOS=10 mmHg. Nasal scleral entry wound was noticed. Ultrasound of the left eye was done, which confirmed existence of IOFB laying nasally, next to the ciliary body. Extraction of IOFB with a big electric magnet was done. Visual acuity on discharge was the same (VOS=1.0. Another man, aged 30 years, came to the clinic after injury of the left eye by a foreign body. On admission visual acuity was VOS=L+P+ (light and projection, TOS=44 mmHg (higher, traumatic cataract, scleral entry wound, corneal edema, existence of IOFB and initial endophtalmitis. Lensectomia and vitrectomia via pars plana with IOFB extraction were done. Visual acuity on discharge was VOS=5/60 with +6.50 Dsph = 0.3-0.4; TOS=17 mmHg. Conclusion. Magnet removal is indicated in patients when IOFB is laying free in the vitreous body or stopped near the entry wound during injury without other complications. Internal approach - pars plana vitrectomy with forceps removal is used when IOFB is stuck either on the peripheral or posterior part of the retina or if there are some of aforementioned complications.

  5. Tarantula Hairs as Corneal Foreign Bodies

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    Brian C. Stagg

    2011-10-01

    Full Text Available Purpose: To report a case of tarantula hairs found in the cornea and discuss treatment. Case Report: A 16-year-old male presented with a 6-week history of right ocular irritation that began after letting his pet tarantula crawl on his face. Slit-lamp examination of the right eye revealed the presence of approximately 16 dark foreign bodies that had the appearance of small hairs. The foreign bodies were removed from the nasal region of the right cornea using Jewelers forceps, and the patient was prescribed a combination neomycin, polymyxin B, and dexamethasone ointment (Maxitrol®, given 4 times per day. Results: The patient presented for follow-up 2 weeks later, with resolution of symptoms. Conclusion: Effective treatment of keratitis caused by tarantula hairs includes taking a detailed history, conducting a careful slit-lamp examination, removal of any accessible hairs, and initiation of treatment with a topical steroid as determined by the clinical picture.

  6. Endoscopic Removal of an Unusual Foreign Body Causing Gastrointestinal Bleeding

    Directory of Open Access Journals (Sweden)

    A. Karaman

    2010-09-01

    Full Text Available Foreign body ingestion is a condition more common in the pediatric population than in adults. In adults, although foreign body ingestion can be well tolerated, approximately 10–20% of patients require endoscopic intervention. Delayed diagnosis and unremoved foreign bodies can cause serious and fatal complications including perforation, fistula and gastrointestinal bleeding. Here we report a patient with bleeding duodenal ulcer thought to be initiated by a large foreign body.

  7. [Metallic foreign bodies in the orbit].

    Science.gov (United States)

    Skorek, Andrzej; Gębka, Andrzej; Babiński, Dariusz; Raczyńska, Dorota

    2013-01-01

    Authors present a case of metallic foreign bodies (part of the hammer) in apex of the orbit in a 57-year-old man. In CT scan it was localized between rectus lateral muscle and optic nerve. We remove it through transantral approach. We discuss about diagnosis and indication to transnasal and transsinusal (trough maxillary and ethmoidal sinuses) approaches to the retrobulbar part of the orbit.

  8. Foreign body ingestion in Turkish children.

    Science.gov (United States)

    Aydoğdu, Sema; Arikan, Ciğdem; Cakir, Murat; Baran, Maşallah; Yüksekkaya, Hasan Ali; Saz, Ulaş Eylem; Arslan, Mehmet Tayyip

    2009-01-01

    Foreign body ingestion (FBI) is a common problem in the pediatric population. Even though morbidity and mortality due to foreign body ingestion are rare in childhood, they may cause serious anxiety in parents. We aimed to analyze the clinical presentation, etiology and management strategy of FBI in children in our country. Records of children admitting with a history of FBI over a three-year period were reviewed retrospectively. Data regarding gender, age, type of the ingested body, management strategy and outcome of the patients were recorded. Of 176 children, 98 (55.6%) were male. Mean age +/- SD of the patients was 3.75 +/- 4.25 years, and most of the patients were below four years of age (71.5%). Most of the children (64.7%) were seen within 48 hours, and most were asymptomatic. Blue beads attached to a safety pin (a cultural good luck charm) (38.6%), coins (27.8%) and turban pins (18.1%) were the most commonly observed foreign bodies. The blue beads/safety pin were found to be ingested primarily by infants, while ingestion of turban pins was mostly seen in adolescent girls who covered their heads. Localization of the foreign bodies was in the distal small intestine, stomach and esophagus in 61.4%, 23.8% and 14.7% of the cases, respectively. Sixty-nine endoscopic interventions were performed in 61 patients (34.6%), and these accounted for 7.3% of all endoscopic interventions during the three-year period. No major complication was observed during the procedure, and none of the patients underwent surgery. The frequently used accessory devices were retrieval net basket (57.9%), snare for pins (17.3%), tripod forceps and rat-tooth forceps. The blue beads/safety pin and turban pin were the commonly ingested foreign bodies in our center due to cultural factors. Education of the parents and of adolescent girls should greatly reduce the incidence of FBI. Endoscopic removal is safe without any major complications.

  9. Chronic Ulceration and Sinus Formation due to Foreign Body

    DEFF Research Database (Denmark)

    Hansen, Karin Birgitte; Gottrup, Finn

    2015-01-01

    Foreign bodies like residues of suture or mesh may lead to a foreign body reaction, cavity formation and continuous secretion and perhaps ulceration. We present a more than 9 years long medical record of a 49 year old man after a simple surgical procedure. The background was a sinus formation gen...... in these cases. The knowledge of the foreign body reaction in tissue continuously needs to be reestablished in the health care system especially in areas, where implantation of foreign material is used....

  10. Unexplained heterochromia. Intraocular foreign body demonstrated by computed tomography.

    Science.gov (United States)

    Barr, C C; Vine, A K; Martonyi, C L

    1984-01-01

    Standard radiographic techniques are often inadequate in demonstrating the presence and location of intraocular foreign bodies. Computerized axial tomography was used to confirm the presence of a metallic foreign body in a patient with heterochromia iridis and suspected ocular siderosis in whom no foreign material was found by conventional examination methods.

  11. Perianal abscesses due to ingested foreign bodies

    Directory of Open Access Journals (Sweden)

    Doublali Mbarek

    2010-01-01

    Full Text Available The clinical presentation of perianal abscesses due to foreign bodies (FBs impacted in the anal canal mimics common causes of acute anal pain. The diagnosis can be established by digital rectal examination and/or proctoscopy, but may miss the presence of an FB. Incision and drainage of the abscess, along with removal of the FB, results in immediate pain relief and cure. Impacted FB must not be overlooked as an unusual cause of perianal abscess. One case of perianal abscesses due to FB impacted in the anal canal is reported.

  12. Pediatric foreign body aspiration: A nidus for Aspergillus colonization.

    Science.gov (United States)

    Mitchell, Candace A; Kreiger, Portia; Goff, Christopher; Shah, Udayan K

    2015-06-01

    We describe an immunocompetent child with bronchial fungus following foreign body aspiration. A two-year-old male presented with cough. Workup revealed air trapping and bronchoscopy showed aspirated foreign material in the right mainstem bronchus. Histopathology revealed fungal organisms suggestive of Aspergillus within an ulcer of the adjacent bronchial mucosa. Foreign body aspiration has been posited as a nidus for aspergilloma formation but is not yet described in the available English-language pediatric literature. Here, the foreign body provided a site for fungal growth in the bronchus of an otherwise healthy child. This case suggests that bronchial foreign body may pose risk of fungal colonization even in immunocompetent children.

  13. Foreign Body Rumen Impaction with Indigestible Materials in ...

    African Journals Online (AJOL)

    Foreign Body Rumen Impaction with Indigestible Materials in Ruminants in Nigeria: A ... AFRICAN JOURNALS ONLINE (AJOL) · Journals · Advanced Search ... Rumen impaction due to foreign indigestible materials has become one of the ...

  14. An unrecognized foreign body retained in the calcaneus

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Ro Woon; Choi, Soo Jung; Hwang, Jae Kwang; Ahn, Jae Hong; Kang, Chae Hoon; Shin, Dong Rock [Gangneung Asan Hospital, College of Medicine, University of Ulsan, Gangneung (Korea, Republic of)

    2017-06-15

    We describe a case of an unrecognized foreign body retained in the calcaneus. The patient denied any history of trauma. The skin overlying the calcaneus was intact with no local signs of inflammation. The retained foreign body was not observed on the radiograph of the calcaneus. Magnetic Resonance Imaging showed a tubular low signal intensity lesion in the calcaneal body, surrounded by strongly enhanced soft tissue and bone marrow edema caused by a foreign body reaction. A foreign body retained in the calcaneus was suspected on the basis of these findings. Surgical exploration and curettage was performed, and a rod shaped wooden fragment was found.

  15. Rare foreign bodies in oro-facial regions

    Directory of Open Access Journals (Sweden)

    S Mohanavalli

    2011-01-01

    Full Text Available Accidental entry of foreign bodies into the oro-facial region could be due to trauma, therapeutic interventions or iatrogenic. Various foreign bodies and locations have been reported, for example, wood in the orbit, impression material in the maxillary sinus, tooth fragments in the orbit. All these cases presented with inflammatory reaction and formation of infected granuloma, pus discharging sinus and serious complications like intra-cranial abscesses. Foreign bodies sometimes migrate within the tissues and become symptomatic after a certain period of time. In these cases, it is very difficult to correlate the direct relation between the suspected foreign bodies with the present clinical symptoms. The removal of foreign bodies is often a surgical challenge due to a combination of difficulty in access and close anatomical relationship to vital structures. To prevent complications, foreign bodies should be diagnosed and removed on time.

  16. [Inductance transducers for borderline localization of metallic foreign bodies].

    Science.gov (United States)

    Pudov, V I; Reutov, Iu Ia; Korotkikh, S A

    1996-01-01

    The paper outlines the advantages and disadvantages of a ferroprobe inductance transducer used in the borderline localization of a foreign ferromagnetic body. To eliminate the ferroprobe transducer-inherent disadvantages, a whirl-current inductance transducer has been developed. The transducer localizes a foreign nonferromagnetic and ferromagnetic body in its borderline localization in the eye and in the whole body.

  17. Foreign Body Reaction to Implantable Biosensors

    Science.gov (United States)

    Wang, Yan; Vaddiraju, Santhisagar; Gu, Bing; Papadimitrakopoulos, Fotios; Burgess, Diane J.

    2015-01-01

    Background: Implantable biosensors for continuous glucose monitoring can greatly improve diabetes management. However, their applications are still associated with some challenges and one of these is the gradual functionality loss postimplantation as a consequence of the foreign body response (FBR). Sensor miniaturization in combination with drug-eluting biocompatible coatings is a promising strategy to enhance in vivo performance. However, limited study has been performed to understand the effect of initial trauma and implant size on foreign body reaction as well as in vivo performance of implantable glucose sensors. Methods: Different initial trauma was induced by implanting composite coated dummy sensors into rats using various sized needles and 3 different-sized dummy sensors were implanted to examine the size effect. Histological evaluation was performed to relate the inflammatory cell counts and foreign body capsule thickness with the implantation needle size and sensor size respectively. The effect of biocompatible coating on the performance of implantable glucose sensors was determined using both coated amperometric glucose sensors and microdialysis probes. Results: The results revealed that the degree of acute inflammation was mainly controlled by the extent of the initial trauma: the greater the trauma, the greater the acute inflammatory response. Implant size did not affect the acute inflammatory phase. However, the extent of chronic inflammation and fibrous encapsulation were affected by sensor size: the smaller the size the less the extent of chronic inflammation and fibrous encapsulation. Glucose sensors implanted using 14 gauge needles showed significantly lower initial in vivo response compared to those implanted using 16 gauge needles. This was not observed for sensors with dexamethasone-eluting biocompatible coatings since inflammation was suppressed. Conclusions: The results of the current study indicate that the extent of the inflammatory

  18. Forgotten Vaginal Foreign Body Presenting as Cervical Dystocia.

    Science.gov (United States)

    Chawla, Sonia; Singla, Anshuja; Chandra, Charu; Falodia, Swati

    2016-02-01

    Generally encountered in paediatrics age group, vaginal foreign body is a rare presentation in gynaecological clinics. Inserted as a part of sexual abuse, gratification or psychiatric disorder, these foreign bodies can present with a varied symptomatology. We report a case of 22-year-old female, a victim of domestic violence, who had a foreign body inserted in the vagina which was forgotten. Later it was discovered when she presented at term with cervical dystocia.

  19. Triple procedure in posterior segment intraocular foreign body

    Directory of Open Access Journals (Sweden)

    Azad Rajvardhan

    1998-01-01

    Full Text Available Three patients with intraocular foreign bodies and traumatic cataracts underwent single stage pars plana lensectomy with anterior capsule preservation, vitrectomy, removal of the foreign body, and intraocular lens implantation. The preserved anterior capsule permitted support for the placement of an intraocular lens in the posterior chamber in the ciliary sulcus. The procedure enabled early visual rehabilitation. This procedure seems useful in the management of posterior segment intraocular foreign body associated with cataract.

  20. Foreign Body Aspiration in Children-a Diagnostic Challenge

    Directory of Open Access Journals (Sweden)

    Slobodanka Petrovic

    2012-03-01

    Full Text Available The clinical presentation of foreign body aspiration in children is variable. Clinicians should maintain a high index of suspicion in order to make a prompt and correct diagnosis. In this paper,we present a case of foreign body aspiration that had gone unrecognized for 54 days. Foreign body aspiration should be considered whenever a previously healthy child suddenly exhibits unexplained symptoms usually consistent with airway obstruction which is refractory to medical treatment.

  1. CT appearances of chronically retained wooden intraorbital foreign bodies

    Energy Technology Data Exchange (ETDEWEB)

    Boncoeur-Martel, M.P.; Dupuy, J.P.; Maubon, A. [Univ. Hospital Dupuytren, Limoges (France). Dept. of Radiology; Adenis, J.P.; Rulfi, J.Y.; Robert, P.Y. [Dept. of Ophthalmology, Univ. Hospital Dupuytren, Limoges (France)

    2001-02-01

    Identification of wooden intraorbital foreign bodies (WIOFB) is crucial for avoiding severe orbital infection. Despite careful clinical examination, WIOFB are often not recognised. We report the CT findings in chronically retained WIOFB. When not initially diagnosed, WIOFB create a granulomatous inflammatory foreign-body reaction. CT demonstrates the WIOFB as a linear dense structure surrounded by a soft-tissue mass with density similar to that of muscle, corresponding to the foreign-body reaction. (orig.)

  2. Prepubertal vaginal discharge: Vaginoscopy to rule out foreign body.

    Science.gov (United States)

    Ekinci, Saniye; Karnak, İbrahim; Tanyel, Feridun Cahit; Çiftçi, Arbay Özden

    2016-01-01

    Medical records of all prepubertal patients who underwent vaginoscopy to rule out vaginal foreign body between 2004 and 2013 were reviewed retrospectively. All patients were evaluated by pediatricians prior to surgical consultation. Vaginoscopy is performed in the operating room under general anesthesia. During the study period, 20 girls with persistent vaginal discharge with a mean age of 6.8 years (1-13 years) underwent vaginoscopy to rule out vaginal foreign body. Six patients had bloody vaginal discharge and 4 had recurrent vaginal bleeding lasting for more than one month. Ten patients had purulent vaginal discharge lasting for 1-7 months. None of vaginal cultures revealed pathological bacteria or candida species. Preoperative imaging techniques revealed vaginal foreign body in one patient only. Vaginoscopy demonstrated vaginal foreign bodies in four patients. Foreign bodies were grass inflorescence, safety pin and undefined brownish particles (n=2), which may be pieces of toilet paper or feces. There was no complication related to vaginoscopy and removal of foreign body. Hymen integrity was preserved in all patients. Persistent or recurrent vaginal discharge in prepubertal girls should raise the suspect of vaginal foreign body. Continuous flow vaginoscopy is mandatory to detect and remove any vaginal foreign body. Early diagnosis would prevent complications secondary to long-standing foreign bodies.

  3. Foreign body contamination during stent implantation.

    Science.gov (United States)

    Whelan, D M; van Beusekom, H M; van der Giessen, W J

    1997-03-01

    The treatment of coronary artery disease using stents has become a widely accepted technique. However, the inadvertent co-implantation of contaminating factors with the stent has received little attention. We studied histological cross-sections of stented porcine coronary arteries and observed contamination of some vessels with surgical glove powder and textile fibres. The contaminating particles were associated with a foreign body reaction. Such a reaction could delay the wound-healing response of a stented vessel and thereby prolong the period in which subacute thrombosis could occur. It is also proposed that air contamination could affect the thrombogenicity of the stent. Appropriate measures should be followed to reduce the chance of contamination occurring.

  4. Foreign body aspiration masquerading as difficult asthma

    Directory of Open Access Journals (Sweden)

    Rai S

    2007-01-01

    Full Text Available It is important to assess patients of difficult/therapy resistant asthma carefully in order to identify whether there are any correctable factors that may contribute to their poor control. It is critical to make a diagnosis of asthma and to exclude other airway diseases. A 65-years-old lady presented with repeated acute episodes of dyspnoea and wheezing. She was on regular medication for bronchial asthma for 18 years. There was no history of foreign body aspiration or loss of consciousness. Her chest radiograph was normal. She showed poor response to corticosteroids and bronchodilators. Fibreoptic bronchoscopy (FOB showed intracordal cyst of the left vocal cord and 1cm size irregular piece of betel nut in right main bronchus, which was removed endoscopically with the help of dormia basket, following which her condition improved and asthma was controlled on inhaled bronchodilators.

  5. Intraretinal Foreign Bodies: Surgical Techniques and Outcomes

    Directory of Open Access Journals (Sweden)

    Mostafa Feghhi

    2013-01-01

    Full Text Available Purpose: To report the clinical features of eyes with intraretinal foreign bodies (IRFBs and to evaluate the results of surgical management in these eyes. Methods: Hospital records of 34 eyes of 33 patients with IRFBs were reviewed. All eyes underwent pars plana vitrectomy to remove the foreign bodies using intraocular forceps or by magnetic extraction. Results: All patients were male with mean age of 28΁12.3 years and were followed for a mean period of 24.5΁2.3 months. The IRFBs were ferromagnetic in 29 (85.3% cases and were removed using an external magnet in 13 eyes (38.4% or intraocular forceps in 21 eyes (61.6%. Laser photocoagulation was performed around the IRFB prior to surgery in 7 (20.6% eyes. Macular pucker and scars developed in 8 (23.5% eyes and retinal breaks posterior to the sclerotomy were formed in 12 eyes (35.3% postoperatively. Final visual acuity was 20/40 or better in 12 (35.3% eyes and 20/200 or better in 23 (67.7% eyes. Final visual acuity of 20/200 or better had no significant relationship with the site, size, or type of the IRFB or with the interval from trauma to surgery. Conclusion: Despite the complexity of surgical management of IRFBs, anatomic and visual outcomes of vitreoretinal surgery in these cases are generally good. The appropriate route of removal may be determined by the type, size, and site of the IRFB. Removal of magnetic IRFBs using external magnets versus intraocular forceps seems to entail comparable results.

  6. Gastric Perforation and Phlegmon Formation by Foreign Body Ingestion

    Directory of Open Access Journals (Sweden)

    Albert Alejandro Avila Alvarez

    2014-08-01

    Full Text Available This is a case report of foreign body ingestion in a suicide attempt resulting in gastric perforation and phlegmon formation during a subsequent 6 month period that eventually required surgical intervention. The patient had a prolonged course because she did not report a history of foreign body ingestion and the initial evaluating physicians had no suspicion about possible foreign body ingestion and may have missed important findings on physical examination. Gastric perforation by a foreign object  may have a slow course rather than presenting acute abdomen. The realization of a proper physical examination in the emergency department is key to an accurate diagnosis.

  7. Foreign Body Granuloma: A Diagnosis Not to Forget

    Directory of Open Access Journals (Sweden)

    I. El Bouchti

    2012-01-01

    The differential diagnosis for bony reaction to an unrecognised organic foreign body includes osteoid osteoma, chronic and acute osteomyelitis, tuberculosis granuloma, bone cyst, aneurysmal bone cyst, cortical fibrous defect, and neoplasm. We report the case of a boy suffering from a thorn inducing a lytic lesion of the fifth metatarsal that demonstrates the diagnosis difficulties of foreign body granuloma.

  8. An unusual foreign body in urethra: nail clippers.

    Science.gov (United States)

    Hatipoglu, Namik; Yucel, Mehmet; Hatipoglu, Nebahat; Yentur, Serhat; Semercioz, Attila

    2011-01-01

    A 37-year-old mentally retarded male patient complained of voiding difficulties. Physical examination revealed a foreign body in the urethra. The foreign body was found to be nail clippers and was removed with open surgery. This case of self-inserted nail clippers in the urethra by the patient is the first published report to our knowledge.

  9. An unusual foreign body in urethra: nail clippers

    OpenAIRE

    Hatipoglu, Namik; Yucel, Mehmet; Hatipoglu, Nebahat; Yentur, Serhat; Semercioz, Attila

    2011-01-01

    A 37-year-old mentally retarded male patient complained of voiding difficulties. Physical examination revealed a foreign body in the urethra. The foreign body was found to be nail clippers and was removed with open surgery. This case of self-inserted nail clippers in the urethra by the patient is the first published report to our knowledge.

  10. An audit of paediatric nasal foreign bodies in Ilorin, Nigeria

    African Journals Online (AJOL)

    Nasal foreign bodies vary widely in type, shape and size, and ... The male/female ratio was 1.5:1 and the mean age was 2.5 years (range 1 - 15 years), under-5s .... Bead. Paper/Toilet roll. Battery cell. Percent. Fig. 1. Types of foreign body. %.

  11. Lens siderosis resulting from a small intralenticular metallic foreign body

    Directory of Open Access Journals (Sweden)

    Shah, Mehul A.

    2015-11-01

    Full Text Available We report a rare case of lens siderosis with an undetectable intraocular foreign body by imaging. An 8-year-old boy presented with diminution of vision in the left eye since 3 months. His parents gave a preceding uncertain history of a foreign body injury to his left eye 3 months ago while playing. Presenting visual acuity in the left eye was perception of hand movements. Slit-lamp examination revealed a total white cataract with brownish-pigmented spots on the anterior capsule of the lens, but no intraocular foreign body was found. There was also no evidence of an intraocular foreign body on ultrasonography. Patient underwent cataract extraction with intraocular lens implantation. During the operation, a small (2×1×1 mm in size intralenticular foreign body of metal material was found and removed carefully with a magnet. The patient regained 20/30 vision after surgery.

  12. Unusual cases of foreign bodies in air passage in children.

    Science.gov (United States)

    Hathiram, B T; Grewal, D S; Pathan, S K; Chandrakiran, C; Gaikwad, N; Joshi, V; Bhargava, P

    1999-08-01

    Tracheobronchial foreign bodies when not treated promptly continue to be a source of morbidity and mortality specially in the paediatric population. Chevaliar Jackson, through meticulous analysis of mechanical problems related to foreign bodies in the air and food passages and their solution, created a science of rehearsed and tested instrumental techniques for their extraction (Jackson and Jackson, 1936). They developed instruments to achieve remarkable results with an almost unbelievably low morbidity and mortality.Aspiration of foreign bodies is seen more commonly in the paediatric age group and nearly 94% of them occur in infants and children (Holinger and Holinger, 1978). According to Jackson, nearly 90% of these foreign body accidents are due to carelessness, and are therefore avoidable. We present two unusual cases of inorganic foreign bodies in the air passages in children with special reference to the problems encountered in their diagnosis and management.

  13. STUDY OF TIME LAPSE IN FOREIGN BODY ASPIRATION IN RELATION TO CHEST X - RAY AND TYPE OF FOREIGN BODY

    Directory of Open Access Journals (Sweden)

    Salma

    2015-10-01

    Full Text Available INTRODUCTI ON: Foreign body aspiration in pediatrics is a potentially fatal accident which will continue until children explore their surroundings with their hand and mouth. Pediatric aspirations will persist until mankind exists. Not all foreign body aspirations are witnessed hence chances of delay in diagnosing an aspiration are high. Delay in diagnosis depends on site and character of foreign body aspirated. The chest x - ray findings and type of foreign body extracted vary depending on the duration the foreign body remains in airway . OBJECTIVE: To study the X - ray finding in pediatric airway aspiration and its relation to time lapse, the type and site of lodgment of foreign body extracted via bronchoscopy. The type of foreign body in relation to time lapse in aspiration. MATERIAL AND METHODS: This was a prospective study done in Bapuji child health institute and research center, JJM Medical College, Davangere . History and pre bronchoscopy x - Ray finding were noted for 65 children who were posted for suspicious bronchoscopy from August 2011 to September 2013. 11 children were excluded from study as they showed no foreign body on bronchoscopy. Time lapse in aspir ation and seeking medical care was noted. The bronchoscopic findings regarding site of foreign body lodgment and type of foreign body were recorded. The type of foreign body and variation of x - ray picture in relation to time lapse in aspiration were noted. Data collected was analyzed using descriptive statistics. RESULT: It was observed that mean age was 28 months. About 80% of the cases were between 1 to 3 years age. 82% (n=53/54 were radio lucent foreign body, only 1.5% (n=1/54 were radio o paque. Site of lodgment of foreign body was right main bronchus in 48% (n=26/54, left main bronchus 46% (n=25/54 , tracheal 1.85% (n=1/54, subglottic 1.85% (n=1/54, carinal 1.85% (n=1/54, multiple site i.e. left bronchus +right bronchus+ carinal 1.85% (n=1/54. Groundnut was most common

  14. Ingested foreign bodies in the paediatric patient.

    LENUS (Irish Health Repository)

    O'Brien, G C

    2012-02-03

    BACKGROUND: Paediatric foreign body (FB) ingestion is a common problem and while most can be managed conservatively, a sub-population require intervention. AIMS: To establish clear guidelines for management of paediatric FB ingestion. METHODS: A retrospective chart review analysing all paediatric admissions with FB ingestion over a 10-year period from 1990 to 1999. RESULTS: Of 339 patients presenting to the accident and emergency department with FB ingestion, 59 required admission. Ingestion was accidental in 93.0% of patients. The reasons for admission were as follows: large FBs; dangerous FBs; and living far from the hospital. Nineteen patients (32.2%) were discharged without intervention. Thirty-seven (62.7%) required endoscopic retrieval. In two, the FB was not identified at endoscopy. Only three (5%) required surgery. CONCLUSION: Conservative management of FB ingestion in the paediatric population is possible in the majority of cases. However, a minority require intervention. While guidelines for intervention are ill-defined, definitive indications include symptomatic patients, or dangerous objects.

  15. Invasive Intraneural Interfaces: Foreign Body Reaction Issues

    Directory of Open Access Journals (Sweden)

    Fiorenza Lotti

    2017-09-01

    Full Text Available Intraneural interfaces are stimulation/registration devices designed to couple the peripheral nervous system (PNS with the environment. Over the last years, their use has increased in a wide range of applications, such as the control of a new generation of neural-interfaced prostheses. At present, the success of this technology is limited by an electrical impedance increase, due to an inflammatory response called foreign body reaction (FBR, which leads to the formation of a fibrotic tissue around the interface, eventually causing an inefficient transduction of the electrical signal. Based on recent developments in biomaterials and inflammatory/fibrotic pathologies, we explore and select the biological solutions that might be adopted in the neural interfaces FBR context: modifications of the interface surface, such as organic and synthetic coatings; the use of specific drugs or molecular biology tools to target the microenvironment around the interface; the development of bio-engineered-scaffold to reduce immune response and promote interface-tissue integration. By linking what we believe are the major crucial steps of the FBR process with related solutions, we point out the main issues that future research has to focus on: biocompatibility without losing signal conduction properties, good reproducible in vitro/in vivo models, drugs exhaustion and undesired side effects. The underlined pros and cons of proposed solutions show clearly the importance of a better understanding of all the molecular and cellular pathways involved and the need of a multi-target action based on a bio-engineered combination approach.

  16. Impacted foreign bodies in orbital region: review of nine cases

    Directory of Open Access Journals (Sweden)

    Thiago de Santana Santos

    2010-10-01

    Full Text Available Orbital injuries with a foreign body may result in severe structural and functional damage to the eye or orbital contents. Management and prognosis depend on the composition and location of the foreign body and whether there is secondary infection. Metallic objects and glass are the most frequently encountered and well-tolerated, whereas organic foreign bodies can elicit an inflammatory reaction and lead to serious complications. Despite the modern imaging methods, it is often difficult to identify and locate organic intraorbital foreign bodies. This paper presents a review of nine cases of impacted foreign bodies in the orbital region and discusses the diagnosis and treatment of this kind of injury. The following data were collected: age, gender, etiology of injury, occurrence of fracture, anatomical location of fracture, type of object, signs and symptoms, type of imaging exam used, approach, transoperative complication and occurrence of death. Foreign body injuries in the orbital region can be treated with a combination of clinical suspicion, basic knowledge and diagnostic tests and depend on the skill and experience of the surgeon, thereby decreasing the surgical risk of iatrogenic injury in relation to the inherent risk of retaining an organic intraorbital foreign body.

  17. The catheter hub disinfection cap as esophageal foreign body.

    Science.gov (United States)

    Tawfik, Kareem O; Myer, Charles M; Shikary, Tasneem; Goldschneider, Kenneth R

    2015-12-01

    Disinfection caps are increasingly being used to prevent catheter-associated bloodstream infections. These devices, designed for continuous passive disinfection of catheter hubs, are typically small and often brightly colored. As such, they have the potential to become pediatric airway and esophageal foreign bodies. We report two patients who developed esophageal foreign body following ingestion of disinfection caps. Given the increasing use of these devices, it is imperative that health care providers be aware of this potential iatrogenic problem. We propose that the use of disinfection caps may not be appropriate in pediatric patients with risk factors for foreign body ingestion.

  18. Unusual foreign body in the larynx: a bee.

    Science.gov (United States)

    İlhan, Ethem; Yaman, Handan; Dost, Burhan; Köse, Gökçe Akman; Yaman, Hüseyin

    2015-01-01

    Foreign body lodgement in the larynx is a rare situation. Our review of the literature revealed no living foreign body in larynx except for laryngeal leeches and anisakiasis. In this article, we report a patient with unusual laryngeal foreign body lodgement: a bee which presented with sudden odynophagia and stinging sensation in throat. The bee was detected on the laryngeal mucosa in indirect laryngoscopic examination and removed immediately under general anesthesia in apneic period. In this case report, we describe the importance of detailed anamnesis and laryngeal examination even if the patient has no severe symptoms.

  19. Endodontic management of a foreign body

    Directory of Open Access Journals (Sweden)

    Satish R Kalyan

    2010-01-01

    Full Text Available The discovery of a foreign object embedded in a tooth is relatively uncommon. Some people have a habit of placing foreign objects to remove food plugs from the teeth. However, occasionally, these objects may be lodged in the teeth. These foreign objects may act as a potential source of infection and may later lead to a painful condition. A detailed case history, clinical, and radiographic examination is required to ascertain the size, position, and likely composition of the object, and also difficulty involved in its retrieval. This paper describes the successful retrieval of stapler pin located in the apical portion of root canal by simple orthograde nonsurgical technique.

  20. Airway Foreign Body Aspirations in Children at Muhimbili National ...

    African Journals Online (AJOL)

    DELL

    Conclusion: There is a need to spread awareness about clinical features of FBAs to ... tracheostomy under general anesthesia is safe and effective for foreign ... to remove the foreign body in 2 patients, both of which can recall a history of ...

  1. Large vesico-vaginal fistula caused by a foreign body.

    Science.gov (United States)

    Massinde, An; Kihunrwa, A

    2013-07-01

    Foreign body is a rare cause of vesico-vaginal fistula most often reported in developed countries. In developing countries obstructed labor is the commonest cause of fistula. A nulliparous 19-year-old female presented with a 3-week history of a foreign body in the vagina causing urinary incontinence and offensive vaginal discharge. Her guardian allegedly inserted the foreign body after she refused a pre-arranged marriage. A plastic container was removed from the vagina under general anesthesia. A large vesico-vaginal fistula was discovered, which was successfully surgically repaired. We recommend urgent removal of the foreign body, preferably under general anesthesia. However, if the history or physical examination reveals prolonged exposure, repair of the fistula should be delayed to allow for adequate debridement in order to prevent any life-threatening complications.

  2. AN UNUSUAL FOREIGN BODY IN THE NOSE: DIFFICULTY IN DIAGNOSIS

    Directory of Open Access Journals (Sweden)

    Shankar

    2015-08-01

    Full Text Available Foreign bodies in the nose are usually found in children between 2 - 5years of age, the intellectually impaired and psychiatric patients . (1 When mineral salts are deposited on a long retained foreign body, the object is called a rhinolith. Common objects p ushed in to the nose are paper, beads, beans, seeds, nuts and button batteries. Nasal foreign bodies can sometimes be removed in the OPD with a nasal speculum and Hartmann nasal forceps, usually general anesthesia is necessary if the foreign body placed mo re deeply in the nasal cavity or if a rhinolith has formed. Here we are presenting a case of open safety pin in the (R nasal cavity with difficulty in diagnosis, removed by endoscopic approach.

  3. Toothbrush: A Report of an Unusual Foreign Body

    Directory of Open Access Journals (Sweden)

    Mohammad Reza Farahnak

    2015-05-01

    Full Text Available Introduction: Ingestion of a foreign body is a common problem among all age groups. Most of the foreign bodies in the pharynx are usually lodged at the level of cricopharynx. The diagnosis is based on history, clinical, and radiological examination. Most foreign-body ingestions are accidental, but there may be contributory factors such as mental disorder, alcoholism, and prison incarceration. Toothbrush ingestion is uncommon and requires prompt medical attention.   Case Report: In this article, a rare case of a toothbrush foreign body is presented. The ingestion was caused by a seizure and the toothbrush was removed through surgical management.   Conclusion:  An ingested toothbrush will not pass spontaneously. The best management is early endoscopy performed by a skilled surgeon. If this is unsuccessful, surgical management can be performed.

  4. Ingested metallic foreign body lodged in the appendix

    Directory of Open Access Journals (Sweden)

    R R Sarkar

    2011-01-01

    Full Text Available An 8-year-old child ingested a metallic screw 3 months prior to admission. At laparotomy, the foreign body was found to be lodged inside the vermiform appendix, and was removed by appendicectomy.

  5. Anterior segment intraocular metallic foreign body causing chronic hypopyon uveitis

    OpenAIRE

    Mete, Güler; Turgut, Yılmaz; Osman, Arslanhan; Gülşen, Ülkü; Hakan, Artaş

    2010-01-01

    Intraocular foreign body (IOFB) is a common association of penetrating ocular trauma. Early diagnosis and removal of IOFBs especially if they are metallic is very important to determine further management and the final result of treatment. Missed IOFB may present in different clinical aspects that may limit its detection and symptoms may only become apparent after a prolonged period of time. We report a case of a missed metallic intraocular foreign body in the anterior chamber over a 2-year p...

  6. [Bladder stone surrounding a foreign body: a case report].

    Science.gov (United States)

    Fekak, H; Rabii, R; Moufid, K; Guessous, H; Joual, A; Bennani, S; Elmrini, M; Benjeloun, S

    2003-04-01

    The bladder can be the site of various foreign bodies. We report one case of bladder stone including a foreign body in a 24 years old man with a psychomotor deficiency who was admitted for pyuria, block miction and bladder symptoms. The pelvic X-Ray film showed a bladder stone including a sewing needle. We analysed the diagnosis, aspect and therapeutic management of this case.

  7. [Treatment for penetrating wound caused by metallic intraocular foreign body].

    Science.gov (United States)

    Pienaru, M; Şerban, Ramona; Baltă, F

    2014-01-01

    Penetrating wounds with intraocular foreign body are ophthalmologic emergencies due to their severity and complexity and may require multiple surgeries for final resolution. 30-years-old patient with penetrating wound and metallic intraocular foreign body in the posterior vitreous requires successive operations for IOFB extraction, lensectomy, posterior vitrectomy for rhegmatogenous retinal detachment and then silicone oil extraction with final visual acuity 0, 4 PH.

  8. [Vesico-urethral lithiasis secondary to foreign body].

    Science.gov (United States)

    Recasens Guinjuan, J R; Flores González, J J; Samsó Piñol, J M; Ribes Amoros, Y; Massó Badia, A

    2002-02-01

    We report a case of vesico-urethral litiasis secondary to foreign body (gauze) calcificated, left in prostatic cell during prostate open surgery of performed twelve years ago. In the related literature we observe that most of foreign urinals bodies are secondary to the introduction through the urethra of objects with autoerotic finality in normal patients or more often with psychiatric disorders, and only a small proportion are of iatrogenic origin, mainly in the last ten years.

  9. Foreign body ingestion: rare cause of cervical abscess.

    Science.gov (United States)

    Costa, Liliana; Larangeiro, João; Pinto Moura, Carla; Santos, Margarida

    2014-01-01

    Foreign body ingestion is a frequent emergency occurrence. Serious complications, although rare, include pharyngooesophageal perforation, aorto-oesophageal fistula and deep neck infection. A retrospective review was performed of all cases of foreign body ingestion requiring hospitalization between 1989 and 2011, in a tertiary Hospital. Cases complicated by deep cervical abscess were selected and their clinical presentation, results of diagnostic exams, therapeutics and clinical evolution are presented. Among a total of 1679 cases, 319 were related to pediatric patients and 1360 to adults. Two cases were reported (0.12%): an adult, 41 years-old, with parapharyngeal abscess subsequent to fishbone ingestion, and a child, 13 months-old, with retropharyngeal abscess consequent to chicken bone ingestion. Complications appeared three and four days after foreign body removal, respectively. In both situations cervical computerized tomography scan with contrast and surgical drainage were accomplished; the child was also submitted to rigid esophagoscopy for residual foreign body removal and closure of the associated pharyngeal laceration. Deep cervical abscesses are an uncommon but possible complication of foreign body ingestion and constitute a diagnostic challenge, particularly in children. Previous oesophageal manipulation by flexible endoscopy may be considered a risk factor for such complication. Imagiological studies proved to be crucial for diagnosis and therapeutic planning. Although a rare complication, given a recent history of foreign body ingestion/removal and the presence of compatible symptoms, cervical abscesses should be taken into account, highlighting their potential morbimortality in the absence of an appropriate therapeutic approach.

  10. Removal of Intralenticular Magnetic Foreign Bodies with Intraocular Magnet

    Institute of Scientific and Technical Information of China (English)

    Yiwen Luo; Zhenfang Wang; Xiaofeng Lin; Shuying Hu

    2003-01-01

    Purpose: To investigate the possibility of conservation of the lens after removal of intralenticular magnetic foreign bodies with intraocular magnet.Methods: Intralenticular magnetic foreign bodies of 15 patients were removed by using an intraocular magnet. The lens of each injury eye was conserved. Follow-up observation of these cases ranged from one to four years.Results: The intralenticular magnetic foreign bodies of 15 patients were successfully removed.The lens of each injury eye was conserved and the transparence of the lens was properly maintained. Sizes of these foreign bodies were measured, ranging from 0.3 mm to 3mm in diameter. The follow-up observation showed that the corrected visual acuity of 14 cases was not changed after operation.Conclusions: The intraocular magnet is very helpful for removal of magnetic foreign bodies from the transparent lens. This magnet allows removing of the foreign body by the surgeon and no damage to the lens was induced during the operation. Thus, maintenance of visual acuity of most of the patients can be achieved.

  11. Foreign body gingivitis: An iatrogenic disease

    Energy Technology Data Exchange (ETDEWEB)

    Daley, T.D.; Wysocki, G.P. (Univ. of Western Ontario, London (Canada))

    1990-06-01

    Gingival biopsy specimens from eight patients exhibiting a localized, erythematous, or mixed erythematous/leukoplakic gingivitis that was refractory to conventional periodontal therapy were examined histologically and by energy-dispersive X-ray microanalysis. Histologic examination revealed variable numbers of small, usually subtle, sometimes equivocal, and occasionally obvious foci of granulomatous inflammation. Special stains for fungi and acid-fast bacilli were consistently negative. In all cases, the granulomatous foci contained particles of foreign material that were often inconspicuous and easily overlooked during routine histologic examination. Energy-dispersive X-ray microanalysis of these foreign particles disclosed Ca, Al, Si, Ti, and P in most lesions. However, other elements such as Zr, V, Ag, and Ni were found only in specific biopsy specimens. By comparing the elemental analyses, clinical features, and history of the lesions, strong evidence for an iatrogenic source of the foreign material was found in one case, and good evidence in five cases. In the remaining two patients, the source of the foreign particles remains unresolved.

  12. Asymptomatic Intracranial Foreign Body: An Incidental Finding on Radiography

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    Maghsoudi

    2016-05-01

    Full Text Available Introduction Intracranial needles are rare entities. Intracranial foreign bodies due to non-missile intracranial penetrations are one of the most rarely encountered situations in neurosurgery. Sewing needles are among the more unusual foreign bodies that may be found in the brain. Although uncommon, foreign body cases are important and interesting. Foreign bodies enter the body through trauma or iatrogenic injuries. Needles are mostly inserted through fontanelles, cranial sutures, and more rarely through the orbits in infancy for the purpose of killing unwanted babies. Case Presentation This article presents a case of intracranial foreign body found upon radiography. A 24-year-old female, who two days prior to presentation suffered only once from dizziness, and was otherwise healthy. Conclusions Because this incident may have occurred during the patient’s neonatal period, it may be a case of child abuse. In spite of the very limited number of cases in the literature, having a stepmother, a stepfather, or a babysitter, being the youngest child, or having family members who suffer from psychiatric disorders, (especially if these relatives are responsible for child care, living in a society that allows homicide of children born from extramarital relationships, and being female have been suggested as possible risk factors.

  13. Designing attenuators for total-body irradiation using virtual simulation.

    Science.gov (United States)

    Corns, R; Evans, M; Olivares, M; Dyke, L; Podgorsak, E B; Freeman, C R

    2000-01-01

    In total-body photon irradiation, the lungs are the most commonly shielded organ. Lung compensators are often designed by using high-energy portal films. Other organs, such as the kidneys and liver, are poorly visualized in portal films due to their unit-density composition. A computed tomography-based technique to design kidney and liver attenuators involves outlining these organs in a virtual simulation. The position and the shape of the attenuator are then determined from a digitally-reconstructed radiograph. Appropriate attenuator thickness is determined from measured transmission curves. This article provides a summary of this technique for total-body photon irradiation in a 4-MV photon beam.

  14. [A case of bronchial foreign body due to citrus fruit seed aspiration showing multiple pulmonary infiltration repeatedly].

    Science.gov (United States)

    Morimatsu, Yoshitaka; Aoki, Yuka; Mizoguchi, Yusuke; Kitasato, Hirohiko; Aizawa, Hisamichi

    2005-12-01

    We report a case of a bronchial foreign body in a 76-year-old citrus fruit farmer. The patient was detected patchy infiltration (ground-glass attenuation) of the right upper lung field on the chest X-ray on Dec. 26th, 2003. The shadow tended to disappear after treatment with antibiotics. The same shadow was detected again 10 months later and the patient underwent a bronchoscopic examination. A foreign body was found lodged in the center of the right upper bronchus, associated with bronchial stenosis due to mucosal edema. The abnormal shadow disappeared after the foreign body, which we decided was a citrus fruit seed, was removed. From the time course of the present illness and a retrospective evaluation of previous chest X-rays, the patient had aspirated the foreign body 18 months prior to his admission for bronchoscopy. We should be careful of the possibility of foreign bodies even when the elderly do not present a history of foreign body aspiration. It is important to consider the possibility of a bronchial foreign body in patients with repeated pneumonia, and to perform bronchoscopy aggressively.

  15. Western view of the management of gastroesophageal foreign bodies.

    Science.gov (United States)

    Burgos, Aurora; Rábago, Luis; Triana, Paloma

    2016-05-10

    The best modality for foreign body removal has been the subject of much controversy over the years. We have read with great interest the recent article by Souza Aguiar Municipal Hospital, Rio de Janeiro, Brazil, describing their experience with the management of esophageal foreign bodies in children. Non-endoscopic methods of removing foreign bodies (such as a Foley catheter guided or not by fluoroscopy) have been successfully used at this center. These methods could be an attractive option because of the following advantages: Shorter hospitalization time; easy to perform; no need for anesthesia; avoids esophagoscopy; and lower costs. However, the complications of these procedures can be severe and potentially fatal if not performed correctly, such as bronchoaspiration, perforation, and acute airway obstruction. In addition, it has some disadvantages, such as the inability to directly view the esophagus and the inability to always retrieve foreign bodies. Therefore, in Western countries clinical practice usually recommends endoscopic removal of foreign bodies under direct vision and with airway protection whenever possible.

  16. Late evolution retropharyngeal abscess after ingestion of foreign body

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    Imamura, Rui

    2009-09-01

    Full Text Available Introduction: The complications relating to the ingestion of foreign bodies, such as retropharyngeal abscess, are of low prevalence, but potentially severe. Objective: To present one case of late evolution retropharyngeal abscess after ingestion of foreign body. Case Report: Female patient presenting with dysphagia, pain upon cervical motion and sensation of foreign body in the pharynx, about one month after removal of foreign body from the level of the cricopharyngeal muscle. In spite of not having fever or leukocytosis, due to the slight difficulty for cervical move and loss of the laryngeal crepitation, simple radiography and computed tomography were carried out in the neck, which showed signs of retropharyngeal abscess. Surgical draining of the abscess and antibiotic therapy led to good evolution of the case and symptoms reversion. Conclusion: The retropharyngeal abscess may occur during several weeks after ingestion of a foreign body. The absence of fever and leukocytosis does not exclude the diagnosis even in immunocompetent patients. A high degree of suspicion leads to the performance of diagnostic exams and suitable procedures.

  17. [Urethrovesical foreign body in adolescent boys: report of two cases].

    Science.gov (United States)

    Kuwada, Masaomi; Chihara, Yoshitomo; Torimoto, Kazumasa; Kagebayashi, Yoriaki; Nakai, Yasushi; Samma, Shoji

    2009-09-01

    Two cases with a urethrovesical foreign body in adolescent boys are reported. Case 1 was a 12-year-old boy with a stretched safety pin, 7 cm in length, in the urethra. This was probably introduced by him. Case 2 was a 14-year-old boy with a self-introduced metallic bar, 5 cm in length, in the urinary bladder. The foreign bodies were endoscopically removed. Both of the boys had grown in fatherless families. In Case 1, his father had died in a traffic accident while trying to save the patient at the age of 5 years. In case 2, the parents had been divorced. These episodes could have resulted in mental instability in the boys, which possibly led to the self-introduction of the foreign body. Urethrovesical foreign bodies are not rare. However, a foreign body in adolescents under 15 years of age is very rarely reported. It is incumbent upon urologists to thoroughly investigate the psychological conditions in such cases, and to properly judge whether psychiatric cares and follow-up are necessary.

  18. Western view of the management of gastroesophageal foreign bodies

    Institute of Scientific and Technical Information of China (English)

    Aurora Burgos; Luis Rábago; Paloma Triana

    2016-01-01

    The best modality for foreign body removal has beenthe subject of much controversy over the years.We have read with great interest the recent article by Souza Aguiar Municipal Hospital,Rio de Janeiro,Brazil,describing their experience with the management of esophageal foreign bodies in children.Non-endoscopic methods of removing foreign bodies(such as a Foley catheter guided or not by fluoroscopy)have been successfully used at this center.These methods could be an attractive option because of the following advantages:Shorter hospitalization time;easy to perform;no need for anesthesia;avoids esophagoscopy;and lower costs.However,the complications of these procedures can be severe and potentially fatal if not performed correctly,such as bronchoaspiration,perforation,and acute airway obstruction.In addition,it has some disadvantages,such as the inability to directly view the esophagus and the inability to always retrieve foreign bodies.Therefore,in Western countries clinical practice usually recommends endoscopic removal of foreign bodies under direct vision and with airway protection whenever possible.

  19. A Rarely Seen Complication After Strabismus Surgery: Forgotten Foreign Body

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    Umut Karaca

    2014-01-01

    Full Text Available A 21-year-old male patient operated for esotropia 10 months ago presented to our clinic with the complaint of swelling and stinging on the right upper eyelid. Physical examination revealed a yellowish foreign body (cellulose sponge at the lateral fornix, which induced localized papillary reaction on eyelid conjunctiva and vascularization on bulbar conjunctiva. The foreign body was removed and medical treatment was initiated. Foreign body surrounded with giant cells was reported on histopathologic examination. Although cellulose sponge is not routinely used in strabismus surgery, it may be used especially in some hemorrhagic cases. It is important to control the field and to remove all materials from the eye at the end of the surgery. (Turk J Ophthalmol 2014; 44: 78-9

  20. Unusual Foreign Body in Urinary Bladder: A Case Report

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    Deb Prosad Paul

    2011-01-01

    Full Text Available In the urinary tract, foreign body is most commonly found in the urinary bladder. It is commonly self-inflicted but can rarely be introduced by other person. Various types of foreign bodies have been reported, which includes infusion set, aluminum rod, gold chain, pearl, fish, pencil etc. Here we report a case of a 28-year young man who gave the history of forceful introduction of a long wire of mobile charger into the bladder by another person. It could not be removed by himself and by the local doctors. Then he was referred to Enam Medical College & Hospital and subsequently was removed by suprapubic cystostomy.

  1. A Very Long Foreign Body in the Bladder

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    Atsushi Imai

    2011-01-01

    Full Text Available In the urinary tract, foreign body is most commonly found in the urinary bladder. But it is anatomically very difficult for a man to self-insert a long object into the urinary bladder. Here we report a case of a 49-year-old Japanese man who has inserted a 140-cm vinyl tube in the bladder for masturbation. He could not retrieve it, and the bladder foreign body remained in this position for about two years. He was referred to our hospital and open surgery was performed.

  2. Unusual liver abscess secondary to ingested foreign body: laparoscopic management

    Science.gov (United States)

    PANEBIANCO, A.; LOZITO, R.C.; PRESTERA, A.; IALONGO, P.; VOLPI, A.; CARBOTTA, G.; PALASCIANO, N.

    2015-01-01

    Liver abscess is a cause of febrile abdominal pain and usually the origin of a liver abscess is ascending cholangitis, hemathological diffusion, via the portal vein or the hepatic artery, or superinfection of necrotic tissue. Solitary pyogenic abscess with no obvious systemic cause may be secondary to a local event such as the migration of an ingested foreign body. We report the case of a solitary liver abscess caused by an ingested foreign body, a fish bone, migrated through the gastric wall into the left lobe. PMID:26017106

  3. [Penetrating head and brain injuries with nonmetal foreign bodies].

    Science.gov (United States)

    Potapov, A A; Okhlopkov, V A; Latyshev, Ya A; Serova, N K; Eolchiyan, S A

    2014-01-01

    Penetrating brain injuries (PBI) are common in neurosurgical practice. Most of them are civil or war-time missile and blast injuries. This type of trauma is widely presented in neurosurgical publication, textbooks and clinical evidence-based guidelines. At the same time, PBI by non-metallic foreign bodies are very rare. All the data are limited to case reports and small series of cases. Moreover, there are no clinical consideration on diagnosis, treatment, complication, outcome and prognosis of PBI by non-metallic penetrating brain injuries. In this review all the data are summarized to provide recommendations on the diagnosis and treatment of PBI by non-metallic foreign bodies.

  4. UUnilateral corneal edema caused by a hidden foreign body.

    Science.gov (United States)

    Galvis, V; Tello, A; Frederick, G A; Laiton, A N

    2017-09-01

    A middle-aged adult male was referred to our institution due to unilateral corneal edema for a possible corneal transplant. At first, the patient denied a history of trauma. A small foreign body, which had been overlooked by the primary ophthalmologist, was detected by gonioscopy, embedded in the anterior chamber angle. It was successfully surgically removed and visual results were good. In any patient with unilateral unexplained corneal edema, it is necessary to rule out the presence of a foreign body in the anterior chamber. Copyright © 2016 Sociedad Española de Oftalmología. Publicado por Elsevier España, S.L.U. All rights reserved.

  5. Foreign body esophagus in a neonate: Unusual age and unusual presentation

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    Ranju Singh

    2012-01-01

    Full Text Available Foreign body ingestion in neonatal period is an uncommon occurrence, despite foreign ingestion being common among pediatric age group. We report a rare case of foreign body esophagus in a 12-day-old female neonate causing obstructive symptoms after a homicidal attempt. The unusual age and circumstances involving the ingestion of the foreign body prompted us to report this case.

  6. Foreign body response investigated with an implanted biosensor

    Science.gov (United States)

    Karp, Floyd B.

    One of the principal challenges facing the long-term implantation of biosensors into humans is that over time the normal physiological response of the body creates a fibrotic capsule of scar-like tissue surrounding the implanted device (the foreign body response). This growing collagenous capsule increasingly isolates the sensor device from its local environment, causing a time dependent degradation of the sensor signal. We utilize this degradation or change to the signal as an indicator of the physiological responses to the implantation of the device. We have chosen a micro-electrode array as the sensor device. We thus track the foreign body response electronically as the basis for this novel assay, which determines in comparable terms, an ongoing measurement of foreign body response (FBR) capsule character. This technique has the potential to become an important analytical method for comparing biomaterials and surface treatments aimed at reducing the foreign body response. The assay method analyzes a chronological series of electrical impedance spectroscopy (EIS) data to track the changes of the electrical signal behavior. We have performed biosensor trials in vitro, ex ova and in vivo. In vitro, the device was placed into a saline reservoir into which selected proteins were introduced that adsorb onto the electrode surface. Three proteins were studied and each was found to affect the EIS results differently. The foreign body response to the implanted electrodes was investigated ex ova using the chick chorio-allantoic membrane (CAM) model. Electrodes were coated with decorin protein and tetraglyme polymer. Both are coatings designed to effect wound healing. Changes in the behavior of the FBR were observed when comparing clean electrode surfaces to coated surfaces. The electrode array was implanted into the temporalis muscle of a mature rat. Some of these in vivo implants utilized electrodes coated with tetraglyme polymer. Changes in the in vivo behavior of the

  7. Safety pin - The UNSAFE foreign body of air passage.

    Science.gov (United States)

    Dasgupta, K S; Lanjewar, K Y; Joshi, S V

    2006-10-01

    Foreign bodies in the air passage are familiar otolaryngological emergencies. The diagnosis and management in most cases is based on clinico-radiological findings. Here, we are reporting three cases of open safety pin at various locations in the respiratory tract i.e. in the nose, nasopharynx and larynx. Their clinical presentation and management are described in detail.

  8. [Persistent dysphonia showing a laryngeal foreign body in a child].

    Science.gov (United States)

    Hammoudi, K; Bakhos, D; Bakhos-Merieau, E; Pondaven, S; Lescanne, E

    2011-07-01

    Inhalation of a laryngotracheobronchial foreign body is a common pediatric emergency situation. It is a source of morbidity and even mortality, especially among children under 3 years of age. A 14-month-old child presented suddenly combining bitonal dysphonia and dyspnea. Given the persistence of symptoms after 1.5 months and the normality of examinations requested by his doctor (pH, cervical ultrasonography, cervical and thoracic radiography), an ENT opinion was sought. An aerodigestive tract endoscopy was carried out in the emergency setting, finding a glottic foreign body associated with subglottic granulomas. The foreign body extraction led to the immediate disappearance of dyspnea. Dysphonia gradually improved under Budesonide aerosols. The lack of penetration syndrome in the interrogation and non specific symptoms may lead to an important diagnosis and treatment delay with dramatic consequences in case of airway foreign body. Endoscopy under general anesthesia must be practiced if there is any doubt for a thorough examination of the airways. Copyright © 2011 Elsevier Masson SAS. All rights reserved.

  9. Retained Surgical Foreign Bodies after Surgery

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    Valon A. Zejnullahu

    2017-01-01

    Full Text Available The problem of retained surgical bodies (RSB after surgery is an issue for surgeons, hospitals and the entire medical team. They have potentially harmful consequences for the patient as they can be life threatening and usually, a further operation is necessary. The incidence of RSB is between 0.3 to 1.0 per 1,000 abdominal operations, and they occur due to a lack of organisation and communication between surgical staff during the process. Typically, the RSB are surgical sponges and instruments located in the abdomen, retroperitoneum and pelvis.

  10. Composition of intraocular foreign bodies: experimental study of ultrasonographic presentation.

    Science.gov (United States)

    Costa, Márcio Augusto Nogueira; Garcia, Patrícia Novita; Barroso, Letícia Fernandes; Ferreira, Marco Antonio; Okuda, Érika Araki; Allemann, Norma

    2013-01-01

    To investigate the reliability of ultrasound in determining the size and identify the sonographic features and artifacts generated by intraocular foreign bodies of different materials. Experimental study using 36 enucleated porcine eyes. Fragments of nine different compositions (wood, glass, plastic, cardboard, iron, aluminum, lead, powder and concrete) and similar dimensions (4 mm) were implanted via scleral incision into the vitreous cavity of 36 porcine eyes, four eyes were used for each material. Ultrasound examination was performed in all eyes using the contact technique, conductive gel and 10-MHz transducer (EZScan, Sonomed). Considering the material fragments of gunpowder, lead, concrete, aluminum, wood and glass, the size determined by ultrasound was considered statistically similar to the actual size. The material iron presented ultrasound-determined dimension statistically smaller than its actual size. Cardboard and plastic materials showed ultrasound-determined measurements far greater than the actual. All fragments of intraocular foreign bodies demonstrated hyper-reflective interfaces, irrespective of their composition. Whereas the artifacts generated by different materials, it was found that the materials iron, aluminum and lead showed reverberation of great extent. The material wood showed no reverberation. The length of the reverberation artifact for the materials iron, glass, aluminum and cardboard was lower when compared to other materials. All materials presented posterior shadowing artifact, with the exception of aluminum. Ultrasonography was considered a reliable technique to determine the size of intraocular foreign bodies in pigs, with little influence caused by its composition. Ultrasound artifacts generated were considered material-dependent and can assist the examiner to identify the nature of a foreign body of unknown etiology. Ultrasonography aided the surgeon to identify, locate and measure the intraocular foreign body, directing

  11. Composition of intraocular foreign bodies: experimental study of ultrasonographic presentation

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    Márcio Augusto Nogueira Costa

    2013-02-01

    Full Text Available PURPOSE: To investigate the reliability of ultrasound in determining the size and identify the sonographic features and artifacts generated by intraocular foreign bodies of different materials. METHODS: Experimental study using 36 enucleated porcine eyes. Fragments of nine different compositions (wood, glass, plastic, cardboard, iron, aluminum, lead, powder and concrete and similar dimensions (4 mm were implanted via scleral incision into the vitreous cavity of 36 porcine eyes, four eyes were used for each material. Ultrasound examination was performed in all eyes using the contact technique, conductive gel and 10-MHz transducer (EZScan, Sonomed. RESULTS: Considering the material fragments of gunpowder, lead, concrete, aluminum, wood and glass, the size determined by ultrasound was considered statistically similar to the actual size. The material iron presented ultrasound-determined dimension statistically smaller than its actual size. Cardboard and plastic materials showed ultrasound-determined measurements far greater than the actual. All fragments of intraocular foreign bodies demonstrated hyper-reflective interfaces, irrespective of their composition. Whereas the artifacts generated by different materials, it was found that the materials iron, aluminum and lead showed reverberation of great extent. The material wood showed no reverberation. The length of the reverberation artifact for the materials iron, glass, aluminum and cardboard was lower when compared to other materials. All materials presented posterior shadowing artifact, with the exception of aluminum. CONCLUSION: Ultrasonography was considered a reliable technique to determine the size of intraocular foreign bodies in pigs, with little influence caused by its composition. Ultrasound artifacts generated were considered material-dependent and can assist the examiner to identify the nature of a foreign body of unknown etiology. Ultrasonography aided the surgeon to identify, locate and

  12. Removal of intraocular foreign body in anterior chamber angle with prism contact lens and 23-gauge foreign body forceps.

    Science.gov (United States)

    Huang, Yan-Ming; Yan, Hua; Cai, Jin-Hong; Li, Hai-Bo

    2017-01-01

    To introduce a novel approach in removal of anterior chamber angle foreign body (ACFB) using a prism contact lens and 23-gauge foreign body forceps. Data of 42 eyes of 42 patients who had undergone removal of ACFB using a prism contact lens and 23-gauge foreign body forceps from January 2008 to October 2013 were collected and analyzed. Twenty eyes in group A received the conventional approach by using toothed forceps through corneal limbus incision, and 22 eyes in group B underwent the novel method through the opposite corneal limbus incision. The success rate of ACFB once removal was 75% (15/20) in group A, and 100% (22/22) in group B. The average operation time of group A was significantly longer compared with group B (34.9±9.88min vs 22.13±8.85min; Pprism contact lens and 23-gauge foreign body forceps is a safer, more effective, and convenient technique compared with the conventional approach.

  13. Foreign bodies radiographically demonstrated in atomic bomb survivors

    Energy Technology Data Exchange (ETDEWEB)

    Tamura, S.; Onitsuka, H.; Lee, K.K.; Shimizu, Y.; Russell, W.J.

    1978-02-01

    The prevalence of roentgenologically-detected foregin bodies among atomic bomb survivors was studied as an indicator of the A-bomb blast effects. Acupuncture was studied as an indicator of possible A-bomb-related abnormalities for which it was administered. All available roentgenograms of Adult Health Study (AHS) subjects which demonstrated foreign bodies were reviewed. The frequency of glass and metal foreign bodies and of acupuncture needles was analyzed in detail. Analyses were made by distance from the hypocenter, sex, age, body sites involved, and shielding at the time of the A-bomb (ATB). The presence of glass fragments correlated closely with distance from the hypocenter, with heavy shielding from the A-bombs, and with adulthood, and they were more frequent in the chest than in the hand and wrist. On the contrary, metal foreign bodies were more frequent in the hand and wrist than in the chest, and were not associated with distance from hypocenter or heavy shielding. The prevalence of acupuncture needles increased with age, but did not correlate with A-bomb dose.

  14. Foreign bodies radiographically-demonstrated in atomic bomb survivors

    Energy Technology Data Exchange (ETDEWEB)

    Tamura, S.; Onitsuka, H.; Lee, K.; Shimizu, Y.; Russell, W.J.

    1978-08-25

    The prevalence of roentgenologically-detected foreign bodies among atomic bomb (A-bomb) survivors was studied as an indicator of the A-bomb blast effects. Acupuncture was studied as an indicator of A-bomb-related abnormalities for which it was administered. All Adult Health Study subjects' roentgenograms demonstrating foreign bodies were reviewed. The frequency of glass and metal, and acupuncture needles were analyzed by distance from hypocenters, sex, age, body sites involved; and the subjects' shielding at the times of the A-bombs. The presence of glass fragments correlated closely with distance from hypocenter, heavy shielding from the A-bombs, and with adulthood, and they were more frequent in the chest than hand and wrist. Metal foreign bodies were more frequent in the hand and wrist than in the chest, and not associated with distance from hypocenter or heavy shielding. The prevalence of acupuncture needles increased with age, but did not correlate with A-bomb dose.

  15. Management of airway foreign body using flexible bronchoscopy: Experience with 80 cases during 2011–2013

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    Safy Kaddah

    2015-01-01

    Conclusions: Flexible bronchoscopy is successful in retrieving airway foreign bodies (88.8%. With skilled personnel and perfect equipments, flexible bronchoscopy could be considered as the first choice for the removal of airway foreign body.

  16. Gastric perforation due to foreign body ingestion mimicking acute cholecystitis.

    Science.gov (United States)

    Henneman, Daniel; Bosman, Willem-Maarten; Ritchie, Ewan D; van den Bremer, Jephta

    2015-03-04

    An 82-year-old man presented with signs and symptoms that were suggestive of acute cholecystitis. He underwent a laparoscopic cholecystectomy. During the intervention, a wooden foreign body was removed from the infiltrated omentum, probably after it had perforated the gastric antrum. The gastric perforation had led to a secondary infection of the gallbladder. The presumed gastric perforation was treated conservatively, and the patient recovered well and was discharged after 7 days. Secondary inflamed gallbladders are rare; the current case is, to the best of our knowledge, the first case reporting a secondary infection of the gallbladder due to a gastric perforation. Clinicians should be aware of possible ingestion of foreign bodies in elderly patients wearing dental prosthetic devices.

  17. Swallowed foreign body: Is interventional management always required?

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    Al Shehri Gharamah

    2000-01-01

    Full Text Available A retrospective study of 20 cases diagnosed as "swallowed foreign body" seen over a five-year period (July 1993-June 1998 at Asir Central Hospital was performed. Six (30% were children and 14 (70% adults. In the children, five were boys and one was a girl. Objects swallowed included metal nails. coins, hair pins and a chain pendant. In the adult group, eight (57% were males and six (43% females. Objects swallowed included sewing needles, sharp blades, pieces of glass, paper clips and gravel. The swallowed foreign body in all the patients passed innocuously through the gastrointestinal tract in two to ten (average 4.7 days. Our method of treatment consisted of giving high fiber diet, Metamucil or lactulose and liquid paraffin. There was no mortality.

  18. [Recommendations for the prevention of foreign body aspiration].

    Science.gov (United States)

    Lluna, Javier; Olabarri, Mikel; Domènech, Anna; Rubio, Bárbara; Yagüe, Francisca; Benítez, María T; Esparza, María J; Mintegi, Santiago

    2017-01-01

    The aspiration of a foreign body remains a common paediatric problem, with serious consequences that can produce both acute and chronic disease. Aspiration usually causes a medical emergency that requires a prompt diagnosis and an urgent therapeutic approach as it may result in the death of the child or severe brain injury. It typically involves organic foreign bodies (mainly food or nuts) aspirated by children under 5 years old, and usually at home. In this statement, the Committee on Safety and Prevention of Non-Intentional Injury in Childhood of the Spanish Paediatrics Association provides a series of recommendations, both educational (while eating and playing), as well as legal, to prevent such episodes. Copyright © 2016 Asociación Española de Pediatría. Publicado por Elsevier España, S.L.U. All rights reserved.

  19. Penetrating Scleral Injury with Intraocular Foreign Body. A Case Report

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    Anay Martínez Díaz

    2014-04-01

    Full Text Available Ocular trauma is a health problem in the world today and a common cause of visual impairment leading to severe sequelae and psychological disorders. The case of a 46-year-old male patient who attended the Ophthalmology emergency services of the Dr. Gustavo Aldereguía Lima University General Hospital of Cienfuegos, recounting that while hammering iron on iron he felt that something entered his right eye, is presented. He suffered from pain, tearing, red eye and blurred vision. A penetrating scleral injury with an intraocular foreign body was diagnosed. Its study was conducted through biomicroscopy, orbital x-ray and ocular ultrasound. Surgical treatment by extracapsular lens extraction with intraocular lens implantation was performed using Blumenthal technique and pars plana approach for removal of the intraocular foreign body.

  20. A SERIES OF UNCOMMON FOREIGN BODIES PRESENTING IN THE AERO-DIGESTIVE TRACT

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    Jitendra Singh

    2016-02-01

    Full Text Available Foreign body impacted in the aero-digestive tract is one of the earliest reported problems. Coins, buttons, marbles, crayons, parts of toys etc. are the most commonly ingested foreign bodies in children. Fish, meat and chicken bones, dentures, nails etc.the most common foreign bodies ingested by adultsWe report a series of unusual foreign body ingestion in aero-digestive tract and their management by endoscopic retrieval.

  1. Unusual Presentation of Gastric Perforation by Foreign Body: A Case Report

    Directory of Open Access Journals (Sweden)

    V. S. R. Rao

    2011-01-01

    Full Text Available Perforation of the gastrointestinal tract by ingested foreign body is rare. The majority of patients do not recall ingestion of the foreign body, and dietary foreign bodies are most commonly involved. We present an interesting case where the offending foreign body gave rise to a diagnostic dilemma masquerading as a pancreatic mass. A high index of suspicion is indicated especially when dealing with atypical presentation and nonspecific symptoms as highlighted in this case.

  2. Trochlear calcification and intraorbital foreign body in ocular trauma patients

    Institute of Scientific and Technical Information of China (English)

    XIAO Tian-lin; Nileshkumar M Kalariya; YAN Zhi-han; CHEN Wei; LIU Xiao-qiang; ZHAO Zhen-quan; ZHOU Ye-hui; XU Dan

    2009-01-01

    Objective: To distinguish trochlear calcification and intraorbital foreign body after eye injury in order to avoid misdiagnosis as well as mistreatment. Methods: The orbital CT images of 403 patients, who visited the Eye Hospital or the Second Affiliated Hospital of Wenzhou Medical College during May 2005-April 2007, were reviewed. The diagnosis of trochlear calcification and in-traorbital foreign body was made together by a skilled radi-ologist as well as an ophthalmologist. General information and CT characteristics in the patients with trochlear calcifi-cation were collected.Results: Using CT scan images, 27 among 403 pa-tients (6.69%) were identified with trochlear calcification. Three patients (3/27, 11.11%) were misdiagnosed by radi-ologists as intraorbital foreign body. Among the 27 patients with trochlear calcification, 23 (85.19%) were male and 4 (14.81%)were female, with an unilateral calcification in 7 patients (7/27, 25.93%) and bilateral in 20(74.07%). The highest occurrence of trochlear calcification was in 31-40 years old group (13/403, 3.23%) which reached to 12.87% (13/101) after age-correction. There were 3 types of trochlear calcification on the basis of CT images: commas, dot and inverted "U".Conclusions: The trochlear calcification is not an un-common phenomenon and should not be diagnosed as in-traorbital foreign body, especially when it co-exists with eye injury in 31-40 years old group. Injury history and our classification method on the basis of CT images could help to avoid misdiagnosis.

  3. Ingestion of a Foreign Body in a Preterm Infant

    OpenAIRE

    Duran, Rıdvan; İnan, Mustafa; Vatansever, Ülfet; Acunaş, Betül

    2004-01-01

    Ingestion of a foreign body is very rare in newborn infants. Ingestion of the endotracheal tube during nasal continuous positive airway pressure (CPAP) treatment in low birth weight preterm infants is even rarer. A preterm male infant who underwent nasal CPAP treatment on the first postnatal day for prematurity and respiratory insufficiency was found to ingest the distal part of the entubation tube. Direct radiography showed the tube residing between the lower end of the esophagus and the ent...

  4. Treatment of Foreign Body Obstruction of the Upper Airway

    OpenAIRE

    Hoffman, Jerome R

    1982-01-01

    The treatment of foreign body obstruction of the upper airway has been the subject of considerable attention and controversy. Current recommendations from the National Academy of Sciences, the American Red Cross and the American Heart Association include the use of back blows, abdominal thrusts (Heimlich maneuver) or chest thrusts (or both) and finger probes, until definitive therapy by trained medical and paramedical personnel becomes available. Nevertheless, a number of authorities on this ...

  5. FOREIGN BODY ASPIRATION IN CHILDREN: A HIDDEN DANGER

    OpenAIRE

    Marlene Rodrigues; Joana Teixeira; Patrícia Nascimento; Susana Carvalho; Augusta Gonçalves; José Almeida; Cristiana Ribeiro

    2016-01-01

    Introduction: Foreign body aspiration (FBA) is a common pediatric emergency and an important cause of accidental death in children. The majority of cases occur with small organic or inorganic objects in preschool age. FBA may be associated with a broad spectrum manifestations and its diagnosis represents a challenge. Case report: We report a case of a two-year-old child admitted in the emergency department with cough, dysphonia and dysphagia. On physical examination she had persistent coug...

  6. Button Battery Foreign Bodies in Children: Hazards, Management, and Recommendations

    OpenAIRE

    Mohammed Hossam Thabet; Waleed Mohamed Basha; Sherif Askar

    2013-01-01

    Objective. The demand and usage of button batteries have risen. They are frequently inadvertently placed by children in their ears or noses and occasionally are swallowed and lodged along the upper aerodigestive tract. The purpose of this work is to study the different presentations of button battery foreign bodies and present our experience in the diagnosis and management of this hazardous problem in children. Patients and Methods. This study included 13 patients. The diagnostic protocol was...

  7. Terrorist bombings: foreign bodies from the Boston Marathon bombing.

    Science.gov (United States)

    Brunner, John; Singh, Ajay K; Rocha, Tatiana; Havens, Joaquim; Goralnick, Eric; Sodickson, Aaron

    2015-02-01

    On April 15, 2013, 2 improvised explosive devices detonated at the 117th Boston Marathon, killing 3 people and injuring 264 others. In this article, the foreign bodies and injuries that presented at 2 of the responding level 1 trauma hospitals in Boston-Brigham and Women׳s Hospital and Massachusetts General Hospital--are reviewed with a broader discussion of blast injuries and imaging strategies.

  8. Composition of intraocular foreign bodies: experimental study of ultrasonographic presentation

    OpenAIRE

    Costa, Márcio Augusto Nogueira [UNIFESP; Garcia,Patrícia Novita; Barroso, Letícia Fernandes [UNIFESP; Ferreira, Marco Antonio; Okuda, Érika Araki [UNIFESP; Allemann,Norma

    2013-01-01

    PURPOSE: To investigate the reliability of ultrasound in determining the size and identify the sonographic features and artifacts generated by intraocular foreign bodies of different materials. METHODS: Experimental study using 36 enucleated porcine eyes. Fragments of nine different compositions (wood, glass, plastic, cardboard, iron, aluminum, lead, powder and concrete) and similar dimensions (4 mm) were implanted via scleral incision into the vitreous cavity of 36 porcine eyes, four eyes we...

  9. Hand-held metal detector identification of ingested foreign bodies.

    Science.gov (United States)

    Sacchetti, A; Carraccio, C; Lichenstein, R

    1994-08-01

    The study purpose was to determine the ability of hand-held metal detectors (HHMDs) to identify the presence of ingested metallic foreign bodies (MFBs). Twenty-three children presenting to the emergency department with a complaint of MFBs ingested were enrolled. Sixteen of 23 patients had radiographically proven foreign bodies. The MFBs comprised coins (n = 11), a button battery (n = 1), a medallion (n = 1), a token (n = 1), a needle (n = 1), and a marble (leaded glass) (n = 1). The HHMD correctly detected 15 of 16 radiographically positive MFBs (93%) and correctly excluded a potential MFB in six of six radiographically negative cases. The only foreign body not detected was an ingested needle. One radiograph was equivocal. Radiographic localization of the ingested objects was as follows: esophagus, n = 4; stomach, n = 9; and intestines, n = 3. The HHMD correctly localized all detected MFBs. The HHMD had a sensitivity of 94%, a specificity of 100%, a positive predictive value of 100%, and a negative predictive value of 86%. HHMDs are effective screening devices for possible ingested MFBs. Positive studies localized to the stomach and lower gastrointestinal tract do not require confirmatory radiographic studies.

  10. Intravascular foreign bodies: danger of unretrieved fragmented medical devices.

    Science.gov (United States)

    Tateishi, Minori; Tomizawa, Yasuko

    2009-01-01

    A warning on the danger of unretrieved device fragments and recommendations to mitigate the danger were issued by the Food and Drug Administration in January 2008. The causes of intravascular foreign bodies are classified into three main categories: improper manipulation and usage, device defects, and others, such as patient and anatomical factors. Device failure after long-term use is rarely predicted at the time of approval, since device abnormality is rarely experienced in animal studies and clinical trials conducted during development of the device. Stent fracture due to metal fatigue is one example. Complex complications could occur from simultaneous use of two or more devices with diverse characteristics. The success rate of percutaneous retrieval of intravascular foreign bodies has improved with the advances in commercially available devices. However, the procedure is not always successful and sometimes surgical removal becomes necessary. Appropriate device selection and acquisition of experience in using the device are important. When an intravascular foreign body cannot be retrieved, the risk of complication could be high. Magnetic resonance imaging examination sometimes causes adverse events, including burns due to the heat generated by metal movement. Such information should be correctly recorded. Furthermore, it is necessary to provide patients with adequate information about the characteristics of implanted devices and unretrieved fragments. We reviewed the literature on unretrieved medical device fragments and include articles that describe the Japanese experience.

  11. Visual involvement in foreign-body intestinal perforations.

    Science.gov (United States)

    Sevillano, C; Moraña, M N; Estévez, S

    2016-01-01

    Intestinal perforation due to ingestion of a foreign body accounts for 21% of the total in our hospital. All cases of intestinal perforation due to foreign body ingestion occurring since 1990 were collected (29 cases), and the visual characteristics of these patients were analysed. The mean age was 74.2 years (all of them presbyopic) with the majority being female (1.9:1). The most frequently ingested foreign body was fish bone (55%). The corrected near visual acuity obtained a mean value of 0.73, while the real visual accuity (only one of them wore glasses to eat) was 0.145. Four patients (20%) had only one eye, and the TNO test was positive in only 12 (60%). At least 13 (65%) had some degree of cataract. Improving near visual acuity with either early cataract surgery and/or multifocal intraocular lenses may decrease the number of gastrointestinal perforations. Copyright © 2015 Sociedad Española de Oftalmología. Published by Elsevier España, S.L.U. All rights reserved.

  12. Surgical treatment of posttraumatic foreign bodies in the heart or great vessels

    Institute of Scientific and Technical Information of China (English)

    JIANG Chun-li; GU Tian-xiang; WANG Chun

    2006-01-01

    @@ Posttraumatic foreign bodies in the heart or great vessels is rare, which may cause cardiac tamponade, bleeding, shock, infection, embolism,arrhythmia, valve dysfunction, etc.1-3 The foreign bodies can be removed by surgery or percutaneous intervention.4 In this report we reviewed our experience in managing posttraumatic foreign bodies in 13 patients at our institution from 1992 to 2002.

  13. Foreign body of endodontic origin in the maxillary sinus

    Directory of Open Access Journals (Sweden)

    Marta Tanasiewicz

    2017-09-01

    Full Text Available Foreign bodies found in the maxillary sinus include tooth roots, burs, dental impression material, root-filling materials, dental implants, and needles. The purpose of this paper was to present an unusual case of a large foreign body of endodontic origin (root-filling material removed from the maxillary sinus. A 45-year-old generally healthy male patient reported to the Department of Conservative Dentistry with Endodontics of the Medical University of Silesia, because of orbital and buccal pain on the right side of his face and headaches in the preceding 6 months. Those symptoms were associated with the end of endodontic treatment of teeth 14 and 16. Periapical X-rays, including of teeth 14 and 16, showed the presence of root canal filling with extrusion of endodontic obturation material beyond the apices of tooth 14. In the case of tooth 16, a completely filled palatal canal and incompletely filled buccal canals were found. There was also an irregular dimness at the upper edge of the X-ray image. Panoramic radiography and computed tomography demonstrated a foreign body in the right sinus. Sinus exploration was performed via a surgical procedure conducted using topical anesthesia. The root apices of tooth 14 were resected, and foreign substance was removed. The practitioner did not correctly recognize a complication that occurred during endodontic treatment, which resulted in extrusion of endodontic material beyond the root apices of tooth 14. This case emphasizes the potential impact that an involved maxillary sinus may have on endodontic therapy. Detailed diagnostic identification based on the medical interview, physical and histopathological examinations, and diagnostic imaging allowed rapid surgical intervention and prevented local and general complications. It is important to realize that the range of the periapical X-ray projection is not always sufficient.

  14. Preclinical x-ray dark-field imaging: foreign body detection

    Science.gov (United States)

    Braig, Eva-Maria; Muenzel, Daniela; Fingerle, Alexander; Herzen, Julia; Rummeny, Ernst; Pfeiffer, Franz; Noel, Peter

    2017-03-01

    The purpose of this study was to evaluate the performance of X-ray dark-field imaging for detection of retained foreign bodies in ex-vivo hands and feet. X-ray dark-field imaging, acquired with a three-grating Talbot-Lau interferometer, has proven to provide access to sub-resolution structures due to small-angle scattering. The study was institutional review board (IRB) approved. Foreign body parts included pieces of wood and metal which were placed in a formalin fixated human ex-vivo hand. The samples were imaged with a grating-based interferometer consisting of a standard microfocus X-ray tube (60 kVp, 100 W) and a Varian 2520-DX detector (pixel size: 127 μm). The attenuation and the dark-field signals provide complementary diagnostic information for this clinical task. With regard to detecting of wooden objects, which are clinically the most relevant, only the dark-field image revealed the locations. The signal is especially strong for dry wood which in comparison is poorly to non-visible in computed tomography. The detection of high atomic-number or dense material and wood-like or porous materials in a single X-ray scan is enabled by the simultaneous acquisition of the conventional attenuation and dark-field signal. Our results reveal that with this approach one can reach a significantly improved sensitivity for detection of foreign bodies, while an easy implementation into the clinical arena is becoming feasible.

  15. Endoscopic management of foreign bodies in the upper gastrointestinal tract:A review

    Institute of Scientific and Technical Information of China (English)

    Choichi; Sugawa; Hiromi; Ono; Mona; Taleb; Charles; E; Lucas

    2014-01-01

    Foreign body ingestion is a common condition, es-pecially among children who represent 80% of these emergencies. The most frequently ingested foreign bodies in children are coins, toys, magnets and batter-ies. Most foreign body ingestions in adults occur while eating, leading to either bone or meat bolus impaction. Flexible endoscopy is the therapeutic method of choice for relieving food impaction and removing true foreign bodies with a success rate of over 95% and with mini-mal complications. This review describes a comprehen-sive approach towards patients presenting with foreign body ingestion. Recommendations are based on a review of the literature and extensive personal experi-ence.

  16. Foreign body aspiration in children: experience from 2624 patients.

    Science.gov (United States)

    Boufersaoui, A; Smati, L; Benhalla, K N; Boukari, R; Smail, S; Anik, K; Aouameur, R; Chaouche, H; Baghriche, M

    2013-10-01

    The objective of this study is to analyze the epidemiological, clinical, radiological and endoscopic characteristics of pediatric foreign body aspiration in Algeria. In this retrospective study, the results of 2624 children younger than 18 years admitted in our department for respiratory foreign body removal between 1989 and 2012, were presented. Most of them had an ambulatory rigid bronchoscopy. The children (62.34% males and 37.65% females) were aged 4 months to 18 years with 66% between 1 and 3 years. Choking was related in 65% of cases. The delay between aspiration and removal was 2-8 days in 65.8% and within 24 h in 9.2%. In the most cases, the children arrived with cough, laryngeal or bronchial signs and unilateral reduction of vesicular murmur. The examination was normal in 13%. The most common radiologic finding was pulmonary air trapping (40.7%). The aspirated bodies were organic in 66.7%, dominated by peanuts, while sunflower seeds, beans and ears of wheat were the most dangerous. In the other cases, they were metallic or plastic as pen caps and recently scarf pins. The endoscopic removal by rigid bronchoscopy was successful and complete in 97%. Cases with extraction failure (3%) limited to certain FBs, all of them inorganic were assigned to surgery. The complications related to the endoscopic procedure were 0.29% with a mortality of 0.26%. Foreign body aspiration is a real public health problem in Algeria. The best way to manage it is an early diagnosis and a rigid bronchoscopy removal under general anesthesia used by fully trained staff. The prevention of this domestic accident should consider the population lifestyle and cultural habits to be more effective. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  17. Diagnosis of Pediatric Foreign Body Ingestion: Clinical Presentation, Physical Examination, and Radiologic Findings.

    Science.gov (United States)

    Sink, Jacquelyn R; Kitsko, Dennis J; Mehta, Deepak K; Georg, Matthew W; Simons, Jeffrey P

    2016-04-01

    (1) To describe clinical and radiologic findings in patients with esophageal foreign bodies. (2) To examine the sensitivity and specificity of history, physical examination, and radiologic studies in children with suspected foreign body ingestion. A retrospective cohort study was performed evaluating all children who underwent esophagoscopy for suspected foreign body ingestion at our institution from 2006 to 2013. Five hundred forty-three patients were included (54% male). Average age was 4.7 years (SD = 4.1 years). Foreign bodies were identified on esophagoscopy in 497 cases (92%). Ingestion was witnessed in 23% of cases. Most common presenting symptoms were choking/gagging (49%), vomiting (47%), and dysphagia/odynophagia (42%). Most patients with foreign bodies had a normal exam (76%). Most foreign bodies were radiopaque (83%). In 59% of patients with normal chest radiographs, a foreign body was present. Sensitivity and specificity of 1 or more findings on history, physical examination, and imaging were 99% and 0%, 21% and 76%, and 83% and 100%, respectively. Most patients with esophageal foreign bodies are symptomatic. Although many patients will have a normal physical examination, an abnormal exam should increase suspicion for a foreign body. Most esophageal foreign bodies are radiopaque, but a normal chest radiograph cannot rule out a foreign body. © The Author(s) 2015.

  18. Glass wool tripod foreign bodies in the eye: first ever reported case series.

    Science.gov (United States)

    Baile, Rahul B; Meghana, Sahasrabuddhe-Chitnis; Pattiwar, Madhuri S

    2014-01-01

    We present three cases of unusual corneal/conjunctival foreign bodies that were not visible on standard slit lamp examination. All patients presented with complaints of foreign body sensation in the affected eyes. One patient had visited an ophthalmologist prior to presentation to our center and was diagnosed and treated for conjunctivitis. On slit lamp examination minimal congestion was seen hence, all the patients were diagnosed with conjunctivitis with corneal epithelial defects by the residents. However, because the patients complained of foreign body sensation, fluorescein staining of the affected eye was performed. On examination, the corneas had epithelial defects and linear scratch marks. We suspected a foreign body in upper palpebral conjunctiva (UPC). Examination after eyelid eversion indicated tripod-shaped glassy foreign bodies embedded deep within the UPC. We present cases of an unusual type of glassy tripod-shaped foreign body which may go undetected even on slit lamp examination. Fluorescein staining may aid in the detection of these foreign bodies.

  19. Ingested Foreign Bodies Removed by Flexible Endoscopy in Pediatric Patients: A 10-year Retrospective Study

    Directory of Open Access Journals (Sweden)

    Seyed Ali Jafari

    2014-07-01

    Full Text Available Introduction: Determination of type and location of trapped objects and endoscopic observations among children with foreign-body ingestion. Materials and Methods: We evaluated 105 endoscopic records of patients presenting with foreign-body ingestion from 2001–2011. Results: Button batteries were the most common objects removed (41%. The lower segment of the esophagus was the most common trapping site. There was significant correlation between type of foreign body and its location of trapping. Abnormal endoscopic observations were reported in 33% patients. There was significant correlation between the type of foreign body and endoscopic observations. There was also a significant correlation between the location of the foreign body and endoscopic observation. Conclusion: The pattern of foreign-body ingestion is somewhat different in our center compared with other studies. Awareness among parents about the prevention of this accident is an important step in decreasing the incidence of foreign-body ingestion.

  20. Foreign bodies in the upper aerodigestive tract of Nigerian children

    Directory of Open Access Journals (Sweden)

    B S Alabi

    2011-01-01

    Full Text Available Aim/Background This is an audit of number, nature, sites of impaction and methods of removals and treatment outcome of upper aero-digestive foreign bodies among children in an urban University hospital in Nigeria. Patients and Methods This is an 8year retrospective review of foreign body in upper aero-digestive tract of children (January 2001 to December 2007 was conducted at the ENT department of the University of Ilorin Teaching Hospital, Ilorin, Nigeria. Case notes of the patients were retrieved and the following were data extracted: demographic, clinical, operative and outpatient visits outcome. Results 81 children aged 9months to löyears were seen (mean 4.28, SD 2.95 with 49 males and 32 females and a male: female ratio of 1.5: 1.0.The commonest age group was 9months to 4years (76.5%. Most common of impaction sites were nasal cavity in 31 cases (38.3%, oesophagus in 23 cases (28.4%, oropharynx in 16 (19.8% and larynx in 6 (7.4%.The commonest FBs was coins in 33 (40.7% in the oesophagus and 37.5% of pharyngeal FBs. Inanimate FBs in the nose constituted 31(38.3% [Non vegetative 27(87.1%, vegetative 4(12.9 %]. Fish bones were seen in 11 cases (13.6% [6 in the larynx and 5 around the tonsillar fauces] and miscellaneous objects in 6 cases. Conclusion Upper aero-digestive foreign bodies are common especially among the under fours′, commonest sites being the nose and pharyngooesophageal region with coins and inanimate FBs constituting about four-fifth. There is the need for parental health education on object placements, and a high index of suspicion among practitioners to facilitate early referral and avoid preventable complications.

  1. [Emergency department consultations due to foreign body ingestion].

    Science.gov (United States)

    Lobeiras, Ana; Zugazabeitia, Amaia; Uribarri, Nerea; Mintegi, Santiago

    2017-04-01

    Foreign body (FB) ingestion is an uncommon reason for going to the Paediatric Emergency Department (PED). The aim of this study was to assess the clinical and epidemiological characteristics of foreign body ingestion and the management of these patients. Retrospective study, including children under 14 years old with suspected foreign body ingestion seen in the PED between 2010 and 2013. An analysis was made of the circumstances of the FB ingestion, its management in the PED, and patient outcomes. Of the 226,666 presentations recorded, 1,608 (0.7%) were for a FB, 970 corresponding to ingestion of mainly fish bones (367, 38.7%) and coins (181, 18.7%), except in children under 1 year (plastic objects). The median age was 4.7 years, with boys being more common in those older than 4 years (58.5%). A total of 557 patients (57.3%) reported some symptom, and complementary tests were performed in 414 (42.7%). Another specialist was called in 315 (32.4%) cases, mainly from Ear, Nose and Throat (fish bones) or Surgery (coins). The FB was removed in 305 (31.4%) cases, which were mostly fish bones or sunflower seeds. Seventy-one patients (7.3%) were admitted, especially ingestion of fish bones or coins. No patient died. Ingestion of fish bones or coins by young children is a relatively common presentation in the PED, and it is associated with frequent medical interventions. Although the overall prognosis is good, and improving the health education of the population should be considered to reduce the frequency of these episodes. Copyright © 2015 Asociación Española de Pediatría. Publicado por Elsevier España, S.L.U. All rights reserved.

  2. Metal detector and swallowed metal foreign bodies in children.

    OpenAIRE

    Doraiswamy, N V; Baig, H; Hallam, L

    1999-01-01

    OBJECTIVE: To evaluate a metal detector to diagnose swallowed radio-opaque metal foreign bodies (MFBs) in children, and whether they can detect non-radio-opaque MFBs. METHODS: In a prospective study, 231 children, who presented to the accident and emergency department with a history of swallowing MFBs, were evaluated by the metal detector as well as radiography to confirm and locate the presence or absence of MFBs. RESULTS: A definite history of swallowing a MFB by the child was given by 186 ...

  3. Cerebral foreign body reaction after carotid aneurysm stenting

    DEFF Research Database (Denmark)

    Lorentzen, Anastasia Orlova; Nome, Terje; Bakke, Søren Jacob

    2016-01-01

    Flow diverter stents are new important tools in the treatment of large, giant, or wide-necked aneurysms. Their delivery and positioning may be difficult due to vessel tortuosity. Common adverse events include intracranial hemorrhage and ischemic stroke, which usually occurs within the same day......, or the next few days after the procedure. We present a case where we encountered an unusual intracerebral complication several months after endovascular treatment of a large left internal carotid artery aneurysm, and where brain biopsy revealed foreign body reaction to hydrophilic polymer fragments distally...

  4. [Acute Meckel's diverticulitis perforated by a foreign body].

    Science.gov (United States)

    Pahomeanu, M; Anghelide, A; Mandache, F

    1976-01-01

    The authors present the case of a patient with acute, right iliac fossa abdominal syndrome, simulating acute apendicitis. In the course of the intervention it was noted that the syndrome was determined by an acute Meckel diverticulitis, perforated by a foreign body (fish bone). In view of making the diagnosis of acute diverticulitis, that cannot be assessed before surgery, the importance is stressed of the correlation of the clinical aspects with the apendicular lesions found in the course of the operation, and, when there is no satisfactory concordance, careful checking of the cecum becomes necessary, as well as of the right annexe and of the ileon over at least three feet.

  5. Heimlich's maneuver-assisted bronchoscopic removal of airway foreign body

    OpenAIRE

    Solanki, Sohan Lal; Bansal, Shivendu; Khare, Arvind; Jain, Amit

    2011-01-01

    Aspiration of foreign bodies (FBs) by children can lead to serious illness and sometimes even death. Bronchoscopic removal of the FB is necessary to prevent from any catastrophic event. Sometimes bronchoscopic removal is not possible due to the larger size of the FB, sharp FB, or long duration FB. Tracheostomy is normally used for the removal of such FBs. The aim of this case report is to highlight the use of Heimlich maneuver for the removal of such FBs before opting invasive procedures. In ...

  6. Pathogenesis and management of Staphylococcus epidermidis 'plastic' foreign body infections.

    Science.gov (United States)

    Peters, G; Pulverer, G

    1984-12-01

    Staphylococcus epidermidis infections on foreign bodies made of plastic are caused by special and complex mechanisms. The staphylococcal cells are able to adhere to and grow on polymer surfaces in vivo and in vitro. In the course of colonization they produce an extracellular substance ('slime') which eventually covers them. It is thought that the staphylococcal slime has several biological functions, including promoting adhesion and protection against both antibiotics and host defence mechanisms. In patients, the removal of a colonized device should be accompanied by the parenteral administration of highly effective antistaphylococcal drugs, such as vancomycin.

  7. MALPOSITIONED LMA CONFUSED AS FOREIGN BODY IN NASAL CAVITY.

    Science.gov (United States)

    Verma, Sidharth; Mehta, Nitika; Mehta, Nandita; Mehta, Satish; Verma, Jayeeta

    2015-10-01

    We present a case of confusing white foreign body in the nasal cavity detected during Endoscopic Sinus Surgery (ESS) in a 35-yr-old male which turned out to be a malposition of classic laryngeal mask airway (LMA). Although malposition of LMA is a known entity to the anesthesiologist, if ventilation is adequate, back folded LMA in nasal cavity might not be recognized by the surgeon and lead to catastrophic consequences during endoscopic sinus surgery. In principle, misfolding and malpositioning can be reduced by pre usage testing, using appropriate sizes, minimizing cuff volume, and early identification and correction of malposition.

  8. [Foreign bodies--uncommon causes of GIT injuries].

    Science.gov (United States)

    Hasala, P; Hadwiger, J; Gryga, A; Folprecht, M

    2009-09-01

    Injuries to various parts of the digestive tract caused by foreign bodies, frequently deliberately swallowed or inserted using various practics, are less common, however serious injuries. The symptomatology may be vague, credibility is often limited or anamnestic data may be intentionaly missing, which makes the diagnostic process tricky. Undefined, vague signs are related to specificities during the GIT perforation, so called hidden perforation. The recovery is commonly complicated, with a resulting handicap of stool incontinence or of colostomy. This is demonstrated on several subjects, treated in our surgical department.

  9. A Rare Presentation of Two Cases of Metallic Intrascleral Foreign Body Entry through Upper Eyelid

    Science.gov (United States)

    Barot, Rakesh K; Shah, Rakesh; Bhagat, Nupur

    2016-01-01

    Ocular injury secondary to foreign body remains an important cause of ocular morbidity with or without blindness in working population. Intraocular foreign body may have varied clinical presentation. Initially it may look an apparently normal eye followed by obvious ocular symptoms depending upon its location and degree of inflammation. It can result in partial or full thickness penetration of sclera with or without involvement of posterior segment. We hereby present two cases of metallic intrascleral foreign body entry through upper lid in young carpenters following hammer and chisel injury. In case 1, Intrascleral location of foreign body was confirmed with X ray orbit and B scan ultrasonography while in case 2 the diagnosis of intrascleral foreign body was missed at the first visit to ophthalmology clinic Both the patients underwent exploratory surgeries where intrascleral metallic foreign bodies were found without ocular penetration. An intrascleral foreign body may be missed due to small penetrating scleral wound covered by a large subconjunctival haemorrhage accompanied by minimal or no signs of inflammation and failure on part of treating ophthalmologist to suspect an intrascleral foreign body. To establish a diagnosis of intraocular particularly intrascleral foreign body, careful history taking and clinical examination along with use of imaging studies are mandatory steps which help in successful management and good visual outcome. These cases highlight the importance of considering a presumptive diagnosis of retained intrascleral foreign body in every patient with a history of penetrating ocular trauma through lid or a visible wound/scar on the lid. PMID:27190855

  10. Hysteroscopic removal of foreign bodies and its method of monitoring

    Institute of Scientific and Technical Information of China (English)

    夏恩兰; 段华; 黄晓武; 郑杰; 于丹; 程玲

    2003-01-01

    Objective To evaluate transcervical removal of foreign bodies (TCRF) and to estimate the effectiveness of its monitoring methods. Methods One hundred and thirteen women were identified as having residual intrauterine devices (IUD), residual pregnancy products, unabsorbed strings and broken hooks, which were not removed during routine curettage or IUD removal. All patients were monitored using B ultrasonography while TCRF was performed. Four cases were monitored by laparoscopy simultaneously. One case was monitored by laparoscopic ultrasonography. Results Foreign bodies of one hundred and nine patients were taken out by TCRF. Uterine bleeding, amenorrhoea, discharge, abdominal pain, micturition and hematuria disappeared postoperatively. Fetal bones embedded into intramural uterin in four cases were not removed completely. Of these four, one became pregnant 4 months later after TCRF and term delivered. One case encountered uterine perforation that was sutured by laparoscopy. Conclusions TCRF is safe and efficient. Sufficient cervical canal distension, selection of equipment and methods to be used is important for successful TCRF. As a non-invasive and effective monitoring method, B ultrasonography is the first choice to monitor for TCRF. For patients with high risk factors for uterine perforation, laparoscopic monitoring should be done simultaneously. Laparoscopic ultrasonography monitoring has both the advantages of B ultrasonography and laparoscopy monitoring, but is invasive and expensive.

  11. [Penal liability from retained foreign body inside the surgical site].

    Science.gov (United States)

    Angiò, L G; Ventura Spagnolo, E; Pirrone, G; Cardia, G

    2011-03-01

    The Authors focus on the liability of the surgery team members in the case they inadvertently forget behind in the patient's body a foreign object, which causes injuries and/or death. The Authors underline that, according to the current case law regarding medical malpractice, both the main surgeon and their assistant/subordinate are liable for engaging in a markedly imprudent and/or negligent conduct, such as not double-checking scrupulously the surgical site before its closure in order to highlight forgotten foreign bodies. As well, the Authors underline that either the circulator nurse or the theatre nurse can be considered punishable by law when that medical error occurs, even if they are responsible for the count of the instruments used in the course of the surgery. Conversely, the main surgeon and his or her assistant are always directly responsible, due to the fact that the nurses' count procedure represents merely an additional control measure, without substituting at all the check the surgeons must obligatory conduct on the surgical site. Finally, the Authors point out that, as the count procedure is performed by the members of a surgical team, where a hierarchy-based relationship rules, the main surgeon is the liable for any preventable and avoidable adverse event provoked by the nursing staff as a consequence of the objective responsibility due to culpa in eligendo and culpa in vigilando.

  12. Treatment of Foreign Body Obstruction of the Upper Airway

    Science.gov (United States)

    Hoffman, Jerome R.

    1982-01-01

    The treatment of foreign body obstruction of the upper airway has been the subject of considerable attention and controversy. Current recommendations from the National Academy of Sciences, the American Red Cross and the American Heart Association include the use of back blows, abdominal thrusts (Heimlich maneuver) or chest thrusts (or both) and finger probes, until definitive therapy by trained medical and paramedical personnel becomes available. Nevertheless, a number of authorities on this subject have claimed that these approaches are dangerous, and that abdominal thrusts should be the first and only first-aid technique used in this situation. There are only limited data on which to make recommendations regarding this issue. Clinical evidence is scanty and of a highly anecdotal and unscientific nature. The data that are available suggest that a combination of maneuvers is in fact preferable to any single maneuver. Experimental physiologic data on both humans and animals tend to support this concept and suggest that back blows, which generate high initial pressures, may dislodge objects from the larynx enough to allow subsequent thrust maneuvers, which generate more sustained increases in intrathoracic pressure, to move the object out of the larynx. At this time, in the absence of definitive data, it seems reasonable to teach as many lay citizens as possible to recognize upper airway obstruction due to foreign body and to perform any and all of these techniques (preferably in combination), as well as external cardiopulmonary resuscitation (CPR) where appropriate, on choking victims. PMID:7072236

  13. Magnetic resonance imaging susceptibility artifacts due to metallic foreign bodies.

    Science.gov (United States)

    Hecht, Silke; Adams, William H; Narak, Jill; Thomas, William B

    2011-01-01

    Susceptibility artifacts due to metallic foreign bodies may interfere with interpretation of magnetic resonance (MR) imaging studies. Additionally, migration of metallic objects may pose a risk to patients undergoing MR imaging. Our purpose was to investigate prevalence, underlying cause, and diagnostic implications of susceptibility artifacts in small animal MR imaging and report associated adverse effects. MR imaging studies performed in dogs and cats between April 2008 and March 2010 were evaluated retrospectively for the presence of susceptibility artifacts associated with metallic foreign bodies. Studies were performed using a 1.0 T scanner. Severity of artifacts was graded as 0 (no interference with area of interest), 1 (extension of artifact to area of interest without impairment of diagnostic quality), 2 (impairment of diagnostic quality but diagnosis still possible), or 3 (severe involvement of area of interest resulting in nondiagnostic study). Medical records were evaluated retrospectively to identify adverse effects. Susceptibility artifacts were present in 99/754 (13.1%) of MR imaging studies and were most common in examinations of the brachial plexus, thorax, and cervical spine. Artifacts were caused by identification microchips, ballistic fragments, skin staples/suture material, hemoclips, an ameroid constrictor, and surgical hardware. Three studies were nondiagnostic due to the susceptibility artifact. Adverse effects were not documented.

  14. Button Battery Foreign Bodies in Children: Hazards, Management, and Recommendations

    Directory of Open Access Journals (Sweden)

    Mohammed Hossam Thabet

    2013-01-01

    Full Text Available Objective. The demand and usage of button batteries have risen. They are frequently inadvertently placed by children in their ears or noses and occasionally are swallowed and lodged along the upper aerodigestive tract. The purpose of this work is to study the different presentations of button battery foreign bodies and present our experience in the diagnosis and management of this hazardous problem in children. Patients and Methods. This study included 13 patients. The diagnostic protocol was comprised of a thorough history, head and neck physical examination, and appropriate radiographic evaluation. The button batteries were emergently extracted under general anesthesia. Results. The average follow-up period was 4.3 months. Five patients had a nasal button battery. Four patients had an esophageal button battery. Three patients had a button battery in the stomach. One patient had a button battery impacted in the left external ear canal. Apart from a nasal septal perforation and a tympanic membrane perforation, no major complications were detected. Conclusion. Early detection is the key in the management of button battery foreign bodies. They have a distinctive appearance on radiography, and its prompt removal is mandatory, especially for batteries lodged in the esophagus. Physicians must recognize the hazardous potential and serious implications of such an accident. There is a need for more public education about this serious problem.

  15. Button battery foreign bodies in children: hazards, management, and recommendations.

    Science.gov (United States)

    Thabet, Mohammed Hossam; Basha, Waleed Mohamed; Askar, Sherif

    2013-01-01

    The demand and usage of button batteries have risen. They are frequently inadvertently placed by children in their ears or noses and occasionally are swallowed and lodged along the upper aerodigestive tract. The purpose of this work is to study the different presentations of button battery foreign bodies and present our experience in the diagnosis and management of this hazardous problem in children. This study included 13 patients. The diagnostic protocol was comprised of a thorough history, head and neck physical examination, and appropriate radiographic evaluation. The button batteries were emergently extracted under general anesthesia. The average follow-up period was 4.3 months. Five patients had a nasal button battery. Four patients had an esophageal button battery. Three patients had a button battery in the stomach. One patient had a button battery impacted in the left external ear canal. Apart from a nasal septal perforation and a tympanic membrane perforation, no major complications were detected. Early detection is the key in the management of button battery foreign bodies. They have a distinctive appearance on radiography, and its prompt removal is mandatory, especially for batteries lodged in the esophagus. Physicians must recognize the hazardous potential and serious implications of such an accident. There is a need for more public education about this serious problem.

  16. Migrating foreign bodies in the upper aerodigestive tract: a surgical challenge.

    Science.gov (United States)

    Shergill, Gurshinderpal Singh; Nayak, Dipak Ranjan; Dora, Asheesh; Shergill, Ankur Kaur

    2015-05-20

    Migrating foreign bodies in the aerodigestive tract are uncommon but can pose serious complications. Long-standing migrating foreign bodies can exist manifesting chronic and unusual symptoms such as chronic cough, recurrent episodes of dyspnoea and fever. Adverse body reactions to foreign objects such as adhesions can cause difficulty in their diagnosis, localisation and removal. A thorough clinical and radiographical approach is of immense value in such cases. We report two difficult cases of migrated foreign bodies: a 2-year-old child with a long-standing foreign body that migrated to the upper mediastinum, and an adult patient with a fish bone that migrated to the oropharyngeal muscles. Presentations of these cases were not alike, with chronic unusual recurrent symptoms in one and typical acute symptoms in the other. The diagnosis and precise localisation of both foreign bodies was challenging, and an open approach was employed to remove them.

  17. Unusual foreign body in the nasal cavity of an adult with repaired cleft lip and palate.

    Science.gov (United States)

    Ravikumar, Nagabhairava; GunaShekhar, M; Prasad, S Raghavendra; Lalitha, N; Raju, P Ramanjaneya; Natesh, Y A

    2015-03-01

    Intranasal foreign bodies arising from dental clinical practice, especially in patients with cleft lip and palate (CLP) occur rarely and are very scarce in the literature. This article reports an unusual case of a dental impression material presenting as a foreign body in the nasal cavity of an adult with repaired CLP who presented for dental prosthetic rehabilitation. To our knowledge, this is only the second report presenting nasal foreign body in a cleft patient arising due to a dental impression procedure.

  18. Diagnosis and management of an intra-articular foreign body in the foot.

    LENUS (Irish Health Repository)

    Mulhall, K J

    2002-10-01

    We describe a case of a small intra-articular foreign body in the foot presenting 48 hours following injury, which at operation showed early evidence of septic arthritis. It is essential to accurately localise periarticular foreign bodies in the foot and proceed to arthrotomy and debridement in all cases where there is radiological or clinical evidence to suggest intra-articular retention of a foreign body.

  19. Flexible bronchoscopy with multiple modalities for foreign body removal in adults.

    Directory of Open Access Journals (Sweden)

    Yueh-Fu Fang

    Full Text Available Aspiration of the lower airways due to foreign body is rare in adults. This study aimed to determine the outcome of patients who received flexible bronchoscopy with different modalities for foreign body removal in the lower airways.Between January 2003 and January 2014, 94 patients diagnosed with foreign body in the lower airways underwent flexible bronchoscopy with different modalities, which included forceps, loop, basket, knife, electromagnet, and cryotherapy. The clinical presentation, foreign body location and characteristics, and applications of flexible bronchoscopy were analyzed.Forty (43% patients had acute aspiration, which developed within one week of foreign body entry and 54 (57% had chronic aspiration. The most common foreign bodies were teeth or bone. More patients with chronic aspiration than those with acute aspiration were referred from the out-patient clinic (48% vs. 28%, but more patients with acute aspiration were referred from the emergency room (35% vs. 6% and intensive care unit (18% vs. 2%. Flexible bronchoscopy with different modalities was used to remove the foreign bodies (85/94, 90%. Electromagnet or cryotherapy was used in nine patients to eliminate the surrounding granulation tissue before foreign body removal. In the nine patients with failed flexible bronchoscopy, eight underwent rigid bronchoscopy instead and one had right lower lung lobectomy for lung abscess.Flexible bronchoscopy with multiple modalities is effective for diagnosing and removing foreign bodies in the lower respiratory airways in adults, with a high success rate (90% and no difference between acute and chronic aspirations.

  20. Fragmatome lifting: surgical option for intraocular lens and foreign body removal.

    Science.gov (United States)

    Jorge, Rodrigo; Siqueira, Rubens C; Cardillo, José A; Costa, Rogério A

    2005-01-01

    A new technique for intraocular lens (IOL) and foreign body removal using the fragmatome is described. Removal of the formed vitreous, including cortical vitreous, was performed using a conventional vitrectomy probe. The fragmatome tip was placed on the center of the anterior surface of both the IOL optics and the foreign bodies, and active 250 mm Hg vacuum suction was applied. IOLs and foreign bodies were easily held and manipulated after being aspirated into the fragmatome tip, avoiding the use of a forceps or other grasping instrument that may damage the retina. Fragmatome lifting is a reasonable treatment option for IOL and nonmagnetic foreign body removal.

  1. Removal of nasal foreign bodies with a Fogarty biliary balloon catheter.

    Science.gov (United States)

    Nandapalan, V; McIlwain, J C

    1994-09-01

    Twenty-five children with a range of nasal foreign bodies, which were not easily amenable to anterior instrumental extraction, were considered for this study. These foreign bodies were removed by the use of a Fogarty biliary balloon catheter (Intimax) successfully in 23 children. In two children no foreign body was found. None of the children had any complications. This is a safe procedure which can be performed as an out-patient. Whilst the cost of the catheter may appear expensive, in comparison to the cost of admission for removal of similarly sited foreign bodies under general anaesthesia, the catheter fares favourably.

  2. X-ray dark-field imaging for detection of foreign bodies in food

    DEFF Research Database (Denmark)

    Nielsen, Mikkel Schou; Lauridsen, Torsten; Feidenhans'l, Robert Krarup;

    2013-01-01

    Conventional X-ray transmission radiography has long been used for online detection of foreign bodies in food products relying on the absorption contrast between the foreign body and food product. In this paper, we present a novel approach for detection of organic foreign bodies such as paper...... and insects in two food products using X-ray dark-field imaging with a grating interferometer. The ability to detect the foreign bodies is quantified using a measure of the contrast-to-noise ratio. © 2012 Elsevier Ltd....

  3. A subconjunctival foreign body confused with uveal prolapse

    Directory of Open Access Journals (Sweden)

    Young Min Park

    2014-01-01

    Full Text Available There are cases in which the presence of a foreign body (FB is difficult to diagnose based on history taking or clinical examination. We report a case of subconjunctival FB confused with uveal prolapse. A 68-year-old man, who had the history of pterygium excision in his right eye, complained of irritation and congestion in that same eye. He also had the history of growing vegetables in a plastic greenhouse. It seemed to be a suspected uveal mass bulging through a focal scleral thinning site. On the basis of slit-lamp magnification, the lesion was presumed to be a hard and black keratinized mass embedded under the conjunctiva. Histopathologically, the removed mass was revealed to be a seed of the dicotyledones. Patients who show signs of prolapsed uvea or scleral thinning, possibility of a subconjunctival FB should be considered as differential diagnosis. In addition, a removed unknown FB should be examined histopathologically.

  4. Whole-body PET/MRI: The effect of bone attenuation during MR-based attenuation correction in oncology imaging

    DEFF Research Database (Denmark)

    Aznar, M.C.; Sersar, Rachida; Saabye, J.

    2014-01-01

    Purpose: In combined PET/MRI standard PET attenuation correction (AC) is based on tissue segmentation following dedicated MR sequencing and, typically, bone tissue is not represented. We evaluate PET quantification in whole-body (WB)-PET/MRI following MR-AC without considering bone attenuation an...

  5. Endoscopic Management of Foreign Bodies in the Upper Gastrointestinal Tract of Adults

    Directory of Open Access Journals (Sweden)

    Chih-Chien Yao

    2015-01-01

    Full Text Available Background. Foreign object ingestion and food bolus impaction are a common clinical problem. We report our clinical experiences in endoscopic management for adults, foreign body ingestion, and food bolus impaction. Method. A retrospective chart review study was conducted on adult patients with foreign body ingestion and food bolus impaction between January 2011 and November 2014. Patients with incomplete medical records were excluded. Results. A total of 198 patients (226 incidents were included in the study (male/female: 1.54/1; age 57 ± 16 years. Among them, 168 foreign bodies were found successfully (74.3%. 75.6% of the foreign bodies were located in the esophagus. Food bolus impaction was most common (41.6%. 93.5% of foreign bodies in current study cohort were successfully extracted and 5 patients required surgical interventions. Comparisons between symptomatic and asymptomatic patients revealed that locations of foreign bodies in the pharynx and esophagus were the significant relevant factors (P<0.001. Shorter time taken to initiate endoscopic interventions increased detection rate (289.75 ± 465.94 versus 471.06 ± 659.93 minutes, P=0.028. Conclusion. Endoscopic management is a safe and highly effective procedure in extracting foreign body ingestion and food bolus impaction. Prompt endoscopic interventions can increase the chance of successful foreign bodies’ detection.

  6. Attachment of Staphylococcus aureus to polymethylmethacrylate increases its resistance to phagocytosis in foreign body infection.

    OpenAIRE

    Vaudaux, P E; Zulian, G.; Huggler, E; Waldvogel, F A

    1985-01-01

    The mechanisms responsible for the development of a pyogenic infection (most commonly due to staphylococci) in the vicinity of an implanted foreign body have been studied recently by several investigators. Thus, we have been able to demonstrate that the phagocytic function of residential polymorphonuclear leukocytes (PMN) is deficient in the presence of a foreign body. Others have shown that in the presence of foreign surfaces, microorganisms produce extracellular amorphous material, the path...

  7. Neglected Foreign Body, the Cause of Navicular Osteomyelitis in A Paediatric Foot: A Case Report

    Directory of Open Access Journals (Sweden)

    Chandrashekara C.M

    2013-07-01

    Full Text Available Introduction: Foreign body injuries with date thorns, metal and wooden splinters are common in Middle East region, as most of it is desert. Some of the injuries lead to cellulitis or abscess formation, if neglected or improperly managed results in osteomyelitis or septic arthritis of foot structures. This is the first report of isolated navicular osteomyelitis following neglected foreign body in a paediatric foot. Case Report: A 10 year old male patient presented with discharging sinus in left mid-foot 3 years after penetrating injury with wooden splinter. The diagnosis of navicular osteomelitis is confirmed with plain radio-graphs. The ultrasound of foot was done to localize the foreign bodies. Patient was treated with complete removal of foreign body (wooden splinters, surgical debridement and combination of IV and oral cloxacillin for period of 6 weeks. At 18 months follow up, patient had painless foot with no recurrence or collapse of navicular bone. Conclusion: The neglected foreign body can result in osteomyelitis of small bones of foot in pediatric patient. The ultrasound is more useful tool in localizing foreign bodies; those are not radio-opaque. Early and prompt diagnosis with adequate treatment of established osteomyelitis by complete removal of foreign body, curettage and antibiotics can give good results. Keywords: Osteomyelitis; Navicular bone; Foreign body; Paediatric.

  8. The foreign body reaction to a biodegradable biomaterial differs between rats and mice

    NARCIS (Netherlands)

    Khouw, IMSL; van Wachem, PB; Molema, G; Plantinga, JA; de Leij, LFMH; van Luyn, MJA

    2000-01-01

    Before a biomaterial can be applied in the clinic, biocompatibility must be tested in in vivo models, by monitoring the foreign body reaction. In this study, we compared the foreign body reaction (EBR) to the biodegradable biomaterial hexamethylenediisocyanate crosslinked dermal sheep collagen (HDSC

  9. A curious case of foreign body induced jejunal obstruction and perforation

    Directory of Open Access Journals (Sweden)

    Pushpendra Sarwa

    2014-01-01

    CONCLUSION: Present case report intends to draw the attention towards possibility of intestinal obstruction and perforation by a single plastic foreign body. High index of suspicion is needed as this foreign body is not even radio-opaque and cannot be picked up in X-ray investigations. Also with increasing use of such plastic materials there are increased chances of such incidents.

  10. Self-insertion of needle as urethral foreign body after sexual gratification: An unusual case report

    Directory of Open Access Journals (Sweden)

    Metin Tahaoglu

    2014-08-01

    Full Text Available Self-inserted foreign bodies in the urethra are rare among children. We describe here a 13-year-old boy who had self-inserted a needle into his urethra. Selfinsertion of the needle wrapped with cotton into the urethra for cleaning after masturbation by patient was applied. A foreign body in the urethra was removed by cystoscopy.

  11. Intraabdominal foreign bodies: radiological aspects; Corpos estranhos intra-abdominais: aspectos radiologicos

    Energy Technology Data Exchange (ETDEWEB)

    Baena, Marcos Eduardo da Silva; Domenicis Junior, Osvaldo de; Costacurta, Marcos Antonio; Cerri, Giovanni Guido [Hospital Sirio-Libanes, Sao Paulo, SP (Brazil). Servico de Diagnostico por Imagem

    1996-07-01

    The intraabdominal foreign bodies secondary to previous surgical interventions are relatively rare nowadays. In spite of this, it still remains a problem that a diagnostic imaging department have sometimes to face. In this article the authors report the evolution of five intraabdominal foreign bodies with clinical, radiological and preventive aspects. The medical literature is also reviewed. (author) 7 refs., 11 figs.

  12. An unusual case of long standing vaginal foreign body removed with obstetric forceps

    Directory of Open Access Journals (Sweden)

    Padmalata

    2015-04-01

    Full Text Available This is a case of retained foreign body in vagina for 10 years, a wood apple which was inserted to reduce uterine prolapse. It was retained without any symptoms for 10 years. The foreign body was removed using obstetric forceps after other methods were failed. [Int J Reprod Contracept Obstet Gynecol 2015; 4(2.000: 502-504

  13. An unusual case of protruding retro-orbital metallic foreign body

    Science.gov (United States)

    Hada, Maya; Chandra, Parijat; Gangwe, Anil

    2016-01-01

    A 34-year-old female presented with firecracker injury with curved metallic foreign body embedded in the left orbit and protruding out through the upper eyelid. The report highlights notable aspects in diagnosis, decision-making, and successful removal of this unusual case of retro-orbital foreign body. PMID:27688286

  14. An unusual foreign body as cause of chronic sinusitis: a case report

    Directory of Open Access Journals (Sweden)

    Dinerman Harry

    2010-05-01

    Full Text Available Abstract Introduction The presence of a foreign body in the nose is a relatively uncommon occurrence. Many unusual foreign bodies in the nose have been reported in the literature, but no case of a nasal packing occurring as a foreign body in the nasal cavity for a prolonged time has been found. Case presentation We describe a unique case of the largest foreign body left in situ in the nasal cavity for over 10 years. Our patient was a 71-year-old Caucasian man with diabetes. Because of this, he was at high risk of developing complications from the foreign body and the chronic sinusitis. Amazingly, though, the foreign body had not caused any symptoms on our patient for many years, except for nasal discharge during the last few years. To the best of our knowledge, this is the first case in the literature of such a large intra-nasal foreign body described in an adult without mental illness and without trauma that remained in situ for such a long time. Conclusion Undoubtedly, even illnesses with no complications could prove difficult for clinicians to diagnose. Clinicians should recognize the underlying causes that are responsible for the symptoms of chronic sinusitis and a unilateral nasal discharge should be assumed to be caused by an intra-nasal foreign body until proven otherwise.

  15. Suction-based grasping tool for removal of regular- and irregular-shaped intraocular foreign bodies.

    Science.gov (United States)

    Erlanger, Michael S; Velez-Montoya, Raul; Mackenzie, Douglas; Olson, Jeffrey L

    2013-01-01

    To describe a suction-based grasping tool for the surgical removal of irregular-shaped and nonferromagnetic intraocular foreign bodies. A surgical tool with suction capabilities, consisting of a stainless steel shaft with a plastic handle and a customizable and interchangeable suction tip, was designed in order to better engage and manipulate irregular-shaped in-traocular foreign bodies of various sizes and physical properties. The maximal suction force and surgical capabilities were assessed in the laboratory and on a cadaveric eye vitrectomy model. The suction force of the water-tight seal between the intraocular foreign body and the suction tip was estimated to be approximately 40 MN. During an open-sky vitrectomy in a porcine model, the device was successful in engaging and firmly securing foreign bodies of different sizes and shapes. The suction-based grasping tool enables removal of irregular-shaped and nonferromagnetic foreign bodies. Copyright 2013, SLACK Incorporated.

  16. Inhaled foreign bodies in a paediatric population at AKTH Kano-Nigeria

    Directory of Open Access Journals (Sweden)

    Abdulazeez Omeiza Ahmed

    2014-01-01

    Full Text Available Background: Inhaled foreign bodies are common paediatric emergencies and a major cause of accidental deaths at home among Nigerian children especially among children below the age of 5 years. Different types of foreign bodies have been reported from the ordinary to the most bizarre. We evaluated the types of foreign bodies and sites of possible impaction of these foreign bodies along the tracheobronchial tree. Materials and Methods: A 6-year case record of 35 patients with foreign body inhalation was reviewed from January 2005 to December 2010 at the Otorhinolaryngology Department of Bayero University/Aminu Kano Teaching Hospital, Kano - North-western Nigeria. Basic information such as date of birth, age groups, gender, indication for bronchoscopy, type of foreign bodies, sites of foreign body impaction and surgical outcome were extracted and analysed. Results: Thirty-five patients [18 (51.4% males and 17 (48.6% females, aged 6 months-10 years] with a mean age of 5.1 years and median of 5 years (+/- 3.0 Standard Deviation. The most affected age group with 31.4% is 3-5 years. Groundnuts and whistles were the most frequently inhaled foreign bodies with an equal frequency of 25.7%, respectively. Foreign bodies were preferentially lodged in the left main bronchus in 8 (22.9% patients compared to the right main bronchus in 6 (17.1% patients. Conclusion: Public enlightenment both in the news/print media on the risk of foreign body aspiration especially among the under-five′s is highly advocated. The left main bronchus may be a common site for impaction as well.

  17. Foreign body penetrations of hand and wrist: a retrospective study.

    Science.gov (United States)

    Hocaoğlu, Emre; Kuvat, Samet Vasfi; Özalp, Burhan; Akhmedov, Anvar; Doğan, Yunus; Kozanoğlu, Erol; Mete, Fethi Sarper; Erer, Metin

    2013-01-01

    Despite significant practical knowledge and experience on foreign body penetration injuries to the hand and/or wrist, deficient management and complications can still be encountered, and ignorance of its causative and eventual social aspects unfortunately is a substantial fact. This study aims to cover the clinical and social properties and the management of these kinds of injuries. A retrospective analysis of 86 patients requiring evaluation and treatment in a Hand Surgery Division of a university hospital was performed. The median age was 32 (min: 4, max: 63). Industrial workers constituted the largest occupational group (n=22, 25.6%). Twenty-three (26.7%) of the cases were elective admissions. Thirteen (15.1%) patients had various comorbidities, and five (5.8%) had psychiatric diagnoses at the time of the injury. The index finger was the most frequent site of injury (n=29, 33.7%). General anesthesia was not necessary for the management of 94.2% of the cases. In 26 (30%) of the patients, neural, tendinous or osseous damage was observed. Twenty-four (30%) patients were included in a postoperative hand physiotherapy program. The practically well-known general features of the issue and those aspects that may still be overlooked currently are reevaluated herein, in light of our observational data.

  18. Heimlich's maneuver-assisted bronchoscopic removal of airway foreign body.

    Science.gov (United States)

    Solanki, Sohan Lal; Bansal, Shivendu; Khare, Arvind; Jain, Amit

    2011-01-01

    Aspiration of foreign bodies (FBs) by children can lead to serious illness and sometimes even death. Bronchoscopic removal of the FB is necessary to prevent from any catastrophic event. Sometimes bronchoscopic removal is not possible due to the larger size of the FB, sharp FB, or long duration FB. Tracheostomy is normally used for the removal of such FBs. The aim of this case report is to highlight the use of Heimlich maneuver for the removal of such FBs before opting invasive procedures. In the present case, a 5-year-old child was presented with history of FB aspiration 5 h back. After multiple failed bronchoscopic attempts to remove the FB it was decided to use Heimlich maneuver in the supine position. A single attempt of Heimlich maneuver expelled the FB into the oral cavity, which was removed by Magill's forceps. On repeated bronchoscope check, there was no remnant of FB. Child's further course of stay in hospital was uneventful. In conclusion, Heimlich maneuver may be useful in patient with failed bronchoscope removal of airway FBs before proceeding for tracheotomy or other invasive procedures.

  19. Foreign body embedded in the iris after cataract surgery.

    Science.gov (United States)

    Santos-Bueso, E; Jiménez-Santos, M; Díaz-Valle, D; Gegúndez-Fernández, J A; Cuiña-Sardiña, R; Benítez-del-Castillo, J M; García-Sánchez, J

    2016-03-01

    a 75-year old woman who had had cataract surgery in her left eye and showed a visual acuity of 0.8 twenty-four hours post-surgery. Biomicroscopy revealed a foreign body attached to the iris in the nasal sector that coincided with the main incision of the phacoemulsification, which was then removed in a second surgical procedure. It was analysed and described as an inert structure made of plastic. The possible origin of the presence of a fragment of plastic in the postoperative period following cataract surgery is established. In this case, its inert nature did not cause any further intraocular inflammation. Its rigid structure also favoured its attachment to the iris, thus avoiding any other complications. There must be greater preventative measures during cataract surgery, including checking the instruments and accessories before and after the surgical procedure. Copyright © 2015 Sociedad Española de Oftalmología. Published by Elsevier España, S.L.U. All rights reserved.

  20. A case of a retained intralenticular foreign body for two years

    Directory of Open Access Journals (Sweden)

    Mete Guler

    2010-08-01

    Full Text Available Mete Güler1, Turgut Yilmaz2, Mehmet Yigit2, Gülsen Ülkü2, Sermal Arslan21Department of Ophthalmology, Elazig Harput State Hospital, Turkey; 2Departmant of Ophthalmology, Elazig Education and Research HospitalAbstract: We report a case of a missed metallic intraocular foreign body retained in the lens over a two-year period without causing inflammatory reaction, which presented with cataract later. A 24-year-old man presented with a progressive blurring of vision in the left eye for two years. He had had a history of metal-on-metal activity two years before. He had pain for one day in left eye and it was healed by the following day. Biomicroscopic examination revealed cataract, an intralenticular foreign body, and a corneal scar at seven o’clock meridian of the cornea in the left eye. Best-corrected visual acuity was 20/200 in the left eye. Intralenticular foreign body removal, phacoemulsification, and an intraocular lens implantation was performed under local anesthesia. The intralenticular foreign body was metallic and its size was about 2 × 2 mm. Two weeks after the operation best corrected visual acuity was 20/20 in left eye. A retained foreign body should be considered in each patient with a history of penetrating ocular trauma and all efforts must be made to exclude presumptive diagnosis of intraocular foreign body.Keywords: cataract, intralenticular foreign body, penetrating intraocular injury

  1. Neglected foreign body in contralateral limb in a traumatic transfemoral amputee-radiographs can be misleading

    Directory of Open Access Journals (Sweden)

    Jaiswal Atin

    2013-02-01

    Full Text Available 【Abstract】Missed or neglected foreign bodies are not infrequent in surgical practice. This case report high-lights the fact that thorough clinical examination and de-tailed evaluation of trauma patients are very necessary so that any associated injuries or foreign bodies will not be missed and any unforeseen clinical or medico-legal compli-cations can be prevented. We present a case of a 35-year-old male patient who had traumatic transfemoral amputa-tion of the right lower limb with a clean laceration (size 2 cmx1 cm over the medial aspect of the left thigh. Radio-graphs suggested a single radioopaque foreign body which proved misleading, as during surgical removal multiple radi-olucent and radiopaque foreign bodies were discovered. Postoperative ultrasound was performed and showed no retained foreign bodies. A secondary closure of the right thigh amputation was done and patient was discharged. At the last follow-up, 9 months after injury, the patient had no complaints, and both the amputation stump and the wound over the left thigh were healthy. Thus in the cases of re-tained foreign bodies, in addition to thorough clinical ex-amination and radiography, ultrasonograpy should be supplemented. And if required, use of CT scan as well as MRI should be also considered. Key words: Foreign bodies; Radiography; Diagnos-tic errors; Ultrasonography

  2. Foreign body aspiration and language spoken at home: 10-year review.

    Science.gov (United States)

    Choroomi, S; Curotta, J

    2011-07-01

    To review foreign body aspiration cases encountered over a 10-year period in a tertiary paediatric hospital, and to assess correlation between foreign body type and language spoken at home. Retrospective chart review of all children undergoing direct laryngobronchoscopy for foreign body aspiration over a 10-year period. Age, sex, foreign body type, complications, hospital stay and home language were analysed. At direct laryngobronchoscopy, 132 children had foreign body aspiration (male:female ratio 1.31:1; mean age 32 months (2.67 years)). Mean hospital stay was 2.0 days. Foreign bodies most commonly comprised food matter (53/132; 40.1 per cent), followed by non-food matter (44/132; 33.33 per cent), a negative endoscopy (11/132; 8.33 per cent) and unknown composition (24/132; 18.2 per cent). Most parents spoke English (92/132, 69.7 per cent; vs non-English-speaking 40/132, 30.3 per cent), but non-English-speaking patients had disproportionately more food foreign bodies, and significantly more nut aspirations (p = 0.0065). Results constitute level 2b evidence. Patients from non-English speaking backgrounds had a significantly higher incidence of food (particularly nut) aspiration. Awareness-raising and public education is needed in relevant communities to prevent certain foods, particularly nuts, being given to children too young to chew and swallow them adequately.

  3. Glass wool tripod foreign bodies in the eye: First ever reported case series

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    Rahul B Baile

    2014-01-01

    Full Text Available We present three cases of unusual corneal/conjunctival foreign bodies that were not visible on standard slit lamp examination. All patients presented with complaints of foreign body sensation in the affected eyes. One patient had visited an ophthalmologist prior to presentation to our center and was diagnosed and treated for conjunctivitis. On slit lamp examination minimal congestion was seen hence, all the patients were diagnosed with conjunctivitis with corneal epithelial defects by the residents. However, because the patients complained of foreign body sensation, fluorescein staining of the affected eye was performed. On examination, the corneas had epithelial defects and linear scratch marks. We suspected a foreign body in upper palpebral conjunctiva (UPC. Examination after eyelid eversion indicated tripod-shaped glassy foreign bodies embedded deep within the UPC. We present cases of an unusual type of glassy tripod-shaped foreign body which may go undetected even on slit lamp examination. Fluorescein staining may aid in the detection of these foreign bodies.

  4. Macrophages, Foreign Body Giant Cells and Their Response to Implantable Biomaterials

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    Zeeshan Sheikh

    2015-08-01

    Full Text Available All biomaterials, when implanted in vivo, elicit cellular and tissue responses. These responses include the inflammatory and wound healing responses, foreign body reactions, and fibrous encapsulation of the implanted materials. Macrophages are myeloid immune cells that are tactically situated throughout the tissues, where they ingest and degrade dead cells and foreign materials in addition to orchestrating inflammatory processes. Macrophages and their fused morphologic variants, the multinucleated giant cells, which include the foreign body giant cells (FBGCs are the dominant early responders to biomaterial implantation and remain at biomaterial-tissue interfaces for the lifetime of the device. An essential aspect of macrophage function in the body is to mediate degradation of bio-resorbable materials including bone through extracellular degradation and phagocytosis. Biomaterial surface properties play a crucial role in modulating the foreign body reaction in the first couple of weeks following implantation. The foreign body reaction may impact biocompatibility of implantation devices and may considerably impact short- and long-term success in tissue engineering and regenerative medicine, necessitating a clear understanding of the foreign body reaction to different implantation materials. The focus of this review article is on the interactions of macrophages and foreign body giant cells with biomaterial surfaces, and the physical, chemical and morphological characteristics of biomaterial surfaces that play a role in regulating the foreign body response. Events in the foreign body response include protein adsorption, adhesion of monocytes/macrophages, fusion to form FBGCs, and the consequent modification of the biomaterial surface. The effect of physico-chemical cues on macrophages is not well known and there is a complex interplay between biomaterial properties and those that result from interactions with the local environment. By having a

  5. LARYNGOSCOPIC REMOVAL OF METALLIC FOREIGN BODY IN THE SUBGLOTTIC REGION OF LARYNX

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    Swastika

    2015-02-01

    Full Text Available Foreign body in respiratory tract is frequently encountered emergency in children. It is an important cause of morbidity and mortality among infants and small children. A 12 year old mentally retarded female child was brought to our hospital by anxious parents with history of swallowing a foreign body. Patient was having frequent cough and crying vigorously. On examination breathing was normal and vitals were stable. X - Ray neck showed an opened safety pin in sub - glottic region. The child was immediately taken for emergency bron choscopic removal of foreign body under general anaesthesia. A laryngoscopic view revealed the metallic body just below the glottis hanging into the sub - glottic region. Immediately the foreign body was successfully removed with Magill’s forcep s .

  6. A penal problem: the increasing incidence of implantation of penile foreign bodies.

    Science.gov (United States)

    Flynn, Ryan M; Mostafa, Hesham I; Khan, Omar A; Haselhuhn, Gregory D; Jain, Samay

    2014-12-01

    Our objective is to describe a novel presentation of subcutaneous penile insertion of foreign bodies. This is a practice performed globally and mostly has been reported outside of the United States. We present three cases of incarcerated males that implanted sculpted dominos into the penile subcutaneous tissue. The patients presented with erosion of the foreign bodies through the skin without evidence of infection. We believe that insertion of foreign bodies into penile subcutaneous tissue by incarcerated American males for sexual enhancement is more widespread than previously reported. Erosion is a novel presentation.

  7. Long-retained vaginal foreign body causing chronic vaginitis in a bulldog.

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    Snead, Elisabeth C; Pharr, John W; Ringwood, Brendon P; Beckwith, Jennifer

    2010-01-01

    A vaginal foreign body consisting of a piece of retained calvarium from a macerated fetus was identified and removed using vaginoscopy in a 4-year-old, spayed female bulldog. The dog had a 12-month history of chronic mucopurulent vaginitis. Vaginal foreign bodies, although uncommon, are a differential diagnosis for recurrent mucopurulent or hemorrhagic chronic vaginal discharge. A case of chronic vaginitis caused by a long-retained intravaginal foreign body in a dog is described and compared to four other canine cases reported in the literature.

  8. Hepatic abscess induced by foreign body: Case report and literature review

    Institute of Scientific and Technical Information of China (English)

    Sofia A Santos; Jo(a)o R Deus; Sara CF Alberto; Elsa Cruz; Eduardo Pires; Tomás Figueira; (E)lia Coimbra; José Estevez; Mário Oliveira; Luís Novais

    2007-01-01

    Hepatic abscess due to perforation of the gastrointestinal tract caused by ingested foreign bodies is uncommon.Pre-operative diagnosis is difficult as patients are often unaware of the foreign body ingestion and symptoms and imagiology are usually non-specific. The authors report a case of 62-year-old woman who was admitted with fever and abdominal pain. Further investigation revealed hepatic abscess, without resolution despite antibiotic therapy. A liver abscess resulting from perforation and intra-hepatic migration of a bone coming from the pilorum was diagnosed by surgery. The literature concerning foreign body-induced perforation of the gastrointestinal tract complicated by liver abscess is reviewed.

  9. An unusual foreign body in the maxillary sinus: Dental impression material.

    Science.gov (United States)

    Deniz, Y; Zengin, A Z; Karli, R

    2016-01-01

    Foreign bodies in paranasal sinuses are very rare and most of them are encountered in the maxillary sinus. These foreign bodies may be organic or inorganic and can enter the maxillary sinus through an oro-antral fistula. The oro-antral fistula is formed by a break in the bony segment of the maxillary sinus floor and usually arises subsequent to maxillary premolar and molar extractions. A 63-year-old female patient evaluated for a nonhealing, left, toothless palate lesion and chronic headache occurring over 4 years. Radiography and computed tomography revealed bone discontinuity in the left floor of the maxillary sinus and calcifications within the antrum. A blue foreign body, later identified as dental impression material, was removed by intranasal endoscopy. A careful oral examination is recommended prior to prosthetic restorations. In addition, paranasal sinus foreign bodies should be surgically removed to prevent secondary soft tissue reactions.

  10. Obstructive parotitis from extraorally introduced foreign body in the Stensen duct.

    Science.gov (United States)

    Levine, George; Clark, Matthew; Mandel, Louis

    2013-12-01

    A rare phenomenon, the extraoral traumatic penetration of a foreign body into the lumen of the parotid duct, is described. The ensuing obstructive symptomatology and its diagnostic approach and therapy are reviewed.

  11. Misery of neurosurgeon: Gauzoma causing foreign body granuloma-role of radiologist.

    Science.gov (United States)

    Kumar, Ravi; Nadarajah, Jeyaseelan; Kumar, Atin; Gamanagatti, Shivanand

    2016-01-01

    Materials used in neurosurgery to achieve hemostasis may be of resorbable or nonresorbable substance and may cause foreign body granuloma if left at the operative site. Foreign body granuloma depending on clinical history may be indistinguishable from an abscess, resolving infarction, and hematoma. Here we present two cases, who had decompressive craniectomy following road traffic accident. Follow-up computerized tomography (CT) scan revealed hyperdense lobulated lesion with peripheral rim enhancement. On magnetic resonance imaging (MRI), lesions were predominantly hypointense on T1-weighted images, and hyperintense on T2-weighted images and showed a lack of restricted diffusion. In view of recent craniectomy and imaging findings diagnosis of foreign body granuloma was made. Both patients underwent surgery, intraoperatively gauze pieces were retrieved from lesions which confirmed preoperative diagnosis. The combination of CT and MRI can diagnose foreign body granuloma, especially in trauma settings. Thus, we can help the surgeon by providing the probable diagnosis for proper management.

  12. Removal of a giant nonmagnetic intraocular foreign body using micro alligator forceps.

    Science.gov (United States)

    Liang, Shenzhi; Wan, Guangming; Li, Xiujuan; Liu, Xiaoqiang; Zhu, Yu

    2014-01-01

    To introduce a new method for removal of a giant nonmagnetic intraocular foreign body using micro alligator forceps. Eleven patients underwent pars plana vitrectomy and lensectomy. The micro alligator forceps were used to grasp and extract the giant nonmagnetic intraocular foreign body through a sclerocorneal tunnel. All patients underwent surgical removal of the intraocular foreign body successfully without any intraoperative complications. The alligator forceps were operational in the intraocular environment and effective in surgical maneuvers. There was no accidental slippage during the procedures. Micro alligator forceps are a feasible option for removal of giant nonmagnetic intraocular foreign body during vitreoretinal surgery and offer advances in terms of operating stability and surgical safety. Copyright 2014, SLACK Incorporated.

  13. Clinical observation of electromagnet in vitrectomy for irregular intraocular magnetic foreign body removal

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    Yan-Hui Han

    2016-03-01

    Full Text Available AIM:To analyze the therapeutics effect of electromagnet in vitrectomy for irregular intraocular magnetic foreign body removal.METHODS:Clinical data of 60 cases(60 eyesfrom January 2012 to December 2013 with intraocular magnetic foreign bodies were retrospective analyzed. Thirty eyes underwent vitrectomy only, and electromagnet was applied in the other 30 eyes underwent vitrectomy. The success rate and complications in and after operations were compared between the two groups.RESULTS:Twenty-eight(93%patients had their foreign bodies removed successfully at the first time in electromagnet group and twenty(67%patients in vitrectomy group,there was statistic significant difference(χ2=5.333,P=0.021. Fewer complications happened in and after operations when electromagnet was used.CONCLUSION:The application of electromagnet shows advantage in vitrectomy for irregular intraocular magnetic foreign body removal and it deserves promotion.

  14. Inanimate foreign bodies in the nasal cavity: a challenge in pediatric rhinology

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    Sudhir M Naik

    2015-07-01

    Full Text Available Background: Nasal cavities foreign bodies are common emergencies in pediatric rhinology, sometimes leading to life threatening complications of broncho-aspiration.1,2 Diagnosis is often made by anterior rhinoscopy, but sometimes nasal endoscopy and imaging may be needed for deep seated foreign bodies. 1,2 Objectives; To evaluate 79 cases of inanimate nasal foreign bodies removed in our ENT OPD & type of foreign body and complications. Materials and method: 79 cases of nasal foreign bodies removed in the ENT OPD between February 2008 and June 2010 were evaluated. Result: We found higher incidence between 0 and 2 years of age, and the most frequently found foreign bodies were small plastic objects in 21 cases (26.25%,food grain in 18 cases (22.78%, stone pieces in 9 cases(11.39%, sponge pieces in 7 cases(8.86%, dress buttons in 6 cases(7.59%, seeds in 7 cases (8.86% , button battery cells in 5 cases(6.32%,parts of toys in 4 cases (5.06% & chalk pieces in 2 cases (2.53 %. Conclusion: Nasal foreign bodies are especially found between the ages of 0 and 2 years. In our study, small plastic objects, food grain, stone pieces were the most frequent foreign bodies found.2,3 75 cases were removed successfully in OPD & 4 cases needed general anesthesia for removal. Complications rate of 17.72% was seen in our study. Epistaxis and vestibulitis were the complications & no broncho-aspiration seen.

  15. A delayed frontorbital abscess caused by a penetrating nonmissile foreign body a bamboo stick

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    Liu Wen-ke

    2009-01-01

    Full Text Available We report an interesting case of delayed frontal abscess caused by a penetrating nonmissile foreign body, a bamboo stick in a 1.5-year-old male child. A parietal craniotomy was performed, and the brain abscess was resected along with the foreign body without any damage to the surrounding brain tissue. He also received the appropriate antibiotics. The child made a good recovery.

  16. Management of double-penetrating ocular injury with retained intraorbital metallic foreign body

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    Kuo-Hsuan Hung

    2011-11-01

    Full Text Available The prognosis of double penetrating ocular trauma is usually guarded. We report the good anatomical and functional outcome in a patient with double-penetrating ocular trauma associated with intraorbital foreign body. A 58-year-old man presented at the emergency room complaining of blurred vision of the left eye with stinging pain after he hammered an iron plate. Best-corrected visual acuity was hand movement/30 cm. Subconjunctival hemorrhage with one 1.4-mm laceration wound was noted over the nasal conjunctiva. Fundus examination showed vitreous hemorrhage with one whitish patch over the nasal retina. Orbital computed tomography scan revealed one metallic foreign body at the posterior nasal upper orbit. Double-penetrating globe injury with intraorbital foreign body was impressed, and immediate vitrectomy surgery with endolaser photocoagulation was carried out. One exit wound nasal to the disc was noted during operation. The intraorbital metallic foreign body was left alone. Vision recovered to 6/8.6 without ocular complication after a 20-month follow-up. Prompt, careful preoperative evaluation and meticulous vitrectomy intervention are essential in the successful management of such patients. Posteriorly located intraorbital metallic foreign body should be managed conservatively. Long-term regular electroretinography evaluation is needed for possible retinal toxicity from intraorbital foreign body.

  17. Flexible endoscopic procedure in children with foreign bodies in their upper gastrointestinal system

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    Kaan Demirören

    2014-03-01

    Full Text Available Objective: Foreign body ingestion is an important public health problem. We pointed to this subject and aimed to determine the effectiveness of flexible endoscopic procedure in this study. Methods: We evaluated retrospectively fifty children having foreign body in their upper gastrointestinal system, who underwent flexible endoscopic procedure. Results: Of the patients, mean age was 5.5 ± 4 years old (range: 0.5-16 years, 64% was female. Ingested foreign bodies were coin (58%, pin (10%, battery (6%, nail (6%, necklace (6%, safety pin (4% and sewing pin, wire hairclip, ring, button and chicken skin. In endoscopic procedure, foreign bodies were seen in upper esophagus (32%, middle esophagus (26%, lower esophagus (8%, stomach (18%, bulbus (4% and second part of duodenum (8%, but were not seen in 4% of the cases. While 94% of foreign bodies were endoscopically removed, 6% of them were pushed to stomach with gastroscope from esophagus and left for spontaneous passage. Any important complication was developed. Conclusion: Flexible endoscopic procedure is an effective and safe method for removal of gastrointestinal system foreign bodies in children.

  18. Neglected foreign body in contralateral limb in a traumatic transfemoral amputee-radiographs can be misleading

    Institute of Scientific and Technical Information of China (English)

    Atin Jaiswal; Masood Habib; Yashwant Singh Tanwar

    2013-01-01

    Missed or neglected foreign bodies are not infrequent in surgical practice.This case report highlights the fact that thorough clinical examination and detailed evaluation of trauma patients are very necessary so that any associated injuries or foreign bodies will not be missed and any unforeseen clinical or medico-legal complications can be prevented.We present a case of a 35-year-old male patient who had traumatic transfemoral amputation of the right lower limb with a clean laceration (size 2 cmx 1 cm) over the medial aspect of the left thigh.Radiographs suggested a single radioopaque foreign body which proved misleading,as during surgical removal multiple radiolucent and radiopaque foreign bodies were discovered.Postoperative ultrasound was performed and showed no retained foreign bodies.A secondary closure of the right thigh amputation was done and patient was discharged.At the last follow-up,9 months after injury,the patient had no complaints,and both the amputation stump and the wound over the left thigh were healthy.Thus in the cases of retained foreign bodies,in addition to thorough clinical examination and radiography,ultrasonograpy should be supplemented.And if required,use of CT scan as well as MRI should be also considered.

  19. Neglected foreign body in contralateral limb in a traumatic transfemoral amputee---radiographs can be misleading.

    Science.gov (United States)

    Jaiswal, Atin; Habib, Masood; Tanwar, Yashwant-Singh

    2013-01-01

    Missed or neglected foreign bodies are not infrequent in surgical practice. This case report highlights the fact that thorough clinical examination and detailed evaluation of trauma patients are very necessary so that any associated injuries or foreign bodies will not be missed and any unforeseen clinical or medico-legal complications can be prevented. We present a case of a 35-year- old male patient who had traumatic transfemoral amputation of the right lower limb with a clean laceration (size 2 cm multiply 1 cm) over the medial aspect of the left thigh. Radiographs suggested a single radioopaque foreign body which proved misleading, as during surgical removal multiple radiolucent and radiopaque foreign bodies were discovered. Postoperative ultrasound was performed and showed no retained foreign bodies. A secondary closure of the right thigh amputation was done and patient was discharged. At the last follow-up, 9 months after injury, the patient had no complaints, and both the amputation stump and the wound over the left thigh were healthy. Thus in the cases of retained foreign bodies, in addition to thorough clinical examination and radiography, ultrasonograpy should be supplemented. And if required, use of CT scan as well as MRI should be also considered.

  20. Endoscopic Management of Foreign Bodies in the Gastrointestinal Tract: A Review of the Literature

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    Mikhael Bekkerman

    2016-01-01

    Full Text Available Foreign body ingestion is a common diagnosis that presents in emergency departments throughout the world. Distinct foreign bodies predispose to particular locations of impaction in the gastrointestinal tract, commonly meat boluses in the esophagus above a preexisting esophageal stricture or ring in adults and coins in children. Several other groups are at high risk of foreign body impaction, mentally handicapped individuals or those with psychiatric illness, abusers of drugs or alcohol, and the geriatric population. Patients with foreign body ingestion typically present with odynophagia, dysphagia, sensation of having an object stuck, chest pain, and nausea/vomiting. The majority of foreign bodies pass through the digestive system spontaneously without causing any harm, symptoms, or necessitating any further intervention. A well-documented clinical history and thorough physical exam is critical in making the diagnosis, if additional modalities are needed, a CT scan and diagnostic endoscopy are generally the preferred modalities. Various tools can be used to remove foreign bodies, and endoscopic treatment is safe and effective if performed by a skilled endoscopist.

  1. Endophthalmitis due to an intra-ocular linear foreign body in a cat

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    Esmeralda Delgado

    2015-05-01

    Full Text Available Case summary An unusual case of an intraocular linear foreign body that migrated from the oral cavity, causing a severe endophthalmitis, in a cat is described. A 2-year-old female domestic shorthair cat presented with signs of infection from the left eye that had begun 2 weeks previously. Despite having been prescribed oral and topical antibiotics, there was a progressive worsening of the clinical signs. On ophthalmic examination the cat presented with severe endophthalmitis, secondary glaucoma and exposure keratitis of the left eye. Radiography demonstrated the presence of an intraocular linear metallic foreign body compatible with a sewing needle. During enucleation, when the globe was extracted, the sewing needle stayed in the orbit. When the needle was pulled away, a piece of thread was also retrieved, which demonstrated that the linear foreign body had migrated retrogradely from the oral cavity to the orbit through the pterygopalatine fossa. Surgical recovery was uneventful. Relevance and novel information Intraocular foreign bodies may present in a variety of ways, which may hinder their clinical detection. The management and prognosis depend on the composition and location of the foreign body, as well as the possible presence of secondary infection. To the author’s knowledge, this is the first time that a case of severe endophthalmitis following retrograde intraocular migration of a linear foreign body from the oral cavity to the orbit through the pterygopalatine fossa in a cat has been reported.

  2. Button battery intake as foreign body in Chinese children: review of case reports and the literature.

    Science.gov (United States)

    Liao, Wenjing; Wen, Guangyi; Zhang, Xiaowen

    2015-06-01

    Button batteries have been recognized as one of the dangerous foreign bodies to children for more than 30 years, but few related studies have been published to give more concern in China. We reported 6 cases of button battery intake as foreign body in children. The Chinese literature on button battery as foreign body in children was reviewed. The interval between the accidental ingestion and battery removal ranged from 6 hours to 3 days. Two patients had no sequela, 3 patients had tracheoesophageal fistulas, and 1 patient had nasal septal perforation. Twenty-eight articles about button battery as foreign body in children were obtained by Chinese-language literature searches including 25 case reports, 2 health education articles, and 1 imaging article. In total, 172 cases of button battery intake as foreign body in children were identified, 23 and 10 of the 159 cases involving nasal button battery lodgment developed nasal septal perforation and nasal adhesion, respectively. Tracheoesophageal fistula was identified in 4 of the 12 ingestion cases. One case of button battery intake was in external auditory canal. A small number of children with button battery as foreign body were reported in China, which is 1 of the biggest countries with large population of children.

  3. A Rare Cause of Dyspnea in Elderly Patients: Foreign Body Aspiration

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    Sevdegül Karadas

    2012-10-01

    Full Text Available Foreign body aspiration is frequently seen at childhood age group whereas various facilitator factors can be observed in adults particularly in the elderly group. In this study a 78 year-old male case who swallowed his dental prothesis and had a foreign substance detected in his chest X-ray was presented. In the cases that have nonspesific complaints such as incipient chest pain and difficulty in breathing and have no known underlying lung disease, foreign body aspiration must be suspected.

  4. Effect of surgery on delayed inhaled foreign body: a case report

    Institute of Scientific and Technical Information of China (English)

    XUE Lei; PAN Tie-wen; ZHAO Xue-wei; WU Bin; XU Zhi-fei; ZHONG Lei

    2011-01-01

    The occurrence of foreign body is uncommon in youths and adults. We report here a case of 16-year-old boy who inhaled a foreign body which was overlooked for 6 months. The patient suffered productive cough and received antibiotic treatment for 10 days. But the symptoms did not improve. Chest radiography and CT scan revealed a 1-cm-long needle-like foreign object in the right inferior lobar bronchus. Wedge resection of lung was finally performed because of severe hemorrhage caused by prior bronchoscopy.

  5. Posterior Segment Intraocular Foreign Body: Extraction Surgical Techniques, Timing, and Indications for Vitrectomy

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    Dante A. Guevara-Villarreal

    2016-01-01

    Full Text Available Ocular penetrating injury with Intraocular Foreign Body (IOFB is a common form of ocular injury. Several techniques to remove IOFB have been reported by different authors. The aim of this publication is to review different timing and surgical techniques related to the extraction of IOFB. Material and Methods. A PubMed search on “Extraction of Intraocular Foreign Body,” “Timing for Surgery Intraocular Foreign Body,” and “Surgical Technique Intraocular Foreign Body” was made. Results. Potential advantages of immediate and delayed IOFB removal have been reported with different results. Several techniques to remove IOFB have been reported by different authors with good results. Conclusion. The most important factor at the time to perform IOFB extraction is the experience of the surgeon.

  6. Body Wave Crustal Attenuation Characteristics in the Garhwal Himalaya, India

    Science.gov (United States)

    Negi, Sanjay S.; Paul, Ajay; Joshi, Anand; Kamal

    2015-06-01

    We estimate frequency-dependent attenuation of P and S waves in Garhwal Himalaya using the extended coda normalization method for the central frequencies 1.5, 2, 3, 4, 6, 8, 10, 12, and 16 Hz, with earthquake hypocentral distance ranging from 27 to 200 km. Forty well-located local earthquake waveforms were used to study the seismic attenuation characteristics of the Garhwal Himalaya, India, as recorded by eight stations operated by Wadia Institute of Himalayan Geology, Dehradun, India, from 2007 to 2012. We find frequency-dependent P and S wave quality factors as defined by the relations Q P = 56 ± 8 f 0.91±0.002 and Q S = 151 ± 8 f 0.84±0.002 by fitting a power-law frequency dependence model for the estimated values over the whole region. Both the Q P and Q S values indicate strong attenuation in the crust of Garhwal Himalaya. The ratio of Q S/ Q P > 1 obtained for the entire analyzed frequency range suggests that the scattering loss is due to a random and high degree of heterogeneities in the earth medium, playing an important role in seismic wave attenuation in the Himalayan crust.

  7. A postmortem study on indigestible foreign bodies in the rumen and reticulum of ruminants, eastern Ethiopia

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    Seifu Negash

    2015-02-01

    Full Text Available A cross-sectional study was conducted on ruminants (cattle, sheep and goats slaughtered at Haramaya University and Haramaya municipal abattoirs from November 2013 to April 2014 in Haramaya, eastern Ethiopia. The objective of the study was to identify types and estimate the prevalence of foreign bodies in the rumen and reticulum of domestic ruminants in the area. From 810 randomly selected study animals, 422 (52.1% were found to have foreign bodies. Of the 332 cattle, 193 sheep and 285 goats examined, 144 (43.4%, 109 (56.5% and 169 (59.3% respectively were found with various types of foreign bodies. The prevalence of foreign bodies was significantly (χ2 = 17.53, p < 0.05 higher in sheep (59.3% and goats (56.7% than in cattle (43.4%. Overall the prevalence of foreign bodies in study animals with poor body condition was significantly higher (χ2 = 38.57, p < 0.05 than in those with medium and good body condition. A higher percentage of foreign bodies occurred in the rumen alone (87.9% than in the reticulum alone (5.0%, with the rest present in both. Significantly higher proportions of foreign bodies were observed in the rumen of cattle (χ2 = 332, p < 0.05, sheep (χ2 = 193, p < 0.05 and goats (χ2 = 285.0, p = 0.000 than in the reticulum. Plastic was the most commonly encountered (79.2% foreign body, followed by cloth (15.3% and rope (12.3%. In addition, metal (0.9% and calcified material and/or stone (1.0% were found in the reticulum of cattle. Lack of a plastic waste disposal system in the area as well as communal/free grazing of livestock in highly waste-polluted areas seemed to be major factors in the high occurrence of foreign bodies in ruminants. To change this, collaborative intervention schemes involving professionals, policy makers, livestock keepers and environmental activists are needed.

  8. Late sequelae of retained foreign bodies after world war II missile injuries.

    Science.gov (United States)

    Surov, Alexey; Thermann, Florian; Behrmann, Curd; Spielmann, Rolf-Peter; Kornhuber, Malte

    2012-09-01

    A number of people injured during the second world war harbour foreign bodies such as grenade splinters or bullets in some part of the body. Most of these metal fragments remain clinically silent. Some of them, however, may cause delayed complications. The purpose of this study was to determine the characteristics of delayed complications associated with foreign bodies after world war II injuries. 159 patients with retained foreign bodies after world war II injuries were retrospectively identified radiologically in our data bases in the time interval from 1997 to 2009. Diverse delayed complications secondary to the metal objects were diagnosed in 3 cases (2%): one patient with grenade splinter migration into the choledochal duct, one case with pseudotumoural tissue reaction, and one patient with late osteomyelitis. The time from injury to clinical presentation varied from 56 to 61 years. PubMed and Medline were screened for additional cases with delayed sequelae after foreign body acquisition during the 2nd world war. A 30 year search period from 1980 up to date was selected. 15 cases were identified here. Our study demonstrates that health consequences of the 2nd world war extend into the present time, and therefore physicians should be aware of the presence of hidden foreign bodies and their different possible late reactions.

  9. Unusual intraocular foreign bodies after an explosion: patient's hand bone fragments.

    Science.gov (United States)

    Sonmez, Murat; Duzgun, E; Yildirim, Y; Ayata, A; Unal, M H

    2016-04-01

    A 26-year-old Turkish Army soldier underwent full ophthalmoscopic examination after a penetrating ocular injury in the left eye due to the accidental explosion of a detonating fuse during handling. Visual acuity of the left eye was hand motion level. Funduscopy revealed foreign bodies suspended in the vitreous gel and accompanying vitreous haemorrhage. B-scan ultrasonography, CT of the orbits and microscopic examination of the intraocular foreign bodies (IOFBs) were performed prior to removal of bone fragments and pars plana vitrectomy. The IOFBs were fragments of the patients' bone tissue. Bone fragments from victim's body may cause IOFBs after an explosion in military personnel.

  10. Macrophage phenotypes in the collagen-induced foreign body reaction in rats

    NARCIS (Netherlands)

    van Putten, Sander M.; Ploeger, Diana T. A.; Popa, Eliane R.; Bank, Ruud A.

    2013-01-01

    Implantation of biomaterials into the body elicits a material-dependent inflammatory response called the foreign body reaction (FBR). Macrophages play a pivotal role in the FBR by orchestrating the pro-inflammatory microenvironment around the biomaterials by secreting cytokines, chemokines and growt

  11. Preliminary experience in the management of tracheobronchial foreign bodies in Lagos, Nigeria.

    Science.gov (United States)

    Falase, Bode; Sanusi, Michael; Majekodunmi, Adetinuwe; Ajose, Ifeoluwa; Oke, David

    2013-01-01

    Aspiration of tracheobronchial foreign bodies commonly affects young children, is potentially life threatening and requires early intervention for extraction. Access to facilities and skill manpower for bronchoscopic extraction is however limited in Nigeria. The aim of this study is to describe the experience in our institution with bronchoscopic removal of tracheobronchial foreign bodies and highlight the challenges encountered. This is a retrospective study of all patients referred to the Lagos State University Teaching Hospital with a diagnosis of tracheobronchial foreign body within the period of February 2008 and February 2013. Data extracted from the medical records were age, sex, time interval between aspiration and presentation, location of tracheobronchial foreign body, bronchoscopic technique, complications and outcome. A total of 24 patients were referred and confirmed at bronchoscopy to have tracheobronchial foreign bodies. Mean age was 6.6 + 5 years. Male to female ratio was 1:1. Delayed presentation was common with 22 patients (91.7%) presenting more than 24 hours after aspiration. Aspirated material was inorganic in 17 patients (70.8%) and organic in 7 patients (29.2%). Location of tracheobronchial foreign bodies was right main bronchus in 16 patients (66.7%), left main bronchus in 6 patients (25%) and the trachea in 2 patients (8.3%). Challenges to speedy and safe removal of the foreign bodies were delayed presentation and a limited range of bronchoscopic equipment early in the series which caused prolonged procedures and increased complications. Two mortalities occurred early in the series; one from airway obstruction and the other from respiratory failure caused by tracheobronchial oedema. Extraction of tracheobronchial foreign bodies was faster, more complete and safer later in the series due to a wider range of bronchoscopy equipment which included both flexible and rigid videobronchoscopy with the use of optical forceps. This preliminary

  12. Chronic Maxillary Sinusitis Associated with an Unusual Foreign Body: A Case Report

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    Yunus Feyyat Şahin

    2012-01-01

    Full Text Available Foreign bodies in maxillary sinuses are unusual clinical conditions, and they can cause chronic sinusitis by mucosal irritation. Most cases of foreign bodies in maxillary sinus are related to iatrogenic dental manipulation and only a few cases with non-dental origin are reported. Oroantral fistulas secondary to dental procedures are the most common way of insertion. Treatment is surgical removal of the foreign body either endoscopically or with a combined approach, with Caldwell-Luc procedure if endoscopic approach is inadequate for visualisation. In this case, we present a 24-year-old male patient with unilateral chronic maxillary sinusitis due to a wooden toothpick in left maxillary sinus. The patient had a history of upper second premolar tooth extraction. CT scan revealed sinus opacification with presence of a foreign body in left maxillary sinus extending from the floor of the sinus to the orbital base. The foreign body, a wooden toothpick, was removed with Caldwell-Luc procedure since it was impossible to remove the toothpick endoscopically. There was no obvious oroantral fistula in the time of surgery, but the position of the toothpick made us to think that it was inserted through a previously healed fistula, willingly or accidentally.

  13. Foreign body reaction after PLC reconstruction caused by a broken PLLA screw.

    Science.gov (United States)

    Kim, Tae-Kwon; Jeong, Tae-Wan; Lee, Dae-Hee

    2014-12-01

    Foreign body reactions may occur in patients who receive bioabsorbable implants during orthopedic surgery for fractures and ligament repair. The authors describe a 34-year-old man who presented with a palpable tender mass on the lateral aspect of the left knee of 1 month's duration. He underwent posterior cruciate ligament and posterolateral corner reconstruction 3 years earlier. Physical examination showed a 1×1-cm soft, nontender mass without localized warmth on the lateral epicondyle of the distal femur. Magnetic resonance imaging showed a broken screw fragment surrounded by a cyst-like mass. Under general anesthesia, the surgeon excised the screw fragment and the fibrotic mass, enclosing it in the subcutaneous tissue at the lateral epicondyle, the site at which a poly-L-lactic acid bioabsorbable screw had been inserted to fix the graft for posterolateral corner reconstruction. Histologic evaluation showed a foreign body reaction to the degraded screw particles. To the authors' knowledge, this report is the first description of a patient presenting with a delayed foreign body reaction to a broken poly-L-lactic acid bioabsorbable screw at the lateral femoral epicondyle after posterolateral corner reconstruction. Because delayed foreign body reactions can occur at any site of poly-L-lactic acid bioabsorbable screw insertion, care should be taken to avoid screw protrusion during ligament reconstruction because it can lead to screw breakage and delayed foreign body reaction.

  14. Surgical Removal of Neglected Soft Tissue Foreign Bodies by Needle-Guided Technique

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    Ali Ebrahimi

    2012-12-01

    Full Text Available Introduction: The phenomenon of neglected foreign bodies is a significant cause of morbidity in soft tissue injuries and may present to dermatologists as delayed wound healing, localized cellulitis and inflammation, abscess formation, or foreign body sensation. Localization and removal of neglected soft tissue foreign bodies (STFBs is complex due to possible inflammation, indurations, granulated tissue, and fibrotic scar. This paper describes a simple method for the quick localization and (surgical removal of neglected STFBs using two 23-gauge needles without ultrasonographic or fluoroscopic guidance.  Materials and Methods: A technique based on the use of two 23-gauge needles was used in 41 neglected STFBs in order to achieve proper localization and fixation of foreign bodies during surgery.  Results:    Surgical removal was successful in 38 of 41 neglected STFBs (ranging from 2–13mm in diameter.  Conclusion: The cross-needle-guided technique is an office-based procedure that allows the successful surgical removal of STFBs using minimal soft tissue exploration and dissection via proper localization, fixation, and propulsion of the foreign body toward the surface of the skin.

  15. Investigations of foreign bodies in the fore-stomach of cattle at Ngoma Slaughterhouse, Rwanda

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    Borden Mushonga

    2015-03-01

    Full Text Available Ingestion of indigestible foreign bodies in cattle is a pathological condition of both economic and health importance. It is has mostly been reported in association with feed scarcity. The aim of this study was to investigate the occurrence and nature of indigestible foreign materials in abattoir fore-stomach specimens in Ngoma district, Rwanda. Each chamber was opened by incision, then given a thorough macroscopic examination by visual inspection and palpation for the presence of foreign materials. The results show that there is an overall occurrence of 17.4% foreign bodies in cattle. The highest occurrence (25.3% was recorded in June (the driest month. Results further show that the majority of the foreign bodies were plastics (65.0%. More foreign bodies (29.5% were found in older animals (5 years and above than in younger and middle-aged animals (16.5 % and 6.0%, respectively. There was a higher prevalence of foreign bodies in female cattle (20.0% than in males (15.7%. The presence of cassette tape, as observed in the study, has not been reported elsewhere. The high representation of plastics in animals (65.5% in the light of a government plastic bag ban in supermarkets presents a major challenge to livestock production in Rwanda. What is disturbing is that it is not known if this problem is increasing or decreasing as there are no previous studies for comparison. However, the results will serve as a reference point for future studies to understand the true trend and true burden of plastic bags in livestock.

  16. An Unusual Zoonosis: Liver Abscess Secondary to Asymptomatic Colonic Foreign Body

    Science.gov (United States)

    Gundara, Justin S.; Harrison, Richard

    2010-01-01

    A liver abscess may arise following any insult to gut integrity allowing portal drainage of bacteria to hepatocytes. Foreign bodies such as bones, toothpicks and items of stationery have previously been implicated in compromising gut epithelium. Here we present the case of a 57 year old man suffering from a left liver abscess. This was defined on CT which incidentally also identified a chicken bone protruding through the wall of the distal sigmoid colon. Whilst unwell with upper abdominal pain and sepsis, the presumed source of portal sepsis within the colon remained asymptomatic throughout. Following percutaneous drainage, the liver abscess resolved but the chicken bone had not passed at two months, necessitating atraumatic removal at colonoscopy. A high rate of incidental diagnoses suggests that unidentified foreign bodies may be vastly under recognised in cases of hepatic sepsis. Thus, identification of the precise mechanism of the liver insult demands thorough consideration; foreign body should be considered in all cases. PMID:21113288

  17. An Unusual Zoonosis: Liver Abscess Secondary to Asymptomatic Colonic Foreign Body

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    Justin S. Gundara

    2010-01-01

    Full Text Available A liver abscess may arise following any insult to gut integrity allowing portal drainage of bacteria to hepatocytes. Foreign bodies such as bones, toothpicks and items of stationery have previously been implicated in compromising gut epithelium. Here we present the case of a 57 year old man suffering from a left liver abscess. This was defined on CT which incidentally also identified a chicken bone protruding through the wall of the distal sigmoid colon. Whilst unwell with upper abdominal pain and sepsis, the presumed source of portal sepsis within the colon remained asymptomatic throughout. Following percutaneous drainage, the liver abscess resolved but the chicken bone had not passed at two months, necessitating atraumatic removal at colonoscopy. A high rate of incidental diagnoses suggests that unidentified foreign bodies may be vastly under recognised in cases of hepatic sepsis. Thus, identification of the precise mechanism of the liver insult demands thorough consideration; foreign body should be considered in all cases.

  18. Transnasal, Transethmoidal Endoscopic Removal of a Foreign Body in the Medial Extraconal Orbital Space

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    Diego Escobar Montatixe

    2016-01-01

    Full Text Available Intraorbital foreign bodies are located within the orbit but outside the ocular globe. Though not uncommon, removal of these objects poses a challenge for surgeons. External approaches have been the most frequently used but are associated with increased complications and morbidity. An endoscopic endonasal approach can be an appropriate and less complicated technique in these cases. We report a case of a chronic intraorbital foreign body located within the medial extraconal space lateral to the lamina papyracea and behind the lacrimonasal duct, which was successfully removed using a transnasal, transethmoidal endoscopic technique. Neither postoperative complications nor ocular impairment was reported. The patient improved and remains asymptomatic. The transnasal transethmoidal endoscopic approach can be used as a safer and less invasive alternative when removing foreign bodies from the medial orbital compartment.

  19. Removal of foreign bodies from children's ears: a nurse-led clinic.

    Science.gov (United States)

    Williams, Jo; Mirza, Adal; To, Kim; Tzifa, Konstance; McClelland, Lisha; Daniel, Mat

    This article presents an account of the rationale for and the introduction of a change in practice. The successful removal of foreign bodies from children's ears requires appropriate skills and experience. While traditionally a role for junior doctors, removal of foreign bodies from children's ears at the ear, nose and throat outpatient clinic at Birmingham Children's Hospital was associated with a low success rate. Therefore, it was proposed that an experienced advanced nurse practitioner would carry out this task in an attempt to improve patient outcomes. A database of outcomes was maintained and compared with those from a doctor-led clinic at Nottingham University Hospitals NHS Trust. The results highlight the benefits of nurse-led removal of foreign bodies from children's ears.

  20. Water used to visualize and remove hidden foreign bodies from the external ear canal.

    Science.gov (United States)

    Peltola, T J; Saarento, R

    1992-02-01

    Small foreign bodies lodged anteriorly in the tympanic sulcus are usually not visible, due to the curve of the external ear canal. Such objects can be seen with the aid of an otomicroscope and micromirror or with an endoscope, and removed by irrigation. If irrigation fails, epithelial migration on the tympanic membrane may remove lodged foreign bodies, although this may take months. Our new method, which uses water to locate small objects lodged in the tympanic sulcus, includes irrigation of the ear, adjustment of the water level to the middle curve of the external ear canal, and use of the water surface as a concave lens, making the tympanic sulcus visible. With otomicroscopy a curved ear probe can then be used to remove lodged foreign bodies from behind the curve.

  1. An unusual foreign body tooth brush in esophagus: a case report

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    Shashidhar K

    2013-08-01

    Full Text Available We report a rare case of accidental toothbrush swallowing by a normal adult which was successfully removed by rigid esophagoscope. A 25 year young man presented to casualty of KIMS, Hubli, with ingestion of toothbrush accidentally half an hour before. Patient’s general physical examination and systemic examination was normal. Oral cavity, oropharynx and indirect laryngoscopic findings were normal. An emergency upper GI Endoscopy was done and foreign body was confirmed to be present at 35 cm from upper incisor teeth. Foreign body was removed by rigid esophagoscope under GA. Otolaryngologist is the most common medical faculty consulted for management of aero digestive foreign bodies. Toothbrush swallowing in normal adults is a rare accident. Most of them are found in esophagus and spontaneous passage is unknown and hence the need for early removal. [Int J Res Med Sci 2013; 1(4.000: 574-575

  2. Vagal reflex stimulation complicating retrieval of an unusual foreign body from the laryngotracheal lumen: Case report

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    H.K. Omokanye

    2016-04-01

    Full Text Available Foreign body impaction in the aero digestive tract is a life-threatening emergency, particularly in the paediatric age group. Removal under general anaesthesia poses both surgical and anaesthetic challenges and this may rarely result in mortality. We report a case of a 4 year old boy with an unusual foreign body (FB impacted in the laryngotracheal causing difficult intubation and precluding tracheostomy with attendant vasovagal reflex stimulation and cardiac arrest. Clinical presentation and radiological evaluation of the patient were highlighted with a review of pertinent literature. We conclude that dis-impacting a foreign body in the trachea could potentiate bradycardia and cardiac arrest; co-existing hypercarbia and/or sepsis increase the risk and worsen the prognosis.

  3. Fetal bone as a foreign body in the urinary bladder: a case report

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    Malik Muhammad Akram

    2009-08-01

    Full Text Available Abstract Introduction A wide range of objects have been inserted into the urinary bladder posing a challenge to urologists for diagnosis and management. Most cases are associated with psychiatric disorders, senility, intoxication or autoerotic stimulation. The frequency of such cases renders them important medical conditions of the genitourinary system. Case presentation Our case is an unusual one since fetal bone as a foreign body in the urinary bladder has not been reported in the literature. During dilatation and curettage, fetal bone migrated into the bladder wall of a 37-year-old woman and was endoscopically removed 7 years later. Conclusion A foreign body in the urinary bladder is rare and in most cases are self-inserted. Iatrogenic insertion is relatively rare especially during gynecological intervention. The presence of a foreign body in the bladder should be kept in mind when dealing with unusual cases of lower urinary tract symptoms.

  4. Deliberate ingestion of foreign bodies by institutionalised psychiatric hospital patients and prison inmates.

    LENUS (Irish Health Repository)

    O'Sullivan, S T

    2012-02-03

    Deliberate and recurrent foreign body ingestion is a common problem among institutionalised patients. We review our experience with 36 cases of deliberate foreign body ingestion by prisoners or psychiatric patients, thirty of whom were institutionalised at the time of ingestion. Symptoms were frequently severe in the prison inmate group but, in contrast, psychiatric patients presented with few, if any, symptoms. A majority of objects pass spontaneously or remain in situ without complication. Twenty-four patients were discharged following initial evaluation and without specific treatment. Eight of these were reviewed electively and discharged within one week. Twelve patients were admitted for observation, seven of whom were discharged within 48 hrs. Upper gastrointestinal endoscopy was performed in four patients and an intragastric foreign body identified in two cases. Laparotomy was performed in two cases for unresolving mechanical intestinal obstruction. Management should be conservative when possible, with surgery indicated only for complications.

  5. A RARE FOREIGN BODY IN THE EAR: REMOVED BY CANALOPLASTY: A CASE REPORT

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    Shankar

    2015-08-01

    Full Text Available Getting an object impact in the ear canal is a relatively common problem in children, the majority of items are lodged in the external auditory canal which is the small channel that ends at the ear drum. The children often place these items in their ears out of curiosity. Common objects found in ear include beads, toys, food material, insects and seeds etc. usually foreign body ear are removed by syringing or with Hartmann’s forceps, we are here presenting a case of foreign body in the middle ear removed by canaloplasty through post - aural approach.

  6. Aberrant right subclavian artery- suggested mechanism for esophageal foreign body impaction: Case report

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    Best Lael A

    2011-04-01

    Full Text Available Abstract Aberrant right subclavian artery (ARSA is asymptomatic in most cases. This variant anatomy can cause dysphagia in elderly patients. Impaction of foreign body in the esophagus is rarely the presenting symptom of ARSA. We present an eighty four years old patient who first presented with esophageal foreign body impaction and was diagnosed with an aberrant right subclavian artery compressing the esophagus just below the site of impaction. We assume that the exact place of impaction was not incidental and that a relative narrowing of the esophagus caused by the vascular anomaly is responsible for this specific presentation.

  7. Impacted Sharp Oesophageal Foreign Bodies--A Novel Technique of Removal with the Paediatric Bronchoscope.

    Science.gov (United States)

    Mitra, Aparajita; Bajpai, Minu

    2016-04-01

    Sharp foreign bodies in the oesophagus may present as an entirely asymptomatic child with only radiological evidence but require emergent surgical management. Safety pins, razor blades and needles are a few of the commonly ingested sharp objects in developing countries. The open safety pin is a particularly interesting clinical problem, as the management depends on its location and orientation. Many methods and instruments have been used over the years to remove them from the upper digestive tract. We present a novel method using the rigid paediatric bronchoscope and alligator forceps for the extraction of this unusual foreign body from the oesophagus of a 6 year old girl.

  8. The clinical features of foreign body aspiration into the lower airway in geriatric patients

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    Lin LJ

    2014-09-01

    Full Text Available Lianjun Lin,1 Liping Lv,2,* Yuchuan Wang,1 Xiankui Zha,2 Fei Tang,2 Xinmin Liu1,* 1Geriatric Department, Peking University First Hospital, Beijing, People’s Republic of China; 2Pulmonary Intervention Department, Anhui Chest Hospital, Hefei, People’s Republic of China *These authors contributed equally to this work Purpose: To analyze the clinical features of foreign-body aspiration into the lower airway in geriatric patients. Patients and methods: The clinical data of 17 geriatric patients with foreign-body aspiration were retrospectively analyzed and compared with 26 nongeriatric adult patients. The data were collected from Peking University First Hospital and Anhui Chest Hospital between January 2000 and June 2014.Results: (1 In the geriatric group, the most common symptoms were cough and sputum (15 cases, 88%, dyspnea (six cases, 35%, and hemoptysis (four cases, 24%. Five patients (29% in the geriatric group could supply the history of aspiration on their first visit to doctor, a smaller percentage than in the nongeriatric group (13 cases, 50%. Only three cases in the geriatric group were diagnosed definitely without delay. Another 14 cases were misdiagnosed as pneumonia or lung cancer, and the time of delayed diagnosis ranged from 1 month to 3 years. Complications due to delay in diagnosis included obstructive pneumonitis, atelectasis, lung abscess, and pleural effusion. (2 Chest computed tomography demonstrated the foreign body in three cases (21% in the geriatric group, which was lower than the positive proportion of detection in the nongeriatric group (nine cases, 35%. The most common type of foreign body in the geriatric group was food, such as bone fragments (seven cases, 41% and plants (seven cases, 41%, and the foreign body was most often lodged in the right bronchus tree (eleven cases, 65%, especially the right lower bronchus (seven cases, 41%. Flexible bronchoscopy removed the foreign body successfully in all patients

  9. A rare clinical case of an unfortunately current pathology - foreign bodies.

    Science.gov (United States)

    Narang, Sunny; Maini, Baljeet; Gupta, Vipul; Gupta, Gaurav; Singal, Rikki; Gupta, Samita

    2012-09-01

    Medication errors can cause various complications and some of these are fatal also. A very unusual complication, an esophageal foreign body, is described herein. It was a single tablet with intact wrapper, cut out from a blister pack which was unknowingly ingested by a child in toto. She was not instructed properly regarding administration of the drug. The peculiarity of this case concerns the type, location of the foreign body and need of clear instructions to be given to the patient for taking a medication.

  10. Self harm through foreign bodies ingestion - rare cause of digestive perforation.

    Science.gov (United States)

    Petrea, S; Brezean, I

    2014-06-15

    Self-harm is a rare pathology, often seen in psychiatric patients but more frequently in the penitentiary environment. Of the many possible forms of self-harm, foreign bodies (FB) ingestion is by far the most usual in the Romanian prison environment. The paper aims to present the diagnostic and therapeutic aspects arising as a consequence of the digestive tract perforations consequent upon foreign bodies ingestion; a number of 45 cases which occurred over a 7-year period (2003-2010) in "Rahova" Penitentiary Hospital, were analyzed. We also examined the surgical particularities of case resolution.

  11. Early recognition is important when multiple magnets masquerade as a single chain after foreign body ingestion

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    Auriel August

    2016-10-01

    Full Text Available Ingestions of multiple magnets can lead to serious damage to the gastrointestinal tract. Moreover, these foreign bodies can take deceptive shapes such as single chains which may mislead clinicians. We report the case of a ten-year-old boy who swallowed 33 magnets, the most yet reported, which took on the appearance of a single loop in the stomach, while actually being located in the stomach, small bowel, and colon. Early recognition and prompt intervention are necessary to avoid complications of this foreign body misadventure.

  12. Intraorbital wooden foreign body detected by computed tomography and magnetic resonance imaging.

    Science.gov (United States)

    Di Gaeta, Alfredo; Giurazza, Francesco; Capobianco, Eugenio; Diano, Alvaro; Muto, Mario

    2017-02-01

    To identify and localize an intraorbital wooden foreign body is often a challenging radiological issue; delayed diagnosis can lead to serious adverse complications. Preliminary radiographic interpretations are often integrated with computed tomography and magnetic resonance, which play a crucial role in reaching the correct definitive diagnosis. We report on a 40 years old male complaining of pain in the right orbit referred to our hospital for evaluation of eyeball pain and double vision with an unclear clinical history. Computed tomography and magnetic resonance scans supposed the presence of an abscess caused by a foreign intraorbital body, confirmed by surgical findings.

  13. Management of rectal foreign bodies: Description of a new technique and clinical practice guidelines

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    A number of techniques have been described to remove rectal foreign bodies. In this report, a novel endoscopic technique using a pneumatic dilatation balloon normally used in achalasia patients is presented. In addition, a systematic review of the literature was performed for non-operative methods to remove foreign bodies from the rectum. These results are summarised, presented as a practical at-a- glance overview and a flow chart is offered to guide the clinician in treatment decisions. The design of the flow chart was based on the aims to treat the patient preferably on an outpatient basis with minimally invasive techniques and if possible under conscious sedation rather than general anaesthesia.

  14. Foreign body granuloma mimicking recurrent intracranial tumor: a very rare clinical entity.

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    Askin Esen Hasturk

    2013-11-01

    Full Text Available Gelatin sponge, oxidized cellulose and microfibrillar collagen are used to achieve hemostasis during neurosurgical procedures. Hemostatic agents may produce clinically symptomatic, radiologically apparent mass lesions. The differential diagnosis should include the foreign body along with recurrent tumor. We present a case of intracranial hemostatic agents found in a 56-year-old male patient seven years after undergoing a craniotomy for a left posterior parietal convexity meningioma. Preoperative magnetic resonance imaging (MRI suggested the presence of a recurrent tumor. We emphasize that although it is rare, a granuloma due to a foreign body reaction can result in a false image of tumor recurrence.

  15. [Morphological tissue changes after the implantation of elastic lamellar foreign bodies in the experiment].

    Science.gov (United States)

    Maĭborodin, I V; Shevela, A I; Matveeva, V A; Drovosekov, M N; Barannik, M I; Kuznetsova, I V

    2012-01-01

    The reaction of rat tissues was studied using the methods of light microscopy 4, 12, 18 days, 1, 2, 6 and 12 months after hypodermic implantation of polymeric films made of polyhydroxyalkanoates (PHA). It was found that polymer, like any foreign matter in an organism, become immediately covered by fibrin. By day 4, there the deformation and destruction of polymeric films were observed due to fibrin contraction. Further, the foreign body was covered by a connective tissue capsule. Under the action of myofibroblasts, the capsule around PHA contracted, thus further deforming and breaking the polymer. Small particles of polymer were covered by macrophages, after some time the cytoplasm of macrophages fused forming the giant cells of foreign body type. After the prolonged period, small fragments of polymeric films were almost completely degraded by macrophages. Large polymeric fragments that were not deformed or crushed, became encapsulated by fibrous tissue and remained unchanged for long time periods.

  16. Systemic Presentation of Retained Foreign Body in the Peritoneal Cavity (Gossypiboma

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    S Mehrabi

    2010-04-01

    Full Text Available Introduction & Objective: One of the infrequent complications of surgical operations is retained foreign body in body cavities which lead to morbidity and mortality for patients and also medico-legal problems for surgeons. Gossypiboma is an uncommon surgical complication, which is defined as a mass or cystic lesion due to retained surgical sponge in the abdominal cavity. Retained foreign body causes abscess, fistula, mass, obstruction after surgical operations and is diagnosed by x ray evaluation. In all patients, it is presented with pain, palpable mass. The infected post operation retained foreign bodies should be considered in differential diagnosis. In this study, we reported a patient with systemic presentation of retained two foreign bodies (surgical sponge in abdominal cavity. Case: The patient is a 32 years old female, which after cesarean section in 2008 developed abdominal pain, anorexia, and weight loss. The patient was referred to a specialist, and para-clinical checkup was done on her. In sonography and CT-scan, two cystic lesions with calcified wall were reported in the left and right sides of the abdomen. Then, the patient was referred to a surgeon with the diagnosis of hydatid cyst. During operation, cystic lesion with adhesion to viscera in the right side of the abdomen and a mass lesion in the descending colon in the left side were seen.The pathology report showed a surgical sponge in the right cystic lesion and surgical towel in the descending colon. Conclusion: Retained foreign bodies should be considered in differential diagnosis of any post operative patients who are presented with pain, infection, or palpable mass.

  17. The relationship between collagen scaffold cross-linking agents and neutrophils in the foreign body reaction

    NARCIS (Netherlands)

    Ye, Qingsong; Harmsen, Martin C.; van Luyn, Marja J. A.; Bank, Ruud A.

    2010-01-01

    In order to get more insight into the role of neutrophils on the micro-environment and consequently on macrophages in the foreign body reaction in mice, we investigated the fate of the two differently crosslinked dermal sheep collagen disks (glutaraldehyde = GDSC, hexamethylenediisocyanate = HDSC) i

  18. Button cell in oesophagus: An unusual destructive foreign body a case report.

    Science.gov (United States)

    Kakkar, Sanjiv; Makker, Jugesh

    2006-04-01

    A case of button cell lodged in oesophagus is reported. The button cells are potentially destructive foreign bodies due to damage caused by leakage of harmful chemicals and their capability to generate electric current. The mucosal damage starts early and may lead to life threatening complications in long standing cases. Removal of these should be accorded highest priority to prevent complications.

  19. Intraperitoneal granulomatous foreign body reaction after accidental perforation of the abdominal wall. Case report

    DEFF Research Database (Denmark)

    Lanng, C; Winther-Nielsen, H; Hougen, H P

    2013-01-01

    After an accidental perforation by a wooden stake of the abdominal wall and distal ileum a 28-year-old man developed an aggressive granulomatous foreign body reaction of the greater omentum with high fever and abdominal pain. The patient was cured by omental resection and prednisone treatment....

  20. Transcutaneous migration of foreign body into thorax in children: A report of two cases

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    Bothra Jyoti

    2016-11-01

    Full Text Available Inhalation and ingestion of foreign bodies is common in pediatric age group. However transcutaneous migration of sharps into the lung parenchyma is rarely reported and can be hazardous. We report two such cases with details on the diagnosis and the treatment modalities used for the management.

  1. Case of foreign body as a broom handle in the rectum

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    Vikash Lal

    2014-08-01

    Full Text Available A 68 yrs old male patient with a foreign body (broom handle cover 11'inch introduced as sexual perversion presented with lower abdominal pain, the management emphasis is a transanally retrieval and ruling out of rectal and colonic perforation under colonoscopy guidance under local anesthesia in pad. [Int J Res Med Sci 2014; 2(4.000: 1761-1762

  2. Foreign bodies in otorhinolaryngology: a study of 860 cases managed in medical college hospital.

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    Sudhir M Naik

    2013-12-01

    Full Text Available Background: Foreign bodies (FB are the commonest emergencies in otorhino-laryngology. The most common incidences are in the nasal cavity, ears and oropharynx. FB in the nose, ears and oropharynx have characteristic symptoms and their removal does not represent a great difficulty to the otorhino-laryngologist unless 2 the FB is in the tracheo-bronchial tree. The FB inoculation may be voluntary or accidental.Design: A retrospective study of 860 cases managed in 57 months period between January 2007 to July 2011.Setting: Department of ENT, Head and Neck Surgery, KVG Medical College, Sullia.Materials and method: 860 cases of foreign bodies were managed successfully in the OPD under topical anaesthesia and also under general anaesthesia. There were 471 males & 389 females in the study, the youngest was 4 year old girl and the oldest was 69 year old female.Result: In our study we managed 860 cases of FBs which included 505 ear cases, 118 nasal cases, 118 pharyngeal cases, 100 esophageal cases and 19 FBs in the trachea, bronchus. 429 cases were managed in the OPD under topical anaesthesia and 431 cases were managed under general anaesthesia.Conclusion: Most of the foreign bodies in the nose and ear can be managed in the outpatients itself. All the foreign bodies of the esophagus and trachea bronchus were managed under general anaesthesia after admission. Complication rates are very low when managed prudently by a trained otorhino-laryngologist.

  3. Intralenticular metal foreign body: case report Corpo estranho metálico intracristaliniano: relato de caso

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    Flavio Mac Cord Medina

    2006-10-01

    Full Text Available Intralenticular foreign bodies comprise about 5% to 10% of all intraocular foreign bodies and can result in serious complications. The management depends on some factors like size, location, material type and the risk of infection. We present a patient with an intralenticular metal foreign body in the left eye that, following initial treatment with topical steroid and antibiotic, underwent lens aspiration with removal of the intralenticular foreign body and insertion of a posterior chamber intraocular lens with good visual outcome.Os corpos estranhos intracristalinianos representam cerca de 5 a 10% de todos os corpos estranhos intra-oculares. A conduta depende de alguns fatores, como: tamanho, localização, tipo de material e probabilidade de infecção. Relatamos um caso de um paciente com um corpo estranho metálico intracristaliniano no olho esquerdo que, após realizar tratamento inicial com esteróide e antibiótico tópicos, submeteu-se à aspiração do cristalino, retirada do corpo estranho e implante de lente intra-ocular com bom resultado visual.

  4. Double esophageal perforation by ingested foreign body: Endoscopic and surgical approach. A case report.

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    I. Ugenti

    2015-01-01

    Conclusion: Even when the type of esophageal perforation requires surgical treatment, the simultaneous use of endoscopy proved to be an advantage in order to extract the foreign body safely, to perform a double repair of the perforation and to place the nasogastric tube under direct vision.

  5. Management of rectal foreign bodies : Description of a new technique and clinical practice guidelines

    NARCIS (Netherlands)

    Koornstra, Jan J.; Weersma, Rinse K.

    2008-01-01

    A number of techniques have been described to remove rectal foreign bodies. In this report, a novel endoscopic technique using a pneumatic dilatation balloon normally used in achalasia patients is presented. In addition, a systematic review of the literature was performed for non-operative methods t

  6. Neuroinfections complicating foreign body implants after perinatal trauma or meningitis in 60 children.

    Science.gov (United States)

    Rudinsky, B; Bauer, F; Kalavsky, M; Huttova, M; Sramka, M; Kalavsky, E; Benca, J; Karvaj, M; Jarcuska, P; Liskova, A; Kralinsky, K; Ondrusova, A; Taziarova, M; Pevalova, L; Kovac, M; Miklosko, Jozef

    2007-06-01

    Meningitis after artificial implants in 60 children, mainly after foreign body infections (FBI) was caused more frequently by coagulase negative staphylococci and Ps. aeruginosa than other organisms and was significantly associated with perinatal trauma, hydrocephalus, haemorrhage or VLBW and had more neurologic sequels despite mortality was similar to other nosocomial meningitis.

  7. A Case of Retained Graphite Anterior Chamber Foreign Body Masquerading as Stromal Keratitis

    Science.gov (United States)

    Han, Eun Ryung; Wee, Won Ryang; Lee, Jin Hak

    2011-01-01

    We report a case of a retained graphite anterior chamber foreign body that was masquerading as stromal keratitis. A 28-year-old male visited with complaints of visual disturbance and hyperemia in his right eye for four weeks. On initial examination, he presented with a stromal edema involving the inferior half of the cornea, epithelial microcysts, and moderate chamber inflammation. Suspecting herpetic stromal keratitis, he was treated with anti-viral and anti-inflammatory agents. One month after the initial visit, anterior chamber inflammation was improved and his visual acuity recovered to 20/20, but subtle corneal edema still remained. On tapering the medication, after three months, a foreign body was incidentally identified in the inferior chamber angle and was surgically removed resulting in complete resolution of corneal edema. The removed foreign body was a fragment of graphite and he subsequently disclosed a trauma with mechanical pencil 12 years earlier. This case showed that the presence of an anterior chamber foreign body should always be considered in the differential diagnosis of idiopathic localized corneal edema. PMID:21461226

  8. The foreign body giant cell cannot resorb bone, but dissolves hydroxyapatite like osteoclasts

    NARCIS (Netherlands)

    B. ten Harkel; T. Schoenmaker; D.I. Picavet; N.L. Davison; T.J. de Vries; V. Everts

    2015-01-01

    Foreign body multinucleated giant cells (FBGCs) and osteoclasts share several characteristics, like a common myeloid precursor cell, multinuclearity, expression of tartrate-resistant acid phosphatase (TRAcP) and dendritic cell-specific transmembrane protein (DC-STAMP). However, there is an important

  9. AN ANNUAL AUDIT OF THE EAR FOREIGN BODIES IN HOSPITAL UNIVERSITI SAINS MALAYSIA

    Directory of Open Access Journals (Sweden)

    AA Yaroko

    2012-08-01

    Full Text Available Foreign bodies or objects in the ear are one of the most common problems encountered by otorhinolaryngologist (ORL with attendant complications, removal of which requires expertise. Patients with this problem who sought treatment in the otorhinolaryngology clinic of Hospital Universiti Sains Malaysia (HUSM were studied for duration of one year from January 2010 to December 2010. Specifically, the clinical presentation, type of foreign body and management outcome were analysed. 72 patients were reviewed - 44 (61.1% males and 28 (38.9% females. The age range was one year to 75 years with 59.8% being children below 10 years old. Ear pain (56.9% was recorded as the most common and persistent symptom and insects (54% were the commonest foreign body encountered. 95% (69 of the foreign bodies were removed under clinic setting with only three (4.2% cases requiring general anaesthesia. Post-removal complications were noted in only one patient (1.4%. Repeated attempts by untrained personnel should be avoided and timely referral is vital to avoid undesirable complications.

  10. The downmodulation of the foreign body reaction by cytomegalovirus encoded interleukin-10

    NARCIS (Netherlands)

    van Putten, S.M.; Wubben, M.; Hennink, W.E.; van Luyna, M.J.A.; Harmsen, M.C.

    2009-01-01

    The foreign body reaction (FBR) is of great importance for the function and turnover of biomaterial scaffolds. The development of biological tools that modulate the FBR will augment scaffold functionality and benefit regenerative medicine. The human cytomegalovirus encodes a functional homolog of

  11. The downmodulation of the foreign body reaction by cytomegalovirus encoded interleukin-10

    NARCIS (Netherlands)

    van Putten, S. M.; Hennink, W. E.; van Luyna, M. J. A.; Harmsen, M. C.; Wubben, Maike

    The foreign body reaction (FBR) is of great importance for the function and turnover of biomaterial scaffolds. The development of biological tools that modulate the FBR will augment scaffold functionality and benefit regenerative medicine. The human cytomegalovirus encodes a functional homolog of

  12. Intralenticular foreign body: a case report%晶状体内异物1例

    Institute of Scientific and Technical Information of China (English)

    Seid Ali Tabatabaee; Mohammad Soleimani; Masoomeh Mohebbi; Sasan Moghimi

    2008-01-01

    晶状体内异物罕见,约占所有眼内异物的5%,并可导致严重的并发症.我们根据晶状体内异物的大小,位置,性质及感染的风险进行相应的处理.本文报告了1例左眼晶状体内金属异物的51岁患者,通过白内障超声乳化术将晶状体摘除并将晶状体内异物取出,然后植入一枚后房型人工晶状体,术后患者获得了良好的视力.%An intralenticular foreign body is a rare condition, but the prevalence is about 5% of all intraocular foreign bodies and it can result in serious complications. We managed them according to the size, location, material type and the risk of infection. This article reported a 51year-old patient with an intralenticular metal foreign body in the left eye, who underwent phacoemulsification lens extraction with removal of the intralenticular foreign body and insertion of a posterior chamber intraocular lens. The visual outcome was good.

  13. Removal of Foreign Body (Glass of Mirror in Esophagus with Direct Laryngoscope

    Directory of Open Access Journals (Sweden)

    Fachzi Fitri

    2015-01-01

    Full Text Available AbstractLiterature contains fewer reports discussing the use of direct laryngoscope in esophageal foreign body extraction. Foreign bodies in esophagus was diagnosed based on anamnesis, physical examination, radiological finding. The choice of treatment influenced by many factors, such as the patient’s age and clinical condition, the size and shape of the ingested foreign body, the anatomic location and the skills of the physician. A case of impacted glass of mirror in esophagus and mental disorder in a 38 years old male was reported, which had been perfomed direct laryngoscope and an extraction with Magill forcep.Keywords: Foreign body, glass of mirror, direct laryngoscope, Magill forcepAbstrakSedikit sekali kepustakaan yang membahas mengenai penggunaan laringoskopi langsung pada pengangkatan benda asing esofagus. Benda asing esofagus didiagnosis berdasarkan anamnesis, pemeriksaan fisik, radiologi. Pilihan penatalaksanaan dipengaruhi oleh usia pasien dan kondisi klinis, ukuran dan bentuk benda asing, lokasi anatomi dan kemampuan dokter.Dilaporkan satu kasus kaca cermin di esofagus pada laki-laki usia 38 tahun dengan gangguan mental, yang telah dilakukan laringoskopi langsung dan ekstraksi dengan forsep Magill.Kata kunci: Benda asing, kaca cermin, laringoskopi langsung, Forsep Magill

  14. Computer vision for foreign body detection and removal in the food industry

    Science.gov (United States)

    Computer vision inspection systems are often used for quality control, product grading, defect detection and other product evaluation issues. This chapter focuses on the use of computer vision inspection systems that detect foreign bodies and remove them from the product stream. Specifically, we wi...

  15. Unintentionally retained foreign bodies after surgical procedures. Analysis of 4547 cases

    Directory of Open Access Journals (Sweden)

    Dário Vianna Birolini

    Full Text Available Objective: this study aims to explore the experience of Brazilian surgeons on Unintentionally Retained Foreign Bodies (RFB after surgical procedures. Methods: A questionnaire was sent to surgeons by electronic mail, between March and July 2012. The questions analyzed their experience with foreign bodies (FB, foreign bodies' types, clinical manifestations, diagnoses, risk factors and legal implications. Results: in the 2872 eligible questionnaires, 43% of the surgeons asserted that they had already left FB and 73% had removed FB in one or more occasions, totalizing 4547. Of these foreign bodies, 90% were textiles, 78% were discovered in the first year and 14% remained asymptomatic. Among doctors with less than five years after graduation, 36% had already left a FB. The most frequently surgical procedures mentioned were the elective (57% and routine (85% ones. Emergency (26%, lack of counting (25% and inadequate conditions of work contributed (12.5% to the occurrence. In 46% of the cases patients were alerted about the FB, and 26% of them sued the doctors or the institution. Conclusions: challenging medical situations, omission of security protocols and inadequate work conditions contributed to RFB. However, RFB occurs mostly in routine procedures such as cesarean or cholecystectomy, and at the beginning of the professional career, highlighting, particularly in poorest countries, the need for primary prevention. Textiles predominated causing clinical repercussions and they were diagnosed in the first postoperative months. Surgeons were sued in 11.3% of the RFB cases.

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

    LENUS (Irish Health Repository)

    O'Sullivan, S T

    2012-02-03

    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.

  17. Retention of foreign body in the gut can be a sign of congenital obstructive anomaly: a case report

    Directory of Open Access Journals (Sweden)

    Subudhi Pravas

    2008-09-01

    Full Text Available Abstract Introduction Small smooth objects that enter the gut nearly always pass uneventfully through the gastrointestinal tract. Retention of foreign objects may occur due to congenital obstructive anomaly of the gut. Case presentation We report here a child who presented with features of small gut obstruction which were attributed to a foreign body impacted in the intestine. At surgery, an annular pancreas was detected and the foreign body was found to be lodged in the distended proximal duodenum. Conclusion The reported case highlights the fact that an impacted radio-opaque foreign body in a child should warn the pediatrician to the possibility of an obstructive congenital anomaly.

  18. Foreign body ingestion in Iranian children: a 4 years observational study

    Directory of Open Access Journals (Sweden)

    S. Amini-Ranjbar

    2012-12-01

    Full Text Available Objective – Foreign body ingestion is common in children due to playing with everything. This study was done to identify type, site, and complication, as well as knowledge about the state of foreign body ingestion in children in Kerman/Iran. Methods – In this prospective study, during 4 years, 85 children less than 14 years old presented to the Emergency Department of Afzalipour Hospital in Kerman were studied. All children, regardless of their clinical symptoms, underwent total radiography (from neck to Pelvic within the first hour of admission. In symptomatic patients, or sharp, long objects, and narcotic substances ingestion, prompt endoscopy was performed and in the case of foreign body lodging in the subglottic area, the patient was being referred to an ear, nose and throat specialist. For asymptomatic patients or far-access foreign body; lactulose, polyethylene glycol solution and high-fiber substances (for ingestion of diskette batteries, heroine and sharp objects respectively were administered as medical treatments. Asymptomatic subjects who had ingested sharp objects or narcotic substances were hospitalized and observed, but other cases were followed out patiently (by phone call or face to face observation. Results – Mean age of subjects was 3.7 years with no significant difference between the two sexes. Mean age was 3.7 year. The most frequent ingested foreign body was diskette battery (28.2% followed by coin (21.2%. The majority of subjects had no symptom (67%. the most frequent endoscopic location (21.8% was subglot. Most complications occurred after battery ingestion. Endoscopic intervention was required in 31.8% that mostly in cases with ingestion of organic substances (77.8% and coin (61.1%. There was a significant relationship between age and the type of foreign body (p=0.033 and its location (p= 0.012. Medical treatment was completely successful in 68.2%. There was no mortality. Conclusion – Manufacturing clockwork toys

  19. Foreign-body reaction to dermal sheep collagen in interferon-gamma-receptor knock-out mice

    NARCIS (Netherlands)

    Khouw, IMSL; van Wachem, PB; Plantinga, JA; Haagmans, BL; de Leij, LFMH; van Luyn, MJA

    2000-01-01

    This study was performed to gain more insight into the role of interferon-gamma (IFN-gamma), a potent macrophage activator, in the foreign-body reaction to hexamethylenediisocyanate-crosslinked dermal sheep collagen (HDSC). Because the results of earlier studies aimed at modulating the foreign-body

  20. Enzyme and cytokine effects on the impaired onset of the murine foreign-body reaction to dermal sheep collagen

    NARCIS (Netherlands)

    Khouw, IMSL; van Wachem, PB; Plantinga, JA; de Leij, LFMH; van Luyn, MJA

    2001-01-01

    Subcutaneous implantation of biodegradable hexamethylenediisocyanate crosslinked dermal sheep collagen (HDSC) elicited little foreign-body reaction in mice in contrast to rats. If the factor(s) resulting in this minor foreign-body reaction are better understood, this knowledge can be used to modulat

  1. Self-inflicted foreign bodies in lower genitourinary tract in males: Our experience and review of literature

    Directory of Open Access Journals (Sweden)

    Nagabhushana Mahadevappa

    2016-01-01

    Conclusions: Foreign body insertion to lower urinary tract was rare. A main cause for insertion of foreign bodies was autoerotism, misconceptions regarding masturbation, and underlying psychiatric illness. In addition to suitable method of surgical removal, counseling and psychiatric evaluation are necessary to prevent recurrences or for early detection of psychiatric problems.

  2. Foreign body aspiration in children: clinical aspects, radiological aspects and bronchoscopic treatment

    Energy Technology Data Exchange (ETDEWEB)

    Fraga, Andrea de Melo Alexandre; Reis, Marcelo Conrado dos; Zambon, Mariana Porto [Universidade Estadual de Campinas (UNICAMP), Campinas, SP (Brazil). Pediatric Emergency Room]. E-mail: andreafrag@gmail.com; Toro, Ivan Contrera [Universidade Estadual de Campinas (UNICAMP), Campinas, SP (Brazil). Dept. of Thoracic Surgery; Ribeiro, Jose Dirceu; Baracat, Emilio Carlos Elias [Universidade Estadual de Campinas (UNICAMP), Campinas, SP (Brazil). Dept. of Pediatric Pulmonology

    2008-02-15

    Objective: To describe the clinical manifestations and bronchoscopic treatment of foreign body aspiration in children under 14 years of age, correlating the clinical aspects with the bronchoscopic findings. Methods: A retrospective, descriptive study analyzing data related to children under 14 years of age undergoing bronchoscopy due to clinical suspicion of foreign body aspiration at the State University at Campinas Hospital das Clinicas from January of 2000 to December of 2005. Results: The sample consisted of 69 patients, ranging in age from 8 months to 12 years/7 months (75.4% under 3 years of age), 62.3% of whom were male. The principal complaint was sudden-onset cough (75.4%), auscultation was abnormal in 74%, and dyspnea was observed in 29%. Radiological abnormalities were seen in 88% of the cases. Aspirations were primarily into the right lung (54.8%), and 30.7% of the foreign bodies were of vegetal origin (principally beans and peanuts). In the follow-up period, 29% presented complications (most commonly pneumonia), which were found to be associated with longer aspiration time (p = 0.03). Mechanical ventilation was required in 7 children (10.1%), and multiple bronchoscopies were performed in 5 (7.2%). Conclusions: A history of sudden-onset choking and cough, plus abnormal auscultation and radiological findings, characterizes the profile of foreign body aspiration. In such cases, bronchoscopy is indicated. Longer aspiration time translates to a higher risk of complications. The high prevalence of foreign bodies of vegetal origin underscores the relevance of prevention at children younger than three years of age. (author)

  3. Sewing needle foreign body ingestion in dogs and cats: 65 cases (2000-2012).

    Science.gov (United States)

    Pratt, Chap L; Reineke, Erica L; Drobatz, Kenneth J

    2014-08-01

    To characterize clinical signs, diagnostic test results, foreign body location, treatment, and outcome for dogs and cats with sewing needle foreign bodies. Retrospective case series. 65 dogs and cats with sewing needle foreign bodies. Medical records of 27 dogs and 38 cats examined because of sewing needle foreign bodies from January 2000 to February 2012 were reviewed for signalment, medical history, physical examination findings, diagnostic test results, interval from witnessed exposure and radiographic imaging to definitive treatment, definitive treatment, sewing needle location, complications, and outcome. 7 (10.8%) animals had sewing needles in extragastrointestinal locations that were not causing clinical signs. The remaining 58 (89.2%) animals had known sewing needle exposure or acute clinical signs associated with ingestion. The esophageal and gastric regions were the most common location for a sewing needle (10/21 [47.6%] dogs; 19/37 [51.4%] cats), followed by the oropharynx (7/21 [33.3%] dogs; 11/37 [29.7%] cats) and small and large intestines (4/21 [19.0%] dogs; 7/37 [18.9%] cats). Gastrointestinal perforation was detected in 10 of 58 (17.2%) animals (5/21 [23.8%] dogs; 5/37 [13.5%] cats). Sewing needles in the esophagus and stomach were successfully removed endoscopically in 8 of 9 dogs and 18 of 19 cats. Survival rate was 98.1% (51/52) for animals receiving definitive treatment. Endoscopic removal of ingested sewing needles was highly successful and should be recommended to prevent gastrointestinal tract perforation and associated morbidity. Prognosis for dogs and cats receiving definitive treatment for sewing needle foreign body ingestion was excellent.

  4. Ethmoid sinus foreign body long-term residence in one case%筛窦异物长期存留1例

    Institute of Scientific and Technical Information of China (English)

    王亚玲; 孙宝宾; 杨友林

    2013-01-01

    Ethmoid sinus foreign body can be divided into endogenous and exogenous,the clinically referred mostly belonging to the exogenous foreign body.The exogenous ethmoid sinus foreign body generally has a history of facial trauma,its clinical manifestations are associated with the foreign body size,nature,residence time and location.Using X-ray,CT scan can further confirm the diagnosis.Removing the ethmoid sinus foreign body may have a better therapeutic effect by endoscopic sinus surgery.Here we report a rare case of foreign body in the ethmoid sinus.

  5. A case of a retained intralenticular foreign body for two years

    OpenAIRE

    Güler, Mete; YILMAZ, Turgut; Yiǧit, Mehmet; Ülkü, Gülşen; Arslan, Sermal

    2010-01-01

    We report a case of a missed metallic intraocular foreign body retained in the lens over a two-year period without causing inflammatory reaction, which presented with cataract later. A 24-year-old man presented with a progressive blurring of vision in the left eye for two years. He had had a history of metal-on-metal activity two years before. He had pain for one day in left eye and it was healed by the following day. Biomicroscopic examination revealed cataract, an intralenticular foreign bo...

  6. Image artifacts from MR-based attenuation correction in clinical, whole-body PET/MRI

    DEFF Research Database (Denmark)

    Keller, Sune H; Holm, Søren; Hansen, Adam E;

    2013-01-01

    Integrated whole-body PET/MRI tomographs have become available. PET/MR imaging has the potential to supplement, or even replace combined PET/CT imaging in selected clinical indications. However, this is true only if methodological pitfalls and image artifacts arising from novel MR-based attenuation...

  7. Endo-surgical management of foreign bodies in the periapical region

    Directory of Open Access Journals (Sweden)

    Surbhi Sawhney

    2016-01-01

    Full Text Available Foreign objects present in root canals and surrounding areas are troublesome incidents in endodontics. Chances of these objects getting impacted are more when the chamber is open either due to caries or traumatic injury. Moreover, when pushed apically, retrieval becomes complicated and apical surgical procedures unavoidable. A young male patient presented with a chief complaint of discolored anterior teeth. During routine radiographic examination, a linear appearing radio-opaque foreign body (approximately 15 mm in length, extending apically through the apex into the periapical region, was identified. There was also large periapical radiolucency (approximately 10 mm × 15 mm in size on an adjacent tooth. This case report describes the successful retrieval of two foreign objects from the periapical region, and the management of a cystic lesion, through periapical surgery.

  8. Regional emergencies, Bam, Kerman province, Iran Foreign Bodies from the Palm Tree

    Directory of Open Access Journals (Sweden)

    Setareh Asgarzadeh

    2015-02-01

    Full Text Available  One of the most common causes of emergency department (ED visits in Pasteur Hospital, Bam, Iran, is a foreign body from palm tree fronds entering different parts of body. This town is located in southeast Iran and has many palm tree orchards. Most of its residents are farmers or orchardists and many children play in these orchards. When palm harvest season approaches (about the end of summer, a considerable number of patients are presented to emergency department of this town with complaint of foreign bodies. These foreign bodies called “date thorns” among the locals (figure1 are wooden and can easily penetrate various body parts due to their needle-like, pointy shape. Some patients manipulate the foreign bodies before going to the ED and cause it to move deeper. Another group, delay going to the hospital and only reach ED a few days after the initiation of inflammation, redness, and evidence of infection. History and physical examination aid in finding the place of the foreign body, but sometimes they are not perceptible and diagnostic imaging is needed. Radiolucent objects such as wood cannot be detected in graphy but are visible in sonograms (1, 2. Removal of these bodies is usually performed under sterile conditions, using local anesthesia or regional nerve blockade, by making an incision and searching the region, finding and removing the foreign body, and finally suturing and bandaging. The procedure gets more difficult in children and patients who do not cooperate and occasionally, procedural sedation and analgesia is required, which leads to side effects such as nausea, vomiting, lethargy, agitation, and respiratory depression. Depending on the site of injury, patients are usually unable to use the affected organ for a few days after the procedure and need daily washing and bandage, and sometimes taking antibiotics. If tendon, joint, nerve, or vascular injuries are present, it gets more complicated and need for operation and

  9. Laser fragmentation of foreign bodies in the urinary tract: an in vitro study and clinical application.

    Science.gov (United States)

    Bedke, Jens; Kruck, Stephan; Schilling, David; Matter, Anton; Horstmann, Marcus; Sievert, Karl-Dietrich; Stenzl, Arnulf; Nagele, Udo

    2010-04-01

    Foreign bodies of the urinary tract represent a urologic emergency. First-line treatment is endoscopic removal, but this is often impeded by restricted space, especially in the urethra. We postulated that foreign objects could be fragmented by Holmium:YAG laser and investigated its effect on objects of varying composition. In a specially designed stage flushed with physiologic saline, medical and non-medical objects of differing composition and diameter were subjected to fragmentation by Holmium:YAG at powers of 18 and 30 W. In additional thermal experiments, 5,000 J was applied to differing volumes of 0.9% sodium chloride. Experiments were repeated ten times. With one exception (16 Ch silicon catheter) all medical objects were fragmented (latex urinary catheter, ureteral stents, and guidewires). Of non-medical objects (wood, steel, copper, graphite, and nylon) only copper wire was not amenable to laser dissection. These in vitro results were applied in two patients who presented with a pencil (wood and graphite) in the urethra or bladder. After Holmium:YAG laser fragmentation, the pencil could be removed by forceps each. Foreign objects in the urinary tract can be fragmented with a Holmium:YAG laser. When foreign bodies are too big for initial endoscopic extraction, the clinician should consider this technique as a reasonable and atraumatic option to avoid open surgery.

  10. Imaging characteristics of intraocular foreign bodies: a comparative study of plain film X-ray, computed tomography, ultrasound, and magnetic resonance imaging.

    Science.gov (United States)

    Modjtahedi, Bobeck S; Rong, Andrew; Bobinski, Mathew; McGahan, John; Morse, Lawrence S

    2015-01-01

    To determine the imaging features of common intraocular foreign bodies (IOFBs) and the ability to differentiate types of IOFBs. Four-mm IOFBs were inserted via through pars plana approach into cadaveric lamb eyes. Six metallic (aluminum, brass, copper, silver, steel, and lead) and seven nonmetallic (plastic [CF6 spectacle plastic and polyvinyl chloride pipe], glass [bottle glass and windshield glass], wood [dry and wet poplar], and stone [slate]) IOFBs were imaged using plain film x-ray, computed tomography scan, ultrasound, and magnetic resonance imaging (T1, T2, and gradient echo sequences). Plain film x-ray had limited ability to differentiate most IOFBs. Computed tomography findings can be divided into low attenuation objects (wood), moderate attenuation (CF6 spectacle plastic), high attenuation without surrounding artifact (polyvinyl chloride, slate, bottle glass, windshield glass, and aluminum), high attenuation with shadow artifact and minimal edge streak artifact (steel, brass, copper), and high attenuation with significant shadow artifact and prominent streak artifact (silver and lead). Density (in Hounsfield units) aided in differentiating the types of IOFBs. Gradient echo sequences on magnetic resonance imaging also held utility. Ultrasound images had considerable overlap in appearances. Imaging techniques can significantly aid in determining the IOFBs type, with computed tomography serving as the best initial modality. X-ray holds limited utility while ultrasound and magnetic resonance imaging are best reserved as adjunctive tests.

  11. Cyanoacrylate Associated Foreign Body Granulomatous Gastritis: A Report of Three Cases

    Science.gov (United States)

    Guner, Gunes; Kurtulan, Olcay; Sokmensuer, Cenk; Gedikoglu, Gokhan

    2017-01-01

    Granulomas are rarely seen in gastric biopsies mostly as an involvement of granulomatous diseases like sarcoidosis, Crohn's disease, infections, neoplasms, and vasculitis. Here, we claim cyanoacrylate as a foreign body type granuloma-causing agent in the stomach after vascular embolisation. We present cyanoacrylate associated gastric changes of three cases: two endoscopic biopsies and one gastric resection. In two cases, cyanoacrylate associated ulcers and granulomatous inflammation were observed in gastric mucosal biopsies following endoscopic examination after 7 months and 6 years of the glue injections, respectively. In the third case, the cyanoacrylate injection was performed 2 months prior to the surgery. Then the patient underwent distal pancreatectomy for pancreatic adenocarcinoma and during the operation a gastric mass was resected with a suspicion of tumoral infiltration. These three cases demonstrated that glue exposure causes active chronic inflammation with foreign body type granulomas, mucosal ulceration, and bleeding in the gastric mucosa. Even further, it can induce mass formation in the injection sites. PMID:28203472

  12. Pulsatile lavage irrigator tip, a rare radiolucent retained foreign body in the pelvis: a case report

    Directory of Open Access Journals (Sweden)

    Archdeacon Michael T

    2011-05-01

    Full Text Available Abstract Retained foreign bodies after surgery have the potential to cause serious medical complications for patients and bring fourth serious medico-legal consequences for surgeons and hospitals. Standard operating room protocols have been adopted to reduce the occurrence of the most common retained foreign bodies. Despite these precautions, radiolucent objects and uncounted components/pieces of instruments are at risk to be retained in the surgical wound. We report the unusual case of a retained plastic pulsatile lavage irrigator tip in the surgical wound during acetabulum fracture fixation, which was subsequently identified on routine postoperative computed tomography. Revision surgery was required in order to remove the retained object, and the patient had no further complications.

  13. Foreign body ingestion of blister pill pack causing small bowel obstruction.

    Science.gov (United States)

    Tai, Angela W; Sodickson, Aaron

    2007-06-01

    We report a case of foreign body ingestion of a blister pill pack, causing small bowel obstruction. A 76-year-old woman on multiple medications presented with 3 days of progressive abdominal distention, nausea, and vomiting. A computed tomography (CT) scan demonstrated small bowel obstruction with a distinctive metallic foreign body in the distal ileum with associated wall thickening and mesenteric inflammatory changes. At exploratory laparotomy, an impacted, intact blister pill pack was removed from the distal ileum. The ingestion of blister pill packs has been associated with a range of clinical and imaging findings. To our knowledge, this is the only reported case of CT diagnosis of small bowel obstruction caused by blister pack ingestion. Early recognition of the imaging findings of an ingested blister pill pack is important to expedite appropriate management.

  14. Electrical wire as a foreign body in a male urethra: a case report

    Directory of Open Access Journals (Sweden)

    Stravodimos Konstantinos G

    2009-02-01

    Full Text Available Abstract Introduction Self-inflicted foreign bodies in the male urethra and urinary bladder are an emergency that urologists may rarely have to face. A case of an electrical wire inserted in the male urethra and coiled in the bladder is presented. Case presentation A 53-year-old male presented with the inability to void and bloody urethral discharge after having introduced an electrical wire in his urethra for masturbation 3 hours earlier. He had made several unsuccessful attempts to remove it. Conclusion The variety of these objects may be impressive and removal of the foreign body may be quite challenging requiring imagination and high-level surgical skills., In this case an electrical wire was used and the diagnostic as well as the therapeutic steps for its removal are presented.

  15. Development and Clinical Evaluation of a Newly Developed Forceps to Remove Intrauterine Foreign Bodies

    Institute of Scientific and Technical Information of China (English)

    庄留琪; 杨邦元; 沈宝卫

    2000-01-01

    Clinical use of a new forceps for foreign body removal (Intrauterine forceps) is introduced in this paper. The forceps can fit in uterine cavity during operation. A total of 310 foreign bodies in uterus, including IUD breakage, IUD embedment and remained fetal bone were removed satisfactorily by the new forceps. Two case failed.The two failed cases were not diagnosed before operation. One was a broken stainlesss teel ring and embedded into myometrium deeply. It was difficult to remove the IUD and the patient was advised to undergo a hysteroscopy diagnosis. Another one was a stainless steel V-shaped Cu IUD, which was broken into several pieces and removed by the forceps, but a small piece remained and was removed with aid of hysteroscopy.The new type of foeceps was proved to be effective and should be popularized.

  16. [Tracheo-bronchial foreign bodies in the child. Analysis of 43 cases (author's transl)].

    Science.gov (United States)

    Omanga, U; Shango, L; Ntihinyurwa, M; Muaku, M; Mashako, M; Shako, D

    1980-09-01

    The authors report 43 cases of the presence of foreign bodies in the respiratory tract seen over a 20 year period in the University Pediatric Clinic of Kinshasa (Republic of Zaïre). In the light of these cases, it would appear that this pathological condition has apredilection for the infant, with a peak in the 1 to 2 year age group. There is a marked predominance for the male sex (60 %). Foreign bodies of organic nature come first (20/43) consisting above all of peanuts (8 cases) and fish bones (6 cases). As far as site is concerned, the bronchi are involved more often than trachea and the right side more than the left. Three children died including two during endoscopic extraction. Bronchial stenosis (1 case) and bronchi estasis (1 case) are the only complications seen in the long term.

  17. A RARE CASE OF FOREIGN BODY (DETA CHED PORTEX TRACHEOSTOMY TUBE IN THE BRONCHUS : CASE REPORT

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    Ravi Kishore

    2014-01-01

    Full Text Available Tracheostomy is a common airway procedure for life support. Fractured/ detached and hence aspiration of a tracheostomy tube in the tracheobronchial tree is a rare late complication which can be life threatening sometimes. Published reports of a fractured metallic tracheostomy tube presenting as a foreign body in the tracheobronchial tree are rare and detached portex tracheostomy tube are even rarer. Here we are reporting a rare case of detached part of portex tracheostomy tube presenting as a foreign body in the right bronchus. Therapeutic rigid bronchoscopic removal is the mainstay o f treatment. A periodic review of the techniques of tracheostomy care including timely checkups for signs of wear and tear can possibly eliminate such avoidable late complications.

  18. The clinical features of foreign body aspiration into the lower airway in geriatric patients

    OpenAIRE

    2014-01-01

    Lianjun Lin,1 Liping Lv,2,* Yuchuan Wang,1 Xiankui Zha,2 Fei Tang,2 Xinmin Liu1,* 1Geriatric Department, Peking University First Hospital, Beijing, People’s Republic of China; 2Pulmonary Intervention Department, Anhui Chest Hospital, Hefei, People’s Republic of China *These authors contributed equally to this work Purpose: To analyze the clinical features of foreign-body aspiration into the lower airway in geriatric patients. Patients and methods: The clinical data of 1...

  19. Foreign body in vagina: a cause of persistent vaginal discharge in children

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    P. Pallavee

    2013-04-01

    Full Text Available Vulvovaginitis and vaginal discharge in pediatric patients, while not uncommon, is commonly believed to be due to such causes as absence of the protective effect on the vaginal mucosa. However, other causes need also to be kept in mind. We report a case of chronic vaginal discharge in a 5 yr old, who had retained a foreign body in her vagina for 6-7 months. [Int J Reprod Contracept Obstet Gynecol 2013; 2(2.000: 224-225

  20. Clinical Utility and Pitfalls of Ultrasound Guided Foreign Body Removal in War Fighters

    Science.gov (United States)

    2015-12-01

    Intensity in an Acquired MR Image ,” Avinash Gopal B, (Based on original patent application number 60/002,517 “Intensity Correction of Phased -Array...565. 9. Murakami JW, Hayes CE, Weinberger E, Intensity Correction of Phased Array Surface Coil Images . MRM 1996; 35:585-590. 10. Murakami JW...position, forceps use, foreign body definition, forceps grasp, recognition of volume averaging, and oblique cross cut artifact. Pre-training testing

  1. Prevention and management of accidental foreign body ingestion and aspiration in orthodontic practice

    OpenAIRE

    Umesan UK; Chua KL; Balakrishnan P

    2012-01-01

    Uday Kumar Umesan,1 Kui Lay Chua,1 Priya Balakrishnan21National Dental Centre, 2Kg Kiarong, Bandar Seri Begawan, Brunei DarussalamAbstract: Among the myriad emergencies that could arise in the dental clinical setting there are a few that occur occasionally despite being entirely preventable. Ingestion or aspiration of dental materials, appliances, or instruments comprises this category. Regardless of incidence, foreign body ingestion or aspiration episodes are recognized as potential complica...

  2. The Therapeutic Benefit of Allopurinol in the Treatment of Foreign Body Granulomas Caused by Polymethylmethacrylate Microspheres

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    Luisa Kelmer Côrtes de Barros Silveira

    2012-01-01

    Full Text Available Injectable polymethylmethacrylate (PMMA microspheres are nonbiodegradable and too large for macrophage phagocytosis. There are several complications possible to happen, like chronic nonspecific inflammatory reactions, lip stiffness, infection, and granulomas. The occurrence of granulomas can lead to a not aesthetic result, making some extreme changes in the patient’s life. The objective of this case report is to describe the successful treatment of foreign body granulomas caused by polymethylmethacrylate microspheres using allopurinol, an innovative therapy for this condition.

  3. Craniocerebral vegetal foreign body granuloma: a case report and review of literature

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    CAO Yi-dan

    2013-09-01

    Full Text Available Objective Craniocerebral vegetal foreign body granuloma is rare lesion which is very difficult to diagnose clinically, and is easy to be misdiagnosed. This article aims to reveal the clinical manifestations and histopathological features of it. Methods A case of cerebral vegetal foreign body granuloma was reported focusing on the following aspects: clinical manifestations, histopathological features and immunophenotype and the relevant literature was reviewed. Results A 23-year-old male patient presented with paroxysmal stiffness accompanied by convulsion of extremities and no response for calling for 7 years. Cranial MRI scan demonstrated a small nodular mixed signal shadow about 1.60 cm in length located in the frontal cortex under the anterior horn of the left compartment with gliosis near frontal lobe. A resection was performed, and a lesion (about 3 cm × 2 cm was found in the bottom of the left frontal lobe. The lesion was greyish brown, tenacious, irregular bordered, partly calcified and with rich blood supply. There was no tumor or parasite but proliferation of fibrous tissue, hyaline degeneration, calcification, infiltration of lymphocytes and plasma cells in the granuloma lesion under microscope. The immunohistochemical staining showed the lesion was positive for vimentin (Vim and CD68, while negative for glial fibrillary acidic protein (GFAP, S-100 protein (S-100 and epithelial membrane antigen (EMA. Conclusion Clinical manifestations of craniocerebral vegetal foreign body granuloma are various according to the occurrence in different parts. Besides, its imaging features are various depending on the kind of foreign body and the persistent duration. However, histopathological observation and immunohistochemical staining facilitate its diagnosis and identification from tumor and parasitic disease. Furthermore, the type of plant can also be distinguished roughly.

  4. Foreign bodies in the abdomen: self-harm and personality disorders.

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    Dunphy, Louise; Syed, Farah; Raja, Mazhar

    2015-08-05

    A 52-year-old woman presented to the accident and emergency department 5 h after deliberately stabbing herself with two pens through her midline laparotomy scar. Her medical history included an emotionally unstable (borderline) personality disorder and she was currently an inpatient in a psychiatric hospital. She had multiple accident and emergency attendances with previous episodes of self-harm. Clinical examination revealed evidence of trauma to her midline laparotomy scar with congealed blood covering the puncture site. Her abdomen was soft and non-tender on palpation. A chest radiograph revealed no air beneath her diaphragm and her abdominal radiograph identified a radiopacity in her upper right abdomen and dilated loops of small bowel. CT of the abdomen and pelvis confirmed two pens, with the lower pen tip reaching the pancreas. A midline laparotomy was performed and both foreign bodies were extricated unremarkably. The patient's postoperative recovery was uneventful. The second case involves a 22-year-old woman, a psychiatric hospital resident, presenting to the accident and emergency department 5 h after deliberately inserting the metal nib and inner plastic ink containing tube of a pen through her umbilicus. Her medical history included an emotionally unstable (borderline) personality disorder and paranoid schizophrenia. She had multiple accident and emergency department attendances with previous episodes of self-harm. Clinical examination revealed a soft, non-tender abdomen. Her chest radiograph was unremarkable and her abdominal radiograph identified a radiopaque foreign body at the right upper quadrant of the abdomen. CT of the abdomen and pelvis confirmed a metallic foreign body in the small bowel mesentery. An exploratory laparotomy converted to a midline laparotomy was performed and the foreign body was extricated. The patient's postoperative recovery was uneventful.

  5. Foreign Body

    Science.gov (United States)

    ... August 21 (cited 2001 December 11). Available from: URL: http://www.nlm.nih.gov/medlineplus/ency/article/ ... April 19 (cited 2001 December 11). Available from: URL: http://www.mayoclinic.com/invoke.cfm?id=HQ01661& ...

  6. Whole-body PET/MRI: The effect of bone attenuation during MR-based attenuation correction in oncology imaging

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    Aznar, M.C., E-mail: marianne.aznar@regionh.dk [Department of Oncology, Section of Radiotherapy 3994, Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen (Denmark); Sersar, R., E-mail: rachidadk@hotmail.com [DTU Informatics, Technical University of Denmark, Kongens Lyngby (Denmark); Saabye, J., E-mail: julie_saa@hotmail.com [DTU Informatics, Technical University of Denmark, Kongens Lyngby (Denmark); Ladefoged, C.N., E-mail: claesnl@gmail.com [Department of Clinical Physiology, Nuclear Medicine and PET, Rigshospitalet, Copenhagen (Denmark); Andersen, F.L., E-mail: Flemming.Andersen@regionh.dk [Department of Clinical Physiology, Nuclear Medicine and PET, Rigshospitalet, Copenhagen (Denmark); Rasmussen, J.H., E-mail: jacobrasmu@gmail.com [Department of Oncology, Section of Radiotherapy 3994, Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen (Denmark); Löfgren, J., E-mail: Johan.Loefgren@regionh.dk [Department of Clinical Physiology, Nuclear Medicine and PET, Rigshospitalet, Copenhagen (Denmark); Beyer, T., E-mail: thomas.beyer@meduniwien.ac.at [Centre for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna (Austria)

    2014-07-15

    Purpose: In combined PET/MRI standard PET attenuation correction (AC) is based on tissue segmentation following dedicated MR sequencing and, typically, bone tissue is not represented. We evaluate PET quantification in whole-body (WB)-PET/MRI following MR-AC without considering bone attenuation and then investigate different strategies to account for bone tissue in clinical PET/MR imaging. To this purpose, bone tissue representation was extracted from separate CT images, and different bone representations were simulated from hypothetically derived MR-based bone classifications. Methods: Twenty oncology patients referred for a PET/CT were injected with either [18F]-FDG or [18F]-NaF and imaged on PET/CT (Biograph TruePoint/mCT, Siemens) and PET/MRI (mMR, Siemens) following a standard single-injection, dual-imaging clinical WB-protocol. Routine MR-AC was based on in-/opposed-phase MR imaging (orgMR-AC). PET(/MRI) images were reconstructed (AW-OSEM, 3 iterations, 21 subsets, 4 mm Gaussian) following routine MR-AC and MR-AC based on four modified attenuation maps. These modified attenuation maps were created for each patient by non-linear co-registration of the CT images to the orgMR-AC images, and adding CT bone mask values representing cortical bone: 1200 HU (cortCT), spongiosa bone: 350 HU (spongCT), average CT value (meanCT) and original CT values (orgCT). Relative difference images of the PET following AC using the modified attenuation maps were compared. SUVmean was calculated in anatomical reference regions and for PET-positive lesions. Results: The relative differences in SUVmean across patients following orgMR-AC and orgCT in soft tissue lesions and in bone lesions were similar (range: 0.0% to −22.5%), with an average underestimation of SUVmean of 7.2% and 10.0%, respectively when using orgMR-AC. In bone lesions, spongCT values were closest to orgCT (median bias of 1.3%, range: –9.0% to 13.5%) while the overestimation of SUVmean with respect to orgCT was

  7. Clinical and ethical orientations in case of accidental ingestion of foreign body during dental treatment

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    Rhonan Ferreira da Silva

    2010-07-01

    Full Text Available Introduction:The passage of foreign bodies through the oropharynx during dental treatment is an accident that can be avoided in most cases,especially when the dentist adopts preventive measures such as using rubber dam or tying certain objects with dental floss. Objective:To emphasize the importance of avoiding the accident of ingesting foreign bodies during dental treatment and to guide the dentist on how to proceed,clinically and ethically, if the accident occurs.Case report:A minor female patient, unaccompanied,accidentally ingested a bur used for finishing a composite resin restoration during a dental treatment performed in the public service, due to a defect in the high-speed handpiece.The patient and their parents were informed of the accident,and the object was monitored radiographically until its elimination by natural means,with no reports of discomfort.Conclusion:It is the responsibility of the dentist to know and follow the necessary measures to avoid or solve complications from ingesting foreign bodies, since patient’s health and integrity must be protected. In addition, the dentist will also avoid possible ethical and legal demands when fulfilling his responsibilities as a health care professional.

  8. Management of an unusual craniofacial impalement injury by a metallic foreign body.

    Science.gov (United States)

    Kim, Sang Wha; Youn, Seung Ki; Kim, Jeong Tae; Cho, Seok Hyun; Kim, Youn Hwan; Hwang, Kyu Tae

    2012-03-01

    Craniofacial penetrating injuries caused by foreign bodies other than bullets or glass from traffic crashes are quite rare. Hence, there is a lack of knowledge regarding systematic management strategies or analysis of complications for craniomaxillofacial surgeons. Between 2002 and 2010, 82 patients underwent surgery for penetrating craniofacial injuries in 2 craniomaxillofacial trauma centers. Among these patients, we included patients who had retained foreign metallic bodies. Data regarding age, sex, injury materials, entrance, injured structures, operative records, and complications were reviewed retrospectively for 8 patients. All of the patients were evaluated precisely in the emergency department without removal of retained materials, and a multidisciplinary team approach was performed for the removal of the foreign body under general anesthesia.In this study, 6 men and 2 women presented with penetrating injuries that retained metal objects. The mean age of the patients was 44.3 years. All of the patients were hemodynamically stable, and no active bleeding was found. However, all of the patients had postoperative complications. Three patients had damaged vascular structures, and 3 patients had injuries to facial nerve branches. Seven patients had posttraumatic stress disorder. Two patients underwent subsequent emergent procedures because of massive bleeding and cerebrospinal fluid leakage.Penetrating injuries in the head and neck regions are complicated. Although a multidisciplinary team approach was performed from initial management to outpatient management in patients with unusual impalement injuries, numerous postoperative complications still remained. Preoperative patient informed consent was important.

  9. Application of the Virtual Bronchoscopy in Children with Suspected Aspiration of the Foreign Body - Case Report

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    Kostic Gordana

    2016-12-01

    Full Text Available In diagnosing the aspiration of the foreign body (AFB in children most important are: medical history, clinical signs and positive radiography of the lungs. Common dilemmas in the diff erential diagnosis are life-threatening asthma attacks or difficult pneumonia. Conventional rigid bronchoscopy (RB is not recommended as a routine method. Virtual bronchoscopy (VB can be a diagnostic tool for solving dilemmas. Fiber-optic bronchoscopy (FOB has a therapeutic stake in severe cases. Herein, we describe a girl, at the age of 6, who was hospitalized due to rapid bronchoconstriction and based on the anamnesis, clinical symptoms and physical fi ndings the suspicion was that she aspirated the foreign body. Due to the poor general condition and possible sequel, the idea of RB was dropped out. Multidetector computed tomography of the chest and VB was performed and AFB was not found. Due to positive epidemiological situation, virus H1N1 was excluded. FOB established that the foreign body does not exist in the airways. During bronchoscopy numerous castings are aspirated from the peripheral airways which lead to faster final recovery. With additional procedures, the diagnosis of asthma was confirmed and for girl that was the first attack. Along with inhaled corticosteroids as prevention she feels well.

  10. Intravitreal moxifloxacin in the management of Ochrobactrum intermedium endophthalmitis due to metallic intraocular foreign body

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    Jacobs DJ

    2013-08-01

    Full Text Available David J Jacobs,1,2 Thomas J Grube,3 Harry W Flynn Jr,4 Craig M Greven,5 Avinash Pathengay,6 Darlene Miller,4 Robert F Sanke,1,2 Joseph Thorman7 1Trinity Regional Eyecare, Minot, ND, USA; 2School of Medicine and Health Sciences, University of North Dakota, Grand Forks, ND, USA; 3Grube Retina Clinic, Mandan, ND, USA; 4Bascom Palmer Eye Institute, University of Miami, Miami, FL, USA; 5Department of Ophthalmology, Wake Forest University Eye Center, Winston-Salem, NC, USA; 6LV Prasad Eye Institute, Hyderabad, India; 7Rolla Eye Clinic, ND, USA Abstract: A healthy 34-year-old man presented with Ochrobactrum intermedium endophthalmitis due to a metallic intraocular foreign body. After vitrectomy, lensectomy, removal of the metallic intraocular foreign body, intravitreal vancomycin and ceftazidime, and systemic ciprofloxacin, intraocular inflammation worsened. Repeat vitreous culture confirmed persistent endophthalmitis due to multidrug-resistant O. intermedium. The endophthalmitis successfully resolved after the administration of intravitreal moxifloxacin. Keywords: moxifloxacin, Ochrobactrum intermedium, endophthalmitis, intraocular foreign body

  11. Intralenticular foreign bodies: Report of eight cases and review of management

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    Arora Ritu

    2000-01-01

    Full Text Available Purpose: The management of intralenticular foreign bodies (ILFBs with or without cataract has varied from time to time in the last century. We evaluated the surgical removal of the ILFBs with cataract extraction as a single-stage procedure. Methods: Eight consecutive cases with intralenticular foreign bodies presenting to the trauma centre at our institute, were included in the study. Planned ILFB removal with cataract extraction and IOL implantation as a single-stage procedure was done in all the patients. They were followed up from 2 months to 2 years after the surgery. Results: ILFBs were removed with Kelman-Mcpherson forceps in seven cases and in one it was expressed with the nucleus during extra capsular cataract extraction. Co-existent posterior capsular tears were seen in two eyes, of which only one needed a localized vitrectomy. Posterior chamber intraocular lens implantation was possible without any complication in all the cases. Postoperative uveitis seen in three cases was easily controlled with periocular steroids. Best corrected visual acuity at last examination was 6/9 or better in 7 cases and 6/12 in one case with posterior capsular opacification. Conclusions: Timing and necessity of ILFB removal may be adjusted according to the foreign body characteristics and associated ocular trauma, choosing, as far as possible, the least traumatic procedure. Use of forceps rather than magnets is safer for the removal of the ILFB. Co-existent posterior capsular tears need to be anticipated and dealt with when encountered.

  12. Foreign Bodies in the Oesophagus: The Experience of the Buenos Aires Paediatric ORL Clinic

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    Alberto Chinski

    2010-01-01

    Full Text Available The ingestion of foreign bodies causing esophageal injuries is a common event, mostly in children's population. The aim of the present paper is to present foreign body (FB ingestion cases observed in a five-year period at the Children's Hospital Gutierrez, Buenos Aires, Argentina and to compare the main findings with data coming from other well-known case series, already published in scientific literature. A prospective study on 320 of esophageal foreign body was carried out , with regard to age and sex distributions, type, dimensions and consistency, location, clinical presentation, removal and complications. In the majority of cases injuries happened while children were playing and in 85.3% adults were present. Children most frequently ingested coins (83.8% cases. Removal was performed in all cases under general anaesthesia, in 34 by esophageal forceps and in 286 cases by Magill hypopharyngeal forceps. Just one case showed complications, presenting esophageal perforation. The final results of this study show that injuries usually happen under adults' supervision and highlight that FBs involved in the incident belong to classes of objects not conceived for children's use and not suitable for their age. Therefore, educational strategies regarding safe behaviours have a key role in FB injuries prevention.

  13. Drawbacks of the use of cotrimoxazole in foreign-body infections.

    Science.gov (United States)

    El Haj, Cristina; Ribera, Alba; Lloberas, Nuria; Tubau, Fe; Ariza, Javier; Murillo, Oscar

    2017-08-14

    The anti-staphylococcal efficacy of cotrimoxazole in the setting of difficult-to-treat infections seems to be compromised by large amounts of pus and devitalized tissue, and, therefore, high levels of thymidine. Our objective was to evaluate the activity of cotrimoxazole against a staphylococcal foreign-body infection experimental model, which also yields significant quantities of thymidine. We used a rat tissue-cage model of infection (with high inherent thymidine levels) caused by a strain of methicillin-susceptible Staphylococcus aureus (MSSA; ATCC 29213). MIC values were determined (microdilution method) and compared in the presence or absence of tissue-cage fluid samples. The inefficacy of cotrimoxazole was found to be similar to that of the control group. The MIC of cotrimoxazole was 4-8 fold higher in the presence of rat tissue-cage fluid. The inefficacy of cotrimoxazole in our foreign-body infection model by MSSA, and the probable negative impact of the presence of thymidine on its efficacy, challenge the use of this drug in acute phases of foreign-body infections. It should be reserved as an alternative treatment when the infection is more controlled. Copyright © 2017 Elsevier España, S.L.U. and Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica. All rights reserved.

  14. [Lateral pharyngotomy--a rare method of access for removing foreign bodies from the upper third of the esophagus].

    Science.gov (United States)

    Punke, C; Dommerich, S; Pau, H W; Kramp, B

    2008-01-01

    Esophageal foreign body impaction is a serious emergency. Diagnostic workup includes an exact history and physical examination as well as several imaging modalities. The extraction of an esophageal foreign body can be done using nonflexible or flexible esophagoscopy. We report on a 43-year-old patient with typical symptoms of esophageal foreign body impaction. The x-ray overview upon admission showed the adjustment wires of one component of a metal denture in the area of the upper esophagus. Extraction by nonflexible esophagoscopy was rendered impossible because parts of the denture had speared themselves into the esophageal wall. Safe and uncomplicated removal was then performed through a lateral pharyngotomy.

  15. Measurement and analysis of channel attenuation characteristics for an implantable galvanic coupling human-body communication.

    Science.gov (United States)

    Zhang, Shuang; Pun, Sio Hang; Mak, Peng Un; Qin, Yu-Ping; Liu, Yi-He; Vai, Mang I

    2016-11-14

    In this study, an experiment was designed to verify the low power consumption of galvanic coupling human-body communication. A silver electrode (silver content: 99%) is placed in a pig leg and a sine wave signal with the power of 0 dBm is input. Compared with radio frequency communication and antenna transmission communication, attenuation is reduced by approximately 10 to 15 dB, so channel characteristics are highly improved.

  16. [Relapsing urinary tract infections as a single symptom of a foreign body within the GIT in a diverticulosis patient].

    Science.gov (United States)

    Petrovajová, T; Bak, V; Oravský, M; Schnorrer, M; Vichová, B

    2011-10-01

    Recidiving urinary tract infections and pneumaturia are the cardinal symptoms of colovesical fistula. The authors present a case of rare complication of diverticulosis and gastrointestinal foreign body, that only had urological symptomatology.

  17. [Case report of live threatening complications due to self insertion of foreign body into the vagina for masturbation purpose].

    Science.gov (United States)

    Kuzaka, Bolesław; Kobryń, Andrzej; Niemierko, Maciej; Czaplicki, Maciej

    2009-01-01

    Authors have reported a case report of life threatening complications due to insertion of foreign bodies into the vagina, because of masturbation purpose. In this case subsequently came to perforation of the urinary bladder by the huge calculus that developed over the foreign body, and next to the peritoneum with development peritonitis and acute renal insufficiency with the need of dialysotherapy. After a number of surgical operations, the patient with a definitive percutaneous nephrostomy was discharged.

  18. Long Standing Esophageal Perforation due to Foreign Body Impaction in Children: A Therapeutic Challenge in a Resource Limited Setting

    Directory of Open Access Journals (Sweden)

    Ngo Nonga Bernadette

    2017-01-01

    Full Text Available Late presentation of foreign body impaction in the esophagus, complicated by perforation in children, has rarely been reported in the literature. Esophageal surgery is very difficult and challenging in Cameroon (a resource limited setting. We are reporting herein 2 cases of esophageal perforation in children seen very late (12 days and 40 days after foreign body impaction, complicated with severe sepsis, who were successfully operated upon with very good results.

  19. Penile ulceration caused by a foreign body reaction in a crew member on board a cruise ship.

    Science.gov (United States)

    Garcia-Castaneda, Jenny; Harb-De la Rosa, Alfredo

    2015-01-01

    A crew member had a foreign body implanted subcutaneously on his dorsum penis stealthily 6 years earlier by a fellow crew member without any medical training. He presented to the ship's medical centre after a week of pain, erythema and oedema over the foreign body, which was eventually removed by the patient, leaving behind a penile ulceration. He was treated conservatively initially with intravenous and then with oral antibiotics until complete secondary wound closure was achieved.

  20. Dermatitis artefacta: Keloids and foreign body granuloma due to overvalued ideation of acupuncture

    Directory of Open Access Journals (Sweden)

    Choudhary Sanjiv

    2009-01-01

    Full Text Available Skin is well recognized as an important somatic mirror of one′s emotion and a site for the discharge of one′s anxieties. We present a case of a 42-year-old female patient presenting with a vague history of generalized body pain and skin lesions in the form of cotton threads buried under the skin, crusted plaque, multiple keloids and rusted pin buried through the skin mostly in the easily accessible areas of the body. Histopathology from the crusted plaque revealed foreign body granuloma. To satisfy her psychological or emotional need, it is the deliberate and conscious production of self-inflicted skin lesions through overvalued ideation of acupuncture on her part.

  1. Characteristic analysis on susceptibility weighted imaging of intravitreous foreign body of autologous eyelashes in rabbits

    Institute of Scientific and Technical Information of China (English)

    YANG Yun-jun; CHENG Jing-liang; WANG Juan; ZHANG Yong; LI Hua-li

    2010-01-01

    Objective: To explore the characteristics of susceptibility weighted imaging (SWI) of the intravitreous foreign body of autologous eyelashes in rabbits.Methods: A total of 12 New Zealand white rabbits,either sex, weighing 2.5-3.5 kg, and provided by the Experimental Animal Center of Henan Province were employed in this study. For each rabbit, 5 autologous eyelashes (1 cm in length and 0.2-0.3 mm in diameter) were implanted into the right ocular vitreum, while the left control ocular vitreum received sham operation but nothing was implanted. SWI sequential test was made 2 hours postoperatively. Then the rabbits were killed and the specimens of the vitreous bodies of the rabbits were obtained. Hematoxylin and eosin staining and histological examinations were performed. Results: The autologous eyelashes in 8 ocular vitreums of rabbits showed linear low signal intensity on the magnitude images and susceptibility weighted images, but linear high signal intensity on the phase images. Among the 12experimental rabbits, 5 eyelashes in the right vitreum were completely shown in 3 rabbits, partly shown in 5 rabbits (2eyelashes shown in 3 rabbits and 3 eyelashes shown in 2rabbits), and not shown in 4 rabbits. Conclusions: SWI of the foreign body ofintravitreous autologous eyelashes in rabbits has its own characteristics. The combined application of SWI sequential magnitude images, susceptibility weighted images and phase images is helpful to the detection and diagnosis of intravitreous autologous eyelashes in rabbits.

  2. Retained foreign bodies: a serious threat in the Indian operation room.

    Science.gov (United States)

    Sharma, G; Bigelow, Jc

    2014-01-01

    Retained foreign bodies (RFBs) are a surgical complication resulting from foreign materials accidently left in a patient's body. This review attempts to give an overview of different types of RFBs, problems related to them and their management after the surgical operation. The internet was searched using the Google and Google scholar. In addition, relevant electronic journals from the University's library such as Entrez (including PubMed and PubMed central), Since Direct, Scirus, NIH.gov, Medknow.com, Medscape.com, Scopus, MedHelp.org, Cochrane library, WebMD.com, and World Health Organization Hinari. It shows that the major reasons of RFBs are emergency surgical operation with unplanned changes, patient high body mass index, and poor communication. To prevent this textile material should be radiopaque marked and must be counted once at the start and twice at the conclusion of all surgical procedures. If the count is incorrect, then radiography or manually re-exploration should be performed. Ultrasonography, computerized tomography, magnetic resonance imaging and radio frequency identification are also used in the proper identification of RFBs. Safety practice should be robust and simple enough to protect patient under the most chaotic of circumstances. Proper communication among the personnel participating in surgery aimed at preventing this medical negligence would help in mitigating such errors. Finally, the surgeon should not only follow the standard recommended procedure, but also report cases of RFBs.

  3. The multivariate analysis of indications of rigid bronchoscopy in suspected foreign body aspiration.

    Science.gov (United States)

    Divarci, E; Toker, B; Dokumcu, Z; Musayev, A; Ozcan, C; Erdener, A

    2017-09-01

    Foreign body aspiration (FBA) could be a serious life-threatening condition in children. Patients usually underwent bronchoscopy with suspicious of FBA alone. In this study, we aimed to determine which patients need to go to bronchoscopy based on pre-operative findings. Retrospective analysis of patients underwent bronchoscopy between 1999 and 2015 was performed. Clinical symptoms, witnessed aspiration event (WAE), physical examination findings (PEFs) and radiological findings (RFs) were analyzed by multivariate analysis to evaluate the indications of bronchoscopy. 431 patients (266M, 165F) underwent bronchoscopy with a median age of 2 years (7 months-16 years). A foreign body was detected in 68% of the patients. Univariate analysis demonstrated that wheeze was the sole distinctive clinical symptom for detection of FBA (pMultivariate analysis was performed with considering the association between them. The rate of positive bronchoscopy was 91.3% in patients with positive WAE, PEFs and RFs together(84/92). In patients with a positive WAE alone who had not got PEFs and RFs, the rate of positive bronchoscopy was 34.2% (25/73). A foreign body was detected in 84% of the patients who had not got a WAE but positive PEFs and RFs together(21/25). Bronchial laceration was occurred in one patient during bronchoscopy. Pneumothorax was not seen in any of the other patients. The rate of mortality was 0.4% in the overall group (2 patients). The indications of bronchoscopy in suspected FBA are usually based on clinical suspicious. The definition of " suspicous" could be a WAE or positive PEFs and RFs. The association of these factors increase the rate of positive bronchoscopies. In the light of our study, the classical indication for suspected FBA is still valid as "suspicious requires bronchoscopy". Copyright © 2017 Elsevier B.V. All rights reserved.

  4. An unusual long standing tracheal foreign body – A rare incidence

    Directory of Open Access Journals (Sweden)

    Santosh Kumar Swain

    2015-03-01

    Full Text Available Foreign body (FB inhalation is often encountered by emergent otolaryngology services. A long standing undiagnosed FB in trachea is very rare and lethal. Inhalation of betel nut and presenting at the proximal trachea is rarer. As often in the airway FB gravitate to bronchi, long standing tracheal FB is a rare presentation and also rare in the literature. Children who are not given proper individual attention at an early age are more liable to inhale FB. FB aspiration is associated with significant morbidity.

  5. Toxaemia secondary to pyloric foreign body obstruction in two African lion(Panther leo) cubs

    Institute of Scientific and Technical Information of China (English)

    David; Squarre; John; Yabe; Chisoni; Mumba; Maxwel; Mwase; Katendi; Changula; Wizaso; Mwasinga; Musso; Munyeme

    2015-01-01

    A case of toxaemia secondary to pyloric foreign body obstruction in two four-month-old African lion cubs were presented in this article. The lion cubs were presented to the school of veterinary medicine with a complaint of weight loss and stunted growth despite having a normal appetite and seizures. Defi nitive diagnosis was made based on gross pathology after attempting various symptomatic treatments. This article therefore is meant to discourage the use of blankets as bedding in holding enclosures for warmth and comfort post-weaning in captive lion cubs and indeed wild cats in general as they tend to eat bedding that has been soiled with food.

  6. Toxaemia secondary to pyloric foreign body obstruction in two African lion (Panthera leo) cubs

    Institute of Scientific and Technical Information of China (English)

    David Squarre; John Yabe; Chisoni Mumba; Maxwel Mwase; Katendi Changula; Wizaso Mwasinga; Musso Munyeme

    2015-01-01

    A case of toxaemia secondary to pyloric foreign body obstruction in two four-month-old African lion cubs were presented in this article. The lion cubs were presented to the school of veterinary medicine with a complaint of weight loss and stunted growth despite having a normal appetite and seizures. Definitive diagnosis was made based on gross pathology after attempting various symptomatic treatments. This article therefore is meant to discourage the use of blankets as bedding in holding enclosures for warmth and comfort post-weaning in captive lion cubs and indeed wild cats in general as they tend to eat bedding that has been soiled with food.

  7. Internet Impact on the Insertion of Genitourinary Tract Foreign Bodies in Childhood

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    Xenophon Sinopidis

    2012-01-01

    Full Text Available Foreign body self-insertion into the urethra is an uncommon paraphilia. Variety in object form, motivation, clinical presentation, complications, and treatment options is a rule. In childhood it is very rare, and it is attributed to curiosity or mental disorders so far. However, the internet impact on daily life of all age groups has created a new category of sexual behavior in childhood and adolescence, the “internet induced paraphilia.” Such is the case of an electrical cable inserted in the urethra of a 12-year-old boy reported here, which is representative of this kind of impact.

  8. Missed diagnosis of anterior urethral valve complicated with a foreign body: A cause for concern

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    Nayyar Rishi

    2011-01-01

    Full Text Available Anterior urethral valve (AUV is a long known but rare anomaly, which is occasionally encountered in boys with obstructive uropathy. We present a case of AUV with a diverticulum which was misdiagnosed at other center as neurogenic bladder resulting in chronic renal failure. The case was further complicated by breakage of tip of the catheter used for clean intermittent catheterization (CIC in the diverticulum presenting as a foreign body in the urethra. This article highlights the frequently missed diagnosis of AUV by most practitioners wrongly labeling it as neurogenic bladder, leading to improper management and renal failure in young boys.

  9. Corneal foreign bodies--first aid, treatment, and outcomes. Skills review for an occupational health setting.

    Science.gov (United States)

    Owens, J K; Scibilia, J; Hezoucky, N

    2001-05-01

    Eye injuries from foreign body incidents remain prevalent in the workplace setting. Often the professional nurse provides the first line of treatment. The informal class presented at the authors' facility offered a comprehensive, organized presentation of a common injury encountered in the practice of occupational health nursing. Strenghts of the presentation included handouts demonstrating eye eversion technique and a flip chart summarizing the content to be placed in each medical station as quick reference. One challenge involved presenting the information to all nurses. The site encompasses four locations and some nurses function as the only staff in the plant for a given shift. With the support of administration and some creative scheduling, 10 of 17 nurses attended one of three classes offered in one morning, and the remaining 7 were able to view the class on videotape. Videotaping the presentation also provided material for future orientation, as well as an opportunity for review. Overall analysis found this a worthwhile offering relevant to practice. A brief formal written evaluation indicated the objectives for the class were achieved and elicited subjects for future topics. Informal chart reviews to check for documentation of visual acuity testing and eversion of the upper lid for foreign body injuries is another outcome measure currently in progress. In addition, a performance improvement project could be accomplished easily by retrospective chart review of assessment and treatment documentation, and tracking of revisits and referrals. Knowledge of current standards in the assessment, first aid, and treatment of eye injuries is every occupational health nurse's responsibility. However, prevention of foreign body injuries is far superior to any treatment modality available. As highly visible leaders within the occupational setting, nurses can be advocates and role models for safe work practices. Occupational health nurses may promote safe eye practices by

  10. An Unusual Case of Foreign Body Lodged in the Laryngopharynx of Neonate with Esophageal Atresia

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    Rahul Gupta

    2016-01-01

    Full Text Available A blunt‑tipped red rubber catheter is used to confirm the presence of esophageal atresia in any newborn with drooling of saliva and frothing from the mouth. Failure to pass it beyond 10cms into the esophagus is considered diagnostic. We here in report an extremely rare case of broken tip of red rubber catheter lodged in the laryngopharynx of 2-day-old neonate of esophageal atresia with distal tracheoesophageal fistula. During endotracheal intubation foreign body was accidentally removed.

  11. A guidewire introducer as a ureteral foreign body: A case report.

    Science.gov (United States)

    Sener, Tarik Emre; Cloutier, Jonathan; Audouin, Marie; Villa, Luca; Traxer, Olivier

    2015-01-01

    A 63-year-old male, previously treated for a ureteral tumour by a right-sided segmental ureterectomy and end-to-end anastomosis of ureteral segments, was referred to our clinic for endoscopic follow-up. During his follow-up, he was diagnosed with partial right-sided ureteral stricture which eventually progressed to complete obstruction. During the ureteroscopy, as the stenotic segment did not allow passage of an hydrophilic guidewire, an antegrade-retrograde approach was decided. On the antegrade endoscopic view, a near-complete stenosis was diagnosed and a nephrostomy catheter (12 Fr) was placed. A second intervention was planned and from the nephrostomy tract, the ureteroscope was placed into the right pyelocaliceal system. The diagnostic ureteroscopy revealed a foreign object proximal to the stenotic area. Right-sided segmental ureterectomy of the stenotic segment with ureteroneocystostomy and removal of the foreign object was performed. This is the only case in literature to reveal a guidewire introducer as a ureteral foreign body. This case also highlights the importance of the fragility of the ureter, the importance of the equipment, of always being watchful during a surgery, and the importance of checking the integrity of the equipment at the end of each procedure.

  12. Foreign Bodies in the Urinary Bladder and Their Management: A Single-Centre Experience From North India

    Science.gov (United States)

    2016-01-01

    Purpose This study was performed to characterise the nature, clinical presentation, mode of insertion, and management of intravesical foreign bodies in patients treated at our hospital. Methods Between January 2008 and December 2014, 49 patients were treated for intravesical foreign bodies at King George Medical University, Lucknow. All records of these patients were retrospectively analysed to characterise the nature of the foreign body, each patient’s clinical presentation, the mode of insertion, and how the case was managed. Results A total of 49 foreign bodies were retrieved from patients’ urinary bladders during the study period. The patients ranged in age from 11 to 68 years. Thirty-three patients presented with complaints of haematuria (67.3%), 29 complained of frequency of urination and dysuria (59.1%), and 5 patients reported pelvic pain (10.2%). The circumstances of insertion were iatrogenic in 20 cases (40.8%), self-insertion in 17 cases (34.6%), sexual abuse in 4 cases (8.1%), migration from another organ in 4 cases (8.1%), and assault in 4 cases (8.1%). Of the foreign bodies, 33 (67.3%) were retrieved by cystoscopy, while transurethral cystolitholapaxy was required in 10 patients (20.4%), percutaneous suprapubic cystolitholapaxy was performed in 4 patients (8.1%), and holmium laser lithotripsy was performed in 2 patients (4.08%). Conclusions Foreign bodies should always be included in the differential diagnosis when evaluating a patient who presents with chronic lower urinary tract symptoms. A large percentage of foreign bodies can be retrieved using endoscopic techniques. Open surgical removal may be performed in cases where endoscopic techniques are unsuitable or have failed. PMID:27706010

  13. Phospholipase Cγ1 suppresses foreign body giant cell formation by maintaining RUNX1 expression in macrophages.

    Science.gov (United States)

    Kim, Ye Seon; Ok, Chang Youp; Park, Joon Seong; Lee, Ha Young; Bae, Yoe-Sik

    2017-01-22

    Foreign body giant cell (FBGC) formation is associated with the inflammatory response following material implantation. However, the intracellular signaling events that regulate the process remain unclear. Here, we investigated the potential role of phospholipase C (PLC)γ1, a crucial enzyme required for growth factor-induced signaling, on FBGC formation. Knock-down of PLCγ1 using shRNA induced FBGC formation accompanied by increased expression of cathepsin K, DC-STAMP and CD36. Re-addition of PLCγ1 decreased FBGC formation. PLCγ1-deficiency caused a decrease in RUNX1 and subsequent PU.1 upregulation while subsequent rescue of RUNX1 in sh-PLCγ1-transfected cells strongly inhibited FBGC formation. FBGC generated by knock-down of PLCγ1 using shRNA resulted in strongly increased TNF-α production, with augmented activation of ERK, p38 MAPK and JNK, and subsequently NF-κB. Taken together, we suggest that PLCγ1 plays a role in the foreign body response by regulating the RUNX1/PU.1/DC-STAMP axis in macrophages. Copyright © 2016 Elsevier Inc. All rights reserved.

  14. Use of a metal detector to identify ingested metallic foreign bodies.

    Science.gov (United States)

    Arena, L; Baker, S R

    1990-10-01

    A metal detector reveals the presence of metallic objects by measuring the change in the inductance of a coil placed near a metallic mass. The device used in this study is similar in principle to those used for passenger surveillance in airports except for its smaller size and simpler design. In this study, we compared the accuracy of a metal detector with that of plain radiographs for the localization of ingested metallic objects. Twenty-eight consecutive patients with the presumptive diagnosis of metallic foreign-body ingestion were examined with a metal detector. The results were compared with those of plain radiographs which were considered the gold standard. Fifteen positive cases and 13 negative cases were correctly diagnosed by metal detector examination. No false-positive or false-negative results occurred. Our experience suggests that metal detection is a simple and accurate technique for the localization of ingested metallic objects and provides information equivalent to that from plain radiographs for the treatment of patients with suspected foreign-body ingestion.

  15. Foreign Body Infection Models to Study Host-Pathogen Response and Antimicrobial Tolerance of Bacterial Biofilm

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    Justyna Nowakowska

    2014-08-01

    Full Text Available The number of implanted medical devices is steadily increasing and has become an effective intervention improving life quality, but still carries the risk of infection. These infections are mainly caused by biofilm-forming staphylococci that are difficult to treat due to the decreased susceptibility to both antibiotics and host defense mechanisms. To understand the particular pathogenesis and treatment tolerance of implant-associated infection (IAI animal models that closely resemble human disease are needed. Applications of the tissue cage and catheter abscess foreign body infection models in the mouse will be discussed herein. Both models allow the investigation of biofilm and virulence of various bacterial species and a comprehensive insight into the host response at the same time. They have also been proven to serve as very suitable tools to study the anti-adhesive and anti-infective efficacy of different biomaterial coatings. The tissue cage model can additionally be used to determine pharmacokinetics, efficacy and cytotoxicity of antimicrobial compounds as the tissue cage fluid can be aspirated repeatedly without the need to sacrifice the animal. Moreover, with the advance in innovative imaging systems in rodents, these models may offer new diagnostic measures of infection. In summary, animal foreign body infection models are important tools in the development of new antimicrobials against IAI and can help to elucidate the complex interactions between bacteria, the host immune system, and prosthetic materials.

  16. Prevention and management of accidental foreign body ingestion and aspiration in orthodontic practice

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    Umesan UK

    2012-05-01

    Full Text Available Uday Kumar Umesan,1 Kui Lay Chua,1 Priya Balakrishnan21National Dental Centre, 2Kg Kiarong, Bandar Seri Begawan, Brunei DarussalamAbstract: Among the myriad emergencies that could arise in the dental clinical setting there are a few that occur occasionally despite being entirely preventable. Ingestion or aspiration of dental materials, appliances, or instruments comprises this category. Regardless of incidence, foreign body ingestion or aspiration episodes are recognized as potential complications in the specialty of orthodontics. Despite their infrequent occurrence, the morbidity from a single incident and the amount of specialty medical care that may be needed to manage such incidents is too high to ignore. There is also the associated risk of malpractice litigation given the fact that these incidents are preventable. At present, no clear guidelines exist regarding prevention of this emergency in practice. This article attempts to review relevant literature and aims to formulate certain recommendations based on best available evidence to minimize the incidence of such events, while also suggesting guidelines toward making their management more effective. A flow chart outlining management options and strategies to aid the clinician in the event of such an emergency is also presented.Keywords: foreign bodies, ingestion, orthodontics, respiratory aspiration, orthodontic appliances

  17. Ocular reconstruction after zygomatic complex fracture with retention of a foreign body.

    Science.gov (United States)

    Faverani, Leonardo Perez; Capelari, Marcos Maurício; Ramalho-Ferreira, Gabriel; Gomes-Filho, José Carlos Oliveira; Fabris, André Luís da Silva; Marzola, Clóvis; Toledo, Gustavo Lopes; Toledo-Filho, João Lopes

    2011-07-01

    Facial injuries with the retention of foreign bodies inside the tissues, both in soft and hard ones, can cause major functional and aesthetic damage. Among the different etiological agents, cutting tools, fragments of a firearm, the splinter of wood, steel, or iron, launched by misuse, or even caused by defects in equipment, are the main cause of these injuries. The aim of this study was to discuss the peculiarity of the multidisciplinary approach in caring of a 33-year-old man, victim of an accident at work, by the rupture of an emery disc and consequent penetration of the fragments in violation of the tissues in the orbital and zygomatic region of the left side, with perforation of the eyeball and orbital-zygomatic fracture. Urgent treatment consisted of debridement of wounds, bleeding control, removal of foreign bodies, fracture reduction with rigid internal fixation, and suture, performed by the oral and maxillofacial surgical team. Reconstruction of orbital tissues by the ophthalmology team consisted of suture of the injuries. About 1 month after the trauma, phthisis bulbi was noted, and the patient underwent a new procedure under general anesthesia for eye evisceration and installation of an alloplastic prosthesis associated with the homogenous sclera. Facial harmony was restored, especially in aesthetics and function of the zygomatic-orbital complex.

  18. Silver nitrate mimicking a foreign body in the pharyngeal mucosal space

    Institute of Scientific and Technical Information of China (English)

    Devon; Livingstone; Yazeed; Alghonaim; Nathan; Jowett; Eyal; Sela; Alex; Mlynarek; Reza; Forghani

    2015-01-01

    Silver nitrate is sometimes used as a means of chemicalcauterization for control of minor bleeding and management of hypergranulation tissue following bedside head and neck procedures. There are only few reports available on the imaging appearance of silver nitrate and its potential to mimic a foreign body. We report a case of a patient presenting with dysphagia, odynophagia, and fever following dental work who had a peritonsillar incision and drainage for treatment of a deep neck space infection. During the procedure, silver nitrate was applied to halt the bleeding. Patient was subsequently transferred to another institution. Since the patient was not showing significant clinical improvement on antibiotic therapy, a computed tomography(CT) scan was performed demonstrating a hyperdense structure lodged in the pharyngeal mucosal space in the oropharynx and soft palate that was mistaken for a foreign body such as bone. Silver nitrate can have density similar to bone but does not have the normal architecture of bone with cortex and marrow on CT. Familiarity with the appearance of silver nitrate on CT, lack of bone architecture, and proper documentation and communication of the use of silver nitrate to the consultant radiologist and medical personnel could help avoid misdiagnosis and potentially unnecessary surgical exploration.

  19. Review of foreign body ingestion and esophageal food impaction management in adolescents.

    Science.gov (United States)

    Sahn, Benjamin; Mamula, Petar; Ford, Carol A

    2014-08-01

    Foreign body ingestion is a common clinical scenario among patients of all ages. The immediate risk to the patient ranges from negligible to life threatening. Initial and follow-up management strategies depend on multiple patient and ingested object-related factors. Available literature on this topic tends to focus on the small child or adult, leaving the clinician caring for adolescents to extrapolate this information to guide decision making for individual patients. This article reviews foreign body ingestion literature with important implications to the adolescent patient and raises awareness of some highly dangerous objects such as large button batteries, high-powered magnets, long sharps, narcotic packages, and super absorbent objects. An additional focus includes the management of esophageal food impaction. We highlight the unique aspects to the care of the adolescent with intentional ingestion and co-morbid psychiatric illness. The article concludes by discussing the challenges to prevention of ingestion in the at-risk patient. Copyright © 2014 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

  20. Vaginal foreign body mimicking cervical cancer in postmenopausal woman – case study

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    Michał Ciebiera

    2015-09-01

    Full Text Available We present a case report of a 73-year-old, postmenopausal woman with detailed history of breast cancer and oncology treatment including tamoxifen therapy. She presented at the clinic of gynecology and obstetrics with recurrent inflammation of the urinary and genital tract and suspicion of a cervical mass. She also presented occasional abdominal complaints and malodorous vaginal discharge. These symptoms were observed in the patient for several years. Before hospitalization she received many kinds of empirical, antimicrobial treatment such as chlorquinaldol, metronidazole, nifuratel, and nystatin. She did not receive further guidance from doctors about the causes of ailments and further diagnostic and treatment capabilities. In our clinic a detailed diagnostic process including ultrasound transvaginal examination and a minisurgical procedure revealed the presence of a vaginal foreign body (which turned out to be a plastic, shampoo bottle cap surrounded by a mass of inflamed tissue mimicking a cervical tumor. All symptoms and complaints subsided after surgical removal of the foreign body and antibacterial therapy with metronidazole and cefuroxime. Our study draws attention to the need of thorough gynecological care including prophylaxis, especially in the case of complaints of an intimate nature. Even trivial, frequently occurring disorders can be dangerous and require proper and responsible doctor’s supervision and management through the healing process.

  1. Traumatic endophthalmitis following penetrating ocular injuries with retained intraocular foreign bodies

    Institute of Scientific and Technical Information of China (English)

    姜彩辉; 张卯年

    2003-01-01

    Objective: To evaluate the outcome and analyze the methods of surgical treatment of traumatic endophthalmitis following penetrating eye injuries with retained eye foreign bodies.Methods: A total of 62 consecutive cases (58 men, 4 women) from January 1999 to December 2001 with IOFBs following penetrating eye injuries were retrospectively studied. The ages ranged from 8 to 46 years (mean 23 years). Sixty patients (63 eyes) underwent pars plana vitreotomy and 1 patient underwent external magnet extraction. The follow-up ranged from 3 to 36 months (mean 12.5 months). Results: Ten eyes developed endophthalmitis, among which 7 (10.94%) were diagnosed preoperatively. The most frequently cultured organism was Staphylococcus epidermis (44.44%, 4/9). Postoperatively, retinal detachment due to vitreoretinal proliferation occurred in 5 patients with endophthalmitis and in 9 patients without endophthalmitis. All the retinal detachments were reattached with additional vitreoretinal surgery. Two eyes with endophthalmitis and two without endophthalmitis were eviscerated.Conclusions: Post-traumatic endophthalmitis with intraocular foreign bodies (IOFBs) deserves great attention because of its high incidence and poor prognosis. Vitrectomy is suggested for the treatment of IOFBs and its complications, and it should be performed as soon as possible. Routine intravenous administration of antibiotics combined with periocular injection and topical antibiotics postoperatively are recommended.

  2. Management of Esophageal Perforation after Foreign Body Removal from the Esophagus via Rigid Esophagoscopy

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    Reza Afghani

    2016-06-01

    Full Text Available Herein, we present the case of a 45-years-old woman with a foreign body (dental prosthesis ingestion lodged in the esophagus(Figure.1. The foreign body was extracted by rigid esophagoscopy after severe manipulation. In 24 hours, the patient became febrile with emphysema in the neck. laboratory data showed leukocytosis and CT scan revealed signs of esophageal perforation(Figure.2. Surgical exploration and drainage of the neck and mediastinum performed through  a collar incision in the neck extended to the anterior of SCM in both sides, but we didn't perform feeding jejunostomy. We inserted one corrugated drain in every side of the neck(Figure.3.Patient was NPO for two weeks and brief total parenteral nutrition (TPN provided her calory.Finally,we succeeded to fistulized the perforation to the skin and control the mediastinitis(Figure.4.Patient regained oral feeding gradually after two weeks NPO. The follow-up esophagogram revealed the passage of the contrast to the distal esophagus with no leak and fistula.Early recognition of perforation could interrupt major operation to control catastrophic complication.

  3. Apparent Attenuation and Dispersion Arising in Seismic Body-Wave Velocity Retrieval

    Science.gov (United States)

    Wirgin, Armand

    2016-07-01

    The fact that seismologists often make measurements, using natural seismic solicitations, of properties of the Earth on rather large scales (laterally and in terms of depth) has led to interrogations as to whether attenuation of body waves is dispersive and even significant. The present study, whose aim is to clarify these complicated issues, via a controlled thought measurement, concerns the retrieval of a single, real body wave velocity of a simple geophysical configuration (involving two homogeneous, isotropic, non-dissipative media, one occupying the layer, the other the substratum), from its simulated response to pulsed plane wave probe radiation. This inverse problem is solved, at all frequencies within the bandwidth of the pulse. Due to discordance between the models associated with the assumed and trial responses, the imaginary part of the retrieved velocity turns out to be non-nil even when both the layer and substratum are non-lossy, and, in fact, to be all the greater, the larger is the discordance. The reason for this cannot be due to intrinsic attenuation, scattering, or geometrical spreading since these phenomena are absent in the chosen thought experiment, but rather to uncertainty in the measurement model.

  4. Pirfenidone inhibits fibrosis in foreign body reaction after glaucoma drainage device implantation

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    Jung KI

    2016-04-01

    Full Text Available Kyoung In Jung, Chan Kee ParkDepartment of Ophthalmology and Visual Science, Seoul St Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, South KoreaBackground: The aim of this study was to investigate the antiscarring effects of pirfenidone on foreign body reaction in a rabbit model of glaucoma drainage implant surgery.Methods: Adult New Zealand White rabbits had glaucoma drainage device implantation using Model FP8 Ahmed glaucoma valves. One eye was randomly assigned to receive postoperative intrableb injection of pirfenidone followed by topical treatment. The other eye underwent the same procedure but without the addition of pirfenidone. Histochemical staining and immunohistochemistry for blebs were performed.Results: The degree of cellularity was smaller in the pirfenidone group than in the control group at 2 weeks post operation (P=0.005. A few foreign body giant cells were detected in the inner border of the capsule, and their numbers were similar in the control and pirfenidone groups (P>0.05. Using Masson’s trichrome stain, the inner collagen-rich layer was found to be thinner in the pirfenidone group than the control group at 4 weeks (P=0.031 and 8 weeks (P=0.022 post operation. The percentage of proliferating cell nuclear antigen-positive cells was lower in the pirfenidone group than in the control group at 2 weeks post operation (total bleb, P=0.022; inner bleb, P=0.036. Pirfenidone treatment decreased the immunoreactivity of connective tissue growth factor at 2 weeks post operation (total bleb, P=0.029; inner bleb, P=0.018. The height and area of α-smooth muscle actin expression were lower in the pirfenidone group than the control group at 2 weeks, 4 weeks, and 8 weeks post operation (all P<0.05.Conclusion: Postoperative intrableb injection of pirfenidone followed by topical administration reduced fibrosis following glaucoma drainage device implantation. These findings suggest that pirfenidone

  5. A Case with Foreign Body Aspiration who Developed Cushingoid Appearance due to Corticosteroids Given for Misdiagnosis of Asthma: Case Report

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    Ayfer İnal

    2008-01-01

    Full Text Available Foreign body aspiration is a common problem in childhood which can result in complications with high morbidity and mortality. It may be misdiagnosed because of symptoms such as cough, wheezing or stridor which may also be seen in other disorders. Although it is the most helpful tool in diagnosis, absence of typical history and inadequate clinical and radiologic findings may lead to delayed diagnosis in some cases. These cases show high risk for complications and therefore early diagnosis is important. Prolonged or recurrent respiratory symptoms should alert the physician for foreign body aspiration and it should be particularly interrogated. We present a case of foreign body aspiration in a 10-year-old boy who had been misdiagnosed as asthma and developed cushingoid appearance due to high dose corticosterioids. (Journal of Current Pediatrics 2008; 6: 124-6

  6. [Removal of an intratracheobronchial foreign body opaque to X-rays in a child within a context of inadequate medical technical equipment].

    Science.gov (United States)

    Horo, K; Kouassi, A B; Tea, B Z; Assa, L; Icthy, V M; Folquet, A; Godé, V C; Ahui, B J M; Cardenat, M; Achi, V; N'dhatz-Sanogo, M; Anon, J C; N'gouan, J M; N'gom, A; Koffi, N; Aka-Danguy, E

    2009-04-01

    Intratracheobronchial foreign bodies are common accidents in children. In developed countries, the removal of these intratracheobronchial foreign bodies is performed with flexible or rigid fiberoptic bronchoscopy. Resorting to surgery is rare. In the inadequate medical context described, suitable medical technical equipment doesn't exist. Removal alternatives are necessary in order to avoid sanitary evacuation which is not always within patients' means. In this study, the authors describe the removal of an intratracheobronchial foreign body opaque to X-rays with foreign body forceps. The forceps, passed through the orotracheal intubation probe, were guided by an image intensification system in a traumatology operating theatre.

  7. A Close Cut: A Technical Report of Endovascular Removal of a Penetrating Intravascular Foreign Body after a Lawn Mowing Injury

    Energy Technology Data Exchange (ETDEWEB)

    Tapping, C. R. [Oxford University Hospitals, John Radcliffe Hospital, Department of Radiology (United Kingdom); Gallo, A.; Silva, R. J. De [Oxford University Hospitals, John Radcliffe Hospital, Department of Cardiothoracic Surgery (United Kingdom); Uberoi, R., E-mail: raman.uberoi@orh.nhs.uk [Oxford University Hospitals, John Radcliffe Hospital, Department of Radiology (United Kingdom)

    2012-12-15

    We present a case of endovascular retrieval of a penetrating foreign body that was originally lodged in the mediastinum and then migrated to the hepatic vein. The steel nail entered the thorax and traversed the left lung causing a pneumothorax. The patient underwent a thoracotomy, but the foreign body had migrated from its original mediastinal position. A postsurgical CT showed that the object was below the right hemidiaphragm. Diagnostic venogram demonstrated that the object was in the main hepatic vein. Using a double-snare technique, the object was safely and successfully removed from the hepatic vein via the right common femoral vein.

  8. ORAL BAG-VALVE-MASK INSUFFLATION TECHNIQUE TO REMOVE UNILATERAL FRIABLE NASAL FOREIGN BODY IN EMERGENCY DEPARTMENT

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    LIM CC

    2009-01-01

    Full Text Available Nasal foreign body in children is not an uncommon presentation to the Emergency Department. Removal is essential. Many methods of removal exist. Nasal wash technique is advocated mainly in friable foreign bodies. We report the successful use of the oral bag-valve-mask insufflation technique to remove friable facial tissue in the left nose of a 2 year-old girl. We used a pediatric bag-valve-mask with a pop-off pressure relief valve to avoid barotrauma. Pop-off pressure relief valve limits the pressure beyond 30mmHg. Conscious sedation was not required. There were no complications.

  9. Subcutaneous hemangiosarcoma induced by a foreign body (steel staple) in a cat.

    Science.gov (United States)

    Tan, Rommel Max; Singh, Kuldeep; Sandman, Kristi

    2013-04-01

    An 8-year-old, female domestic shorthair cat was presented with a ventral abdominal subcutaneous mass. A radiograph showed that the center of the mass contained what appeared to be steel sutures, presumed to be from an ovariohysterectomy performed 7 years earlier. The excised mass was irregular and contained numerous pockets filled with friable necrotic material and hemorrhages that were dissected by fibrous connective tissue bands. Multiple tangled and fragmented pieces of steel staples were deeply embedded within the mass. Histologically, the mass was non-encapsulated, densely cellular, and infiltrative. Neoplastic cells lined caverns and channels and were factor VIII-positive by immunohistochemistry. The neoplastic cells were oval to round with granular cytoplasm and vesicular nucleus and exhibited moderate cellular and nuclear pleomorphism. A diagnosis of subcutaneous hemangiosarcoma was made. To our knowledge, this is the first report of foreign body associated hemangiosarcoma and the first case of steel staple associated neoplasm in domestic animals.

  10. Impact of community educational programmes on foreign body aspiration in Israel.

    Science.gov (United States)

    Sadan, N; Raz, A; Wolach, B

    1995-10-01

    The study objectives were to determine the impact of a nationwide educational campaign on the incidence of foreign body aspiration (FBA) in Israeli children. Impressed by the alarming number of FBAs, we conducted an educational campaign through the media during 1982-1983. The campaign included television and radio broadcasts, newspaper articles and interviews, and medical educational programmes in community paediatric care centres. Questionnaires were sent to all Departments of Paediatrics in Israel. Results showed a reduction in the incidence of FBA by 35% in 1983 as compared to 1981. Re-evaluation studies conducted in 1992 showed no further reduction of FBA. CONCLUSION. Continuous and extensive educational programmes should be undertaken by the health authorities if FBA is to be prevented. Furthermore, it is important to legislate mandatory labelling of seed and nut containers with the warning that the intake of seeds is dangerous to children under 5 years of age.

  11. Tracheal injury during extraction of an esophageal foreign body: Repair utilizing venovenous ECMO

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    Shunpei Okochi, MD

    2017-05-01

    Full Text Available Extracorporeal membrane oxygenation (ECMO is a form of life support with an ever-expanding range of indications. Veno-venous (VV ECMO is often utilized to support children with respiratory compromise, and has been employed successfully in the acute setting of traumatic tracheobronchial injury as well as during elective tracheal surgery. We present a successful case of VV ECMO used in the perioperative management of a tracheal repair for a traumatic laceration caused by attempts to retrieve an esophageal foreign body. While this mechanism of injury appears to be rare, we believe that VV-ECMO allowed for the optimal management of this child and should be considered for other extensive tracheal injuries in children.

  12. Endoscopic removal of impacted oesophageal foreign body: A case report and a review of literature

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    Olusegun A Obateru

    2016-01-01

    Full Text Available Foreign body (FB impaction in the oesophagus is fairly common in paediatric Gastroenterology practice. This study aims to describe a case of an unusually impacted button lithium battery, in the mid-oesophagus of a 7-year-old child that was confirmed, and removed during oesophagogastroduodenoscopy. A 7-year-old male child, presented at the Emergency Paediatric Unit of our hospital with a history of ingestion of a button-like metallic object. A plain soft tissue X-ray of the neck and chest, however, revealed a dense round object located at the sternal angle of Louis. The object was dislodged and identified as a flat lithium battery after an oesophagogastroduodenoscopy, carried out under general anaesthesia using a flexible forward-viewing video gastroscope. The button battery was subsequently passed in faeces. Endoscopic removal of impacted oesophageal FBs under general anaesthesia is an effective and safe procedure in children in experienced hands.

  13. Use of cryoprobe for removal of a large tracheobronchial foreign body during flexible bronchoscopy.

    Science.gov (United States)

    Sehgal, Inderpaul Singh; Dhooria, Sahajal; Behera, Digambar; Agarwal, Ritesh

    2016-01-01

    Foreign body (FB) inhalation in the tracheobronchial tree is an infrequently encountered event in adults. The diagnosis is suspected in the presence of a clinical history of aspiration and the presence of respiratory symptoms. Management involves confirmation by flexible bronchoscopy, which may be both diagnostic as well as therapeutic. However, in certain situations including those with large FB, FB embedded in granulation tissue or FB with very smooth margins, rigid bronchoscopy may be superior to flexible bronchoscopy in the retrieval of the FB. An alternative to rigid bronchoscopy in such situations may be the use of a cryoprobe. Herein, we describe a patient with a large tracheobronchial FB causing a complete collapse of the left lung and hypoxemia. The FB was successfully extracted using a cryoprobe during flexible bronchoscopy, obviating the need for rigid bronchoscopy.

  14. Foreign body in urinary bladder--early CT cystogram is investigation of choice.

    Science.gov (United States)

    Shoaib, Raja Farhat; Anwar, Fahim; Barron, Dominic

    2008-05-01

    Extra peritoneal bladder injuries are very difficult to diagnose on clinical examination alone. CT-scan with cystogram (Contrast: Ultavista300) is a reliable diagnostic tool to evaluate such injuries at an early stage. For accurate diagnosis of bladder injury, enhancement of bladder contents is necessary otherwise extravasated urine can be mistaken for haematoma or ascites. Retrograde filling of bladder with minimum 250 -300 ml of contrast material is necessary before performing abdominopelvic CT to rule out any form of bladder injury. Therefore in case of suspected bladder injury CT cystogram should be performed at the time of initial CT examination in the emergency room. We report a case of extraperitoneal bladder injury and foreign body in urinary bladder after a firework injury.

  15. A retrospective study of anaesthetic management of foreign bodies in airway- a two & half years experience

    Directory of Open Access Journals (Sweden)

    Jyoti V Kulkarni

    2007-01-01

    In 17 % patients foreign body was located in subglottic region, in 59 % patients FB was in right main bronchus and in 24% patients it was in left main bronchus. In 33 % patients bronchoscopy was done within 72 hours of appearance of symptoms while in 51% patients bronchoscopy was done after 72 hours to one week of appearance of symptoms. In 16% patients bronchoscopy was done after one week. Twenty percent patients required tracheostomy and 3% patients required bronchodilators, nebuliza-tion and ventilatory support in immediate post operative period. All patients were managed under general anaesthesia using ketamine, suxamethonium, oxygen and halothane. All patients were ventilated through side arm of ventilating bronchoscope.All patients were discharged from hospital & no death was reported.

  16. Radiologic Findings of Foreign Body Granuloma by the Bee Sting: A Case Report

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Jae Won; Yang, Ik; Kim, Jeong Won; Jung, Ah Young; Chung, Soo Young; Kim, Hong Dae; Woo, Ji Young; Yoon, Sa Rah; Choi, Seon Hyeong [Kangnam Sacred Heart Hospital, Seoul (Korea, Republic of)

    2010-03-15

    Bee sting therapy is a folk remedy used for arthralgia. An adverse reaction to bee sting therapy can be variable, ranging from a local inflammatory reaction to generalized anaphylaxis. There have been reports of dermatologic findings pertaining to bee sting granulomas, which results from a foreign body reaction to the persistence of venom and stinger at the sting site. However to the best of our knowledge, the radiologic findings of bee sting granulomas have not been reported on in Korea. We describe the ultrasound and MRI findings of bee sting granulomas at the lower extremity in a 36-year-old woman who underwent bee-sting therapy for osteoarthritis of the knee joints 3 months prior.

  17. Meningioma: The role of a foreign body and irradiation in tumor formation

    Energy Technology Data Exchange (ETDEWEB)

    Saleh, J.; Silberstein, H.J.; Salner, A.L.; Uphoff, D.F. (Hartford Hospital, CT (USA))

    1991-07-01

    A case of meningioma is reported. At the age of 18 years, the patient had undergone insertion of a Torkildsen shunt through a posteroparietal burr hole for obstructive hydrocephalus secondary to a tumor of the pineal region, of which no biopsy had been made. After the hydrocephalus was relieved, he underwent irradiation of the tumor. Thirty years later, he was treated for an intracranial meningioma wrapped around the shunt. The tumor followed the shunt in all of its intracranial course. Microscopy disclosed pieces of the shunt tube within the meningioma. The role of a foreign body and irradiation in the induction of meningiomas is discussed, and a comprehensive review of the literature is presented. 47 references.

  18. [Cervical abscess by Streptococcus anginosus-milleri after foreign body ingestion and suspicion of esophageal perforation].

    Science.gov (United States)

    Pino Rivero, V; Trinidad Ramos, G; González Palomino, A; Pantoja Hernández, C G; Mogollón Cano-Cortés, T; Carrasco Claver, F; Guerra Camacho, M; Blasco Huelva, A

    2006-01-01

    We report a case of cervical abscess after the ingestion of foreign body (chicken bone) secondary to probable esophageal perforation that it was sent to us with suspicion of mediastinal complication. The girl, 17 years-old, nothing else to arrive our hospitalary center required entrance in ICU due to her severe clinical process: High fever, intense neck-thoracic pain, laterocervical diffuse and progressive left inflammation and bad general state. The CT showed the presence of a well defined abscess and abundant aerial component that dissected the cervical muscles that made necessary to perform drainage verifying intraoperatively no mediastinal involvement. The culture of the purulent collection revealed Streptococcus anginosus/milleri resistant to clindamicine but sensible to penicilina and derivatives. We exposed a serie of considerations at respect of such microorganism and its clinical signification.

  19. A comparison of halothane and sevoflurane for bronchoscopic removal of foreign bodies in children.

    Directory of Open Access Journals (Sweden)

    Batra Yatindra

    2004-01-01

    Full Text Available The present study was designed to compare induction and recovery characteristics of sevoflurane and halothane for rigid bronchoscopy for removal of foreign bodies in tracheobronchial tree in children. Forty four children (age 1-4 years were allocated randomly to two groups to receive either halothane (group H; n=22 or sevoflurane (group S; n=22 in oxygen. A graded inhalation technique was used with maximum inspiratory concentration of 5% for halothane and 8% for sevoflurane. Time for loss of consciousness and induction time in group H and group S were 2.3+/-0.4 min vs 2.2+/-0.4 min (p>0.05 and 4.6+/-0.7 min vs 4.9+/-0.6 min (p>0.05 respectively. Intubation conditions with rigid bronchoscope were similar in both groups. Fewer children in group H had vocal cord movements as compared to group S on laryngoscopy (3 vs 8, p>0.05. Six children in group H and two children in group S had disturbances of cardiac rhythm (p>0.05. Emergence time was significantly shorter in group S as compared to group H (group H - 29.6+/-10.7 min vs group S- 12.3+/-7.6 min, p<0.05. Modified Aldrete′s score of 8 was achieved significantly faster in group S as compared to group H (group H - 33.8+/-9.3 min vs group S- 17.3+/-6.8 min, p<0.05. Adverse events during induction and recovery were comparable between the two groups except for significantly high incidence of excitement in group S. In conclusion, halothane is as suitable as sevoflurane for children undergoing rigid bronchoscopy for airway foreign body retrieval, but sevoflurane has a quicker recovery.

  20. Pneumomediastinum Secondary to Foreign Body Aspiration: Clinical Features and Treatment Explorement in 39 Pediatric Patients

    Institute of Scientific and Technical Information of China (English)

    Xiao-Jian Yang; Jie Zhang; Ping Chu; Yong-Li Guo; Jun Tai; Ya-Mei Zhang; Li-Xing Tang

    2016-01-01

    Background:Pneumomediastinum (PM) secondary to foreign body aspiration (FBA) is rare in children.Although it is mainly benign,some cases may be fatal.Due to the rare nature of this clinical entity,proper assessment and management have been poorly studied so far.Here,we characterized the presentation and management of this clinical entity and provided an evaluation system for the management.Methods:We retrospectively reviewed children with PM secondary to FBA,who were treated in Beijing Children's Hospital from January 2010 to December 2015.All patients were stratified according to the degree of dyspnea on admission,and interventions were given accordingly.Bronchoscopic removals of airway foreign bodies (FBs) were performed on all patients.For patients in acute respiratory distress,emergent air evacuation and/or resuscitations were performed first.Admission data,interventions,and clinical outcomes were recorded.Results:A total of 39 patients were included in this study.The clinical severity was divided into three grades (Grades Ⅰ,Ⅱ,and Ⅲ) according to the degree of dyspnea.Thirty-one patients were in Grade Ⅰ dyspnea,and they simply underwent bronchoscopic FBs removals.PM resolved spontaneously and all patients recovered uneventfully.Six patients were in Grade Ⅱ dyspnea,and emergent drainage preceded rigid bronchoscopy.They all recovered uneventfully under close observation.Two exhausted patients were in Grade Ⅲ dyspnea.They died from large PM and bilateral pneumothorax,respectively,despite of aggressive interventions in our hospital.Conclusions:PM secondary to FBA could be life-threatening in some patients.The degree of dyspnea should be evaluated immediately,and patients in different dyspnea should be treated accordingly.For patients in Grade Ⅰ dyspnea,simple bronchoscopic FBs removals could promise a good outcome.For patients in Grade Ⅱ dyspnea,emergent air evacuation and/or resuscitation should precede a bronchoscopy before the children become

  1. The anesthetic agent as an extra-integumentary foreign body in the respiratory tract. A new theory of general anesthesia.

    Science.gov (United States)

    Baggot, M G

    1977-01-01

    Two cases are cited of patients who sometimes exhibited a condition of temporary unconsciousness which proceeded to spontaneous recovery without harmful sequelae. This type of cerebral arrest is frequently called general anesthesia:however, these patients had not received any drugs. What they did have was an irritant in the respiratory passages as shown by coughing. Three cases of general anesthesia are described wherein the duration of the phenomenon appeared to be partly due to the presence of an extra-integumentary foreign body, confined to the respiratory passages. In this trio there was evidence that the drugs did not affect the patients in any unusual way, whatever their effects on whichever side of the alveolar walls. Many anesthetic agents act like unabsorbable foreign bodies, in that they enter and leave the body unchanged, despite the fact that they do pierce the integument. Of course, almost everything, except inspirable and expirable air, but including anesthetic agents, is a foreign body in the respiratory tract. On the basis of these considerations, I suggest that one way, in which general anesthetic agents work, is an extra-integumentary foreign bodies, causing Reflex Coma by irritating or stimulating the trigger points in the walls of the respiratory tract, thereby arresting the cerebrum.

  2. Quantifying Regional Body Wave Attenuation in a Seismic Prone Zone of Northeast India

    Science.gov (United States)

    Bora, Nilutpal; Biswas, Rajib

    2017-03-01

    We evaluated the body wave attenuation parameter in Kopili region of northeast India. Using the modified algorithm of coda normalization method, we delineated frequency-dependent attenuation for both P and S waves. Taking more than 300 seismograms as input, we comprehensively studied microearthquake spectra in the frequency range of 1.5-12 Hz. The estimated values of {Q}_{P}^{-1} and {Q}_{S}^{-1} show strong frequency dependence. Based on this, we formulated empirical relationships corresponding to {Q}_{P}^{-1} and {Q}_{S}^{-1} for the study region. The relationships emerge to be {Q}_{P}^{-1} = ( {23.8 ± 6} ) × 10^{-3} {f}^{{( {-1.2 ± 0.008} )}} and {Q}_{S}^{-1} = ( {10.2 ± 2} ) × 10^{-3} {f}^{{( {-1.3 ± 0.02} )}} , respectively. The ratio {Q}_{P}^{-1} /{Q}_{S}^{-1} is found to be larger than unity for the entire frequency band which implies profound seismic activity and macroscale heterogeneity prevailing in the region. The study may act as the building block towards determination of source parameter and hazard-related studies in the region.

  3. Cerebrolysin attenuates blood-brain barrier and brain pathology following whole body hyperthermia in the rat.

    Science.gov (United States)

    Sharma, Hari Shanker; Zimmermann-Meinzingen, Sibilla; Sharma, Aruna; Johanson, Conrad E

    2010-01-01

    The possibility that Cerebrolysin, a mixture of several neurotrophic factors, has some neuroprotective effects on whole body hyperthermia (WBH) induced breakdown of the blood-brain barrier (BBB), blood-CSF barrier (BCSFB), brain edema formation and neuropathology were examined in a rat model. Rats subjected to a 4 h heat stress at 38 degrees C in a biological oxygen demand (BOD) incubator exhibited profound increases in BBB and BCSFB permeability to Evans blue and radioiodine tracers compared to controls. Hippocampus, caudate nucleus, thalamus and hypothalamus exhibited pronounced increase in water content and brain pathology following 4 h heat stress. Pretreatment with Cerebrolysin (1, 2 or 5 mL/kg i.v.) 24 h before WBH significantly attenuated breakdown of the BBB or BCSFB and brain edema formation. This effect was dose dependent. Interestingly, the cell and tissue injury following WBH in cerebrolysin-treated groups were also considerably reduced. These novel observations suggest that cerebrolysin can attenuate WBH induced BBB and BCSFB damage resulting in neuroprotection.

  4. Self-injurious behavior and foreign body entrapment in the root canal of a mandibular lateral incisor

    Directory of Open Access Journals (Sweden)

    B N Rangeeth

    2011-01-01

    Full Text Available Self-injurious behavior is a deliberate alteration or damage without suicidal indent. Herein, we report a patient who had caused intentionally self-trauma to his left lower permanent canine and placed a long metallic foreign body into the root canal. History revealed a habit of placing metallic objects in the form of stapler pins into the mouth, but closer examination revealed the habit to be more as a method of self-injurious behavior. Following an episode of severe pain, the tooth was endodontically treated after removal of the foreign body that was corroding. Clinical significance of the case report is that the patient may just be put off as having a habit of inserting foreign objects into the mouth, but the behavior was more self-injurious in nature.

  5. The Value of Homemade Phantoms for Training Veterinary Students in the Ultrasonographic Detection of Radiolucent Foreign Bodies

    Science.gov (United States)

    Mariano Beraldo, Carolina; Rondon Lopes, Érika; Hage, Raduan; Hage, Maria Cristina F. N. S.

    2017-01-01

    Ingested or penetrating foreign bodies are common in veterinary medicine. When they are radiolucent, these objects become a diagnostic challenge, but they can be investigated sonographically. However, successful object identification depends on the skill of the sonographer. Considering that these cases appear randomly during hospital routines, it…

  6. The Value of Homemade Phantoms for Training Veterinary Students in the Ultrasonographic Detection of Radiolucent Foreign Bodies

    Science.gov (United States)

    Mariano Beraldo, Carolina; Rondon Lopes, Érika; Hage, Raduan; Hage, Maria Cristina F. N. S.

    2017-01-01

    Ingested or penetrating foreign bodies are common in veterinary medicine. When they are radiolucent, these objects become a diagnostic challenge, but they can be investigated sonographically. However, successful object identification depends on the skill of the sonographer. Considering that these cases appear randomly during hospital routines, it…

  7. Long-term evaluation of degradation and foreign-body reaction of subcutaneously implanted poly(DL-lactide-epsilon-caprolactone)

    NARCIS (Netherlands)

    denDunnen, WFA; Robinson, PH; vanWessel, R; Pennings, AJ; vanLeeuwen, MBM; Schakenraad, JM

    1997-01-01

    The aim of this study was to evaluate the degradation and foreign-body reaction of poly(DL-lactide-epsilon-caprolactone) (PLA(85)CL(50)) bars. This specific biomaterial is used for the construction of nerve guides, which can be used in the reconstruction of short nerve gaps. Subcutaneously implanted

  8. Unilateral Hyperlucent Lung in a Child Caused by a Foreign Body Identified With V/Q Scintigraphy

    NARCIS (Netherlands)

    Balink, Hans; Collins, James; Korsten-Meijer, Astrid G. W.; Rottier, Bart L.

    2012-01-01

    A 5-year-old girl presented with episodes of coughing, inspiratory stridor, and occasionally squeaking breath sounds. There was no history of a foreign body aspiration. Initially, she was diagnosed with allergic asthma. However, signs and symptoms continued despite a trial of inhaled corticosteroids

  9. Relationships between pre-hospital characteristics and outcome in victims of foreign body airway obstruction during meals.

    Science.gov (United States)

    Kinoshita, Kosaku; Azuhata, Takeo; Kawano, Daisuke; Kawahara, Yayoi

    2015-03-01

    The purpose of this study is to determine the outcome of foreign body airway obstruction according to the initial actions taken for choking victims during meals. Our subjects were patients who became unresponsive or unconscious because of foreign body airway obstruction (FBAO) during meals in the presence of bystander witnesses. We investigated the associations between outcome and the following factors: age, gender, type of foreign body, chest compressions after the patient became unresponsive or unconscious, episode of cardiac arrest, efforts by a bystander to remove the foreign body, eating-related activities of daily living, time elapsed from the 119 call to arrival of emergency medical technicians (EMTs), and time elapsed from the 119 call to hospital arrival (primary endpoint). Of the 138 patients enrolled during the study period, 35 (25.4%) received chest compressions by bystanders after becoming unresponsive or unconscious and 69 (50.0%) suffered cardiac pulmonary arrest. Chest compressions by a bystander after the victim became unresponsive or unconscious (pvictims who became unresponsive or unconscious. Education for lay-rescuer response to choking might further improve overall outcome. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  10. Impact of Pseudomonas aeruginosa quorum sensing on biofilm persistence in an in vivo intraperitoneal foreign-body infection model

    DEFF Research Database (Denmark)

    Christensen, Louise Dahl; Moser, Claus; Jensen, Peter Ø;

    2007-01-01

    of growth contributes significantly to P. aeruginosa tolerance to the action of the innate and adaptive defence system and numerous antibiotics. In the present study, an in vivo foreign-body infection model was established in the peritoneal cavity of mice. Experimental data showed that QS-deficient P...

  11. Unilateral Hyperlucent Lung in a Child Caused by a Foreign Body Identified With V/Q Scintigraphy

    NARCIS (Netherlands)

    Balink, Hans; Collins, James; Korsten-Meijer, Astrid G. W.; Rottier, Bart L.

    A 5-year-old girl presented with episodes of coughing, inspiratory stridor, and occasionally squeaking breath sounds. There was no history of a foreign body aspiration. Initially, she was diagnosed with allergic asthma. However, signs and symptoms continued despite a trial of inhaled

  12. VALIDATION OF AN ALGORITHM FOR NONMETALLIC INTRAOCULAR FOREIGN BODIES' COMPOSITION IDENTIFICATION BASED ON COMPUTED TOMOGRAPHY AND MAGNETIC RESONANCE IMAGING.

    Science.gov (United States)

    Moisseiev, Elad; Barequet, Dana; Zunz, Eran; Barak, Adiel; Mardor, Yael; Last, David; Goez, David; Segal, Zvi; Loewenstein, Anat

    2015-09-01

    To validate and evaluate the accuracy of an algorithm for the identification of nonmetallic intraocular foreign body composition based on computed tomography and magnetic resonance imaging. An algorithm for the identification of 10 nonmetallic materials based on computed tomography and magnetic resonance imaging has been previously determined in an ex vivo porcine model. Materials were classified into 4 groups (plastic, glass, stone, and wood). The algorithm was tested by 40 ophthalmologists, which completed a questionnaire including 10 sets of computed tomography and magnetic resonance images of eyes with intraocular foreign bodies and were asked to use the algorithm to identify their compositions. Rates of exact material identification and group identification were measured. Exact material identification was achieved in 42.75% of the cases, and correct group identification in 65%. Using the algorithm, 6 of the materials were exactly identified by over 50% of the participants, and 7 were correctly classified according to their groups by over 75% of the materials. The algorithm was validated and was found to enable correct identification of nonmetallic intraocular foreign body composition in the majority of cases. This is the first study to report and validate a clinical tool allowing intraocular foreign body composition based on their appearance in computed tomography and magnetic resonance imaging, which was previously impossible.

  13. Research on attenuation characteristic of sound wave in coal or rock body

    Institute of Scientific and Technical Information of China (English)

    NIE Bai-sheng; HE Xue-qiu; LI Xiang-chun; GAO Hong

    2007-01-01

    In order to using power sound wave increase permeability of coal, rules of attenuation of sound wave in coal should be studied. In this paper, characteristic and mechanism of attenuation of sound wave in coal was researched according to acoustic theory and attenuation coefficients was estimated by acoustic parameter of coal. The research results show that the main attenuation mechanism of sound wave in coal is absorption attenuation and scattering attenuation. The absorption attenuation includes viscous absorption, thermal conduction absorption and relaxation absorption. Attenuation coefficient of sound wave in gaseous coal is 38.5 Np/m. Researches on attenuation characteristic of sound wave will provide the theoretical basis for power sound wave improving permeability of coal and accelerating desorption of coal bed gas.

  14. Recent Advances in the Management of Foreign Body Syndrome in Cattle and Buffaloes: A Review

    Directory of Open Access Journals (Sweden)

    Ashraf M. Abu-Seida and Oday S. Al-Abbadi

    2016-11-01

    Full Text Available Foreign body syndrome (FBS is a fairly common disease of cattle and buffaloes, especially in the developing countries. This disease is caused by ingestion of indigestible metallic and non-metallic blunt or sharp foreign objects. It is associated with high economic losses and therefore an urgent science-based policy is required to control and manage this syndrome. Indiscriminate feeding habits, feed scarcity, industrialization and mechanization of agriculture are predisposing factors for FBS in bovine and bubaline. The condition is difficult to diagnose solely on the basis of clinical signs and physical examination. However, laboratory diagnosis and imaging techniques like radiography and ultrasonography can be of high diagnostic value in detecting the condition. Anemia, increased packed cell volume, neutrophilia with a left shift, increased total protein, globulin, total bilirubin, Alanine Aminotransferase, Alkaline Phosphatase, Phosphorus and decreased albumin/globulin ratio and Calcium are the common abnormal laboratory findings. Recently, ultrasonography has replaced radiography for diagnosis of FBS in bovine and bubaline due to its availability and accuracy in evaluation of features of the reticulum, detection of penetrating metallic objects, diagnosis and assessment of various sequelae of FBS including; local and diffuse traumatic reticuloperitonitis, reticular, splenic, hepatic, abdominal and thoracic abscesses, diaphragmatic hernia, traumatic pericarditis and pleuropneumonia. Although, FBS is ideally treated with rumenotomy, it can be prevented to a large extent by proper management practices, increasing the awareness among the livestock keepers, oral administration of rumen magnets at the age of one year and reapplication of a new magnet every 4 years in animals at high risk.

  15. Systemic anti-IFN-gamma treatment and role of macrophage subsets in the foreign body reaction to dermal sheep collagen in rats

    NARCIS (Netherlands)

    Khouw, IMSL; van Wachem, PB; van der Worp, RJ; van den Berg, TK; de Leij, LFMH; van Luyn, MJA

    2000-01-01

    The application of a biomaterial induces a foreign body reaction. By controlling this reaction,biocompatibility could be improved. We previously demonstrated that impregnation of a biodegradable biomaterial with antibodies against interferon-gamma (IFN-gamma) inhibits the foreign body reaction. In t

  16. Beverage can stay-tabs: still a source for inadvertently ingested foreign bodies in children

    Energy Technology Data Exchange (ETDEWEB)

    Donnelly, Lane F. [Cincinnati Children' s Hospital Medical Center, Department of Radiology, MLC 5031, Cincinnati, OH (United States); University of Cincinnati, College of Medicine, Departments of Radiology and Pediatrics, Cincinnati, OH (United States)

    2010-09-15

    In the 1970s in part to avoid inadvertent ingestion, the beverage-can industry changed can construction from pull-tabs to the stay-tabs (remain attached to can after opening) used today. Our purpose is to identify the number of inadvertent ingestions of beverage-can stay-tabs by children recognized at our institution. The medical information system of a children's hospital was searched with key terms to identify cases in which a witnessed or self-reported inadvertent ingestion of a beverage-can stay-tab resulted in a radiograph to rule out presence of a foreign body. Demographics, identification of stay-tab on radiographs, associated abnormalities, and patient management were reviewed. Nineteen cases of stay-tab ingestion were identified over 16 years. Mean age of ingesters was 8.5 years with the majority being teenagers and 15 (79%) >5 years of age. The stay-tab could be seen radiographically only in 4 (21%) cases - all with the stay-tab identified in the stomach. The identification of 19 children who inadvertently ingested beverage-can stay-tabs at a single children's hospital suggests that such ingestions still occur. Radiologists should be aware that stay-tabs are radiographically visible in the minority (21%) of cases. (orig.)

  17. Abdominal epilepsy and foreign body in the abdomen--dilemma in diagnosis of abdominal pain.

    Science.gov (United States)

    Topno, Noor; Gopasetty, Mahesh S; Kudva, Annappa; B, Lokesh

    2005-12-31

    There are many medical causes of abdominal pain; abdominal epilepsy is one of the rarer causes. It is a form of temporal lobe epilepsy presenting with abdominal aura. Temporal lobe epilepsy is often idiopathic, however it may be associated with mesial temporal lobe sclerosis, dysembryoplastic neuroepithelial tumors and other benign tumors, arterio-venous malformations, gliomas, neuronal migration defects or gliotic damage as a result of encephalitis. When associated with anatomical abnormality, abdominal epilepsy is difficult to control with medication alone. In such cases, appropriate neurosurgery can provide a cure or, at least, make this condition easier to treat with medication. Once all known intra-abdominal causes have been ruled out, many cases of abdominal pain are dubbed as functional. If clinicians are not aware of abdominal epilepsy, this diagnosis is easily missed, resulting in inappropriate treatment. We present a case report of a middle aged woman presenting with abdominal pain and episodes of unconsciousness. On evaluation she was found to have an intra-abdominal foreign body (needle). Nevertheless, the presence of this entity was insufficient to explain her episodes of unconsciousness. On detailed analysis of her medical history and after appropriate investigations, she was diagnosed with temporal lobe epilepsy which was treated with appropriate medications, and which resulted in her pain being relieved.

  18. A Case of Mysterious Impacted Duodenal Foreign Body Presenting with Halitosis

    Science.gov (United States)

    Dedania, Bhavtosh; Khanapara, Dipen; Panwala, Amruta; Dharan, Murali

    2016-01-01

    The majority of gastrointestinal (GI) foreign bodies (FBs) discovered in adults are the result of intentional ingestion, most of which are found in patients with a preexisting psychiatric illness, with substance abuse disorders, or in people seeking secondary gain. No similar case of internal injuries following unintentional ingestion of a barbecue grill cleaning brush bristle has been reported. A 58-year-old Caucasian male with no significant history presented with complaint of halitosis, not improving after oral care and dental hygiene measures. He denied any other symptoms. After ruling out oral causes of halitosis, an esophagogastroduodenoscopy was performed, which revealed a black wire-shaped metallic FB embedded in the duodenum. The FB was identified as a silver metallic flexible wire resembling the bristle of a barbecue grill cleaning brush. The halitosis resolved completely within 3 weeks of the removal of the FB. To the best of our knowledge, this is the first case of duodenal impaction of a barbecue grill cleaning brush bristle atypically presenting with halitosis. Physicians’ awareness of this potential injury from grill cleaning brush bristles would lead to a quick diagnosis after a focused history. Also avid grillers must be made aware of this potential hazard and should be encouraged to carefully examine the barbecue grill surface for any remnant bristle of the grill cleaning brush. Appropriate history taking, considering GI causes as potentially inducing halitosis, and an awareness of this entity among providers are important to facilitate prompt diagnoses and prevent major adverse outcomes. PMID:28203127

  19. Thrombospondin 2-null mice display an altered brain foreign body response to polyvinyl alcohol sponge implants

    Energy Technology Data Exchange (ETDEWEB)

    Tian Weiming; Kyriakides, Themis R, E-mail: themis.kyriakides@yale.ed [Vascular Biology and Therapeutics Program, Departments of Pathology and Biomedical Engineering, Yale University, New Haven, CT 06519 (United States)

    2009-02-15

    Thrombospondin (TSP)-2 is a matricellular protein that participates in the processes of tissue repair and the foreign body response. In addition, TSP2 has been shown to influence synaptogenesis and recovery of the brain following stroke. In the present study we investigated the response following the implantation of polyvinyl alcohol (PVA) sponges in the brain. PVA sponges were implanted into the brain cortex of wild type and TSP2-null mice for a period of 4 and 8 weeks and the response was analyzed by histochemistry and quantitative immunohistochemistry. TSP2 expression was detected in the interstices of the sponge and co-localized with the extracellular matrix and astrocytes. PVA sponge invasion in TSP2-null mice was characterized by dense deposition of extracellular matrix and increased invasion of reactive astrocytes and macrophages/microglia. Furthermore, the angiogenic response was elevated and the detection of mouse serum albumin (MSA) in the brain cortex indicated excessive vessel leakage, suggesting that TSP2 plays a role in the repair/maintenance of the blood brain barrier. Finally, immunostaining demonstrated an increase in the levels of matrix metalloproteinase (MMP)-2 and MMP-9. Taken together, our observations support a role for TSP2 as critical determinant of the brain response to biomaterials.

  20. Risk Factors for Endophthalmitis and Retinal Detachment with Retained Intraocular Foreign Bodies

    Directory of Open Access Journals (Sweden)

    D. Wilkin Parke

    2012-01-01

    Full Text Available Purpose. To analyze risk factors for endophthalmitis and retinal detachment (RD in patients with retained intraocular foreign bodies (IOFBs. Design. A retrospective, interventional, consecutive case series. Participants. All patients treated at Bascom Palmer Eye Institute for traumatic IOFBs between 1999 and 2008. Methods. Analysis of visual outcome, mechanism of injury, management, and postoperative course. Results. 108 eyes with IOFBs were identified. Endophthalmitis occurred in 7 eyes (6.4% at presentation, and risk was higher with vegetable matter exposure (P=0.003. All eyes with posterior segment IOFBs received intravitreal antibiotics and there were no cases of endophthalmitis after initial management. RD was identified in 6 of 108 eyes (5.5% at presentation. Risk factors were entry more than 5 mm behind the limbus (P<0.001 and posterior segment IOFB (P=0.028. Postoperative RD occurred in 11 of 102 eyes (10.7%. Risk factors for postoperative RD were preoperative endophthalmitis (P=0.001, posterior segment IOFB (P=0.008, and retinal impact sites (P=0.028. Conclusions. Risk factors for endophthalmitis included vegetable matter exposure and delay to initial management. Risk factors for RD were posterior entry site, posterior segment IOFB, endophthalmitis, and retinal impact sites. No eyes developed endophthalmitis after presentation.

  1. The value of lung scintigraphy in the management of airways foreign bodies in children.

    Science.gov (United States)

    Guanà, R; Gesmundo, R; Maiullari, E; Bianco, E R; Vinardi, S; Cortese, M G; Silvestro, L; Canavese, F

    2009-10-01

    A retrospective analysis was made to evaluate our experience in the management of tracheobronchial foreign bodies (TFB) in children (age lung scintigraphy in patients' selection. The authors retrospectively reviewed all pediatric bronchoscopies performed by the bronchoscopic team at their Institution from July 2001 to December 2007 in the suspicion of TFB in children scintigraphy positive patients. In the procedure, a 2.7 mm pediatric flexible bronchoscope, passed through the endotracheal tube, was used exclusively for demonstrate and localize TFB and a 3.5-4 mm rigid bronchoscope to extract it. Extraction with the rigid bronchoscope was successful in all cases. The average time of the procedure using both instruments was 46 min (range 35 to 200 minutes). There were no complications associated with any of the procedures in these children. Rigid bronchoscopic extraction of paediatric TFB can be performed safely with minimal risks and complications. Careful patient's' selection remains crucial for choosing candidates to bronchoscopy. In our experience scintigraphic evaluation demonstrated to be of great value in order to have a correct pre-endoscopic diagnosis.

  2. Detection of foreign bodies in foods using continuous wave terahertz imaging.

    Science.gov (United States)

    Lee, Young-Ki; Choi, Sung-Wook; Han, Seong-Tae; Woo, Deog Hyun; Chun, Hyang Sook

    2012-01-01

    Foreign bodies (FBs) in food are health hazards and quality issues for many food manufacturers and enforcement authorities. In this study, continuous wave (CW) terahertz (THz) imaging at 0.2 THz with an output power of 10 mW was compared with X-ray imaging as techniques for inspection of food for FBs. High-density FBs, i.e., aluminum and granite pieces of various sizes, were embedded in a powdered instant noodle product and detected using THz and X-ray imaging. All aluminum and granite pieces (regular hexahedrons with an edge length of 1 to 5 mm) were visualized by both CW THz and X-ray imaging. THz imaging also detected maggots (length = 8 to 22 mm) and crickets (length = 35 and 50 mm), which were embedded in samples as low density FBs. However, not all sizes of maggot pieces embedded in powdered instant noodle were detected with X-ray imaging, although larger crickets (length = 50 mm and thickness = 10 mm) were detected. These results suggest that CW THz imaging has potential for detecting both high-density and low-density FBs embedded in food.

  3. Prevention and management of accidental foreign body ingestion and aspiration in orthodontic practice.

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    Umesan, Uday Kumar; Chua, Kui Lay; Balakrishnan, Priya

    2012-01-01

    Among the myriad emergencies that could arise in the dental clinical setting there are a few that occur occasionally despite being entirely preventable. Ingestion or aspiration of dental materials, appliances, or instruments comprises this category. Regardless of incidence, foreign body ingestion or aspiration episodes are recognized as potential complications in the specialty of orthodontics. Despite their infrequent occurrence, the morbidity from a single incident and the amount of specialty medical care that may be needed to manage such incidents is too high to ignore. There is also the associated risk of malpractice litigation given the fact that these incidents are preventable. At present, no clear guidelines exist regarding prevention of this emergency in practice. This article attempts to review relevant literature and aims to formulate certain recommendations based on best available evidence to minimize the incidence of such events, while also suggesting guidelines toward making their management more effective. A flow chart outlining management options and strategies to aid the clinician in the event of such an emergency is also presented.

  4. 3D computer-assisted assessment of complicated penetrating foreign bodies cases in ENT practice.

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    Vaiman, Michael; Bekerman, Inessa; Puterman, Max

    2009-10-01

    A retrospective research was performed in order to evaluate three-dimensional (3D) computer-assisted detection of penetrating foreign bodies (FB) in the ENT practice in order to assess its usefulness and to specify its application. FBs in the head and neck were detected using 3D CT imaging in order to assess the usefulness of 3D images in the ENT operative practice. Three blinded surgeons were involved in comparison between plain and 3D CT images in order to assess 3D usefulness for precise formulation of a surgical plan. The observed relationship of the FBs to anatomical structures of the ethmoidal sinuses, eye orbit, and neck tissues was found instrumental for surgeon's decision making in planning the approach to operative removal of the FB. It helps to understand the relationships between a FB and surrounding anatomical structures better then the plain X-rays or CT-scan. There was no significant difference in cost between plain CT and 3D images. 3D computer-assisted detection of FBs increase our diagnostic abilities and appears to be a valuable addition to our diagnostic technique. Its main importance, however, lies in its capacity to help a surgeon plan an operation much more carefully avoiding improvisation during the operation itself.

  5. Good clinical practice in dubious head trauma – the problem of retained intracranial foreign bodies

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    Fischer BR

    2012-10-01

    Full Text Available Bernhard R Fischer,1 Yousef Yasin,2 Markus Holling,2 Volker Hesselmann31Department of Neurotraumatology, BG-University Hospital Bergmannsheil, Ruhr-University Bochum, Bochum, Germany; 2Department of Neurosurgery, 3Institute for Clinical Radiology, University Hospital of Muenster, Muenster, GermanyObjective: In young people, traumatic head and brain injuries are the leading cause of morbidity and mortality. In some cases, no neurological deficits are present, even after penetrating trauma. These patients have a greater risk of suffering from secondary injuries due to secondary infections, brain edema, and hematomas. We present a case report which illustrates that brain injuries that do not induce neurological deficits can still result in a fatal clinical course and death, with medicolegal consequences.Clinical presentation: A 19-year-old patient was admitted to hospital suffering from a head injury due to an assault. He reported that he was attacked from behind. Medical examination showed no neurological deficits, and only a small occipital wound. Neuroimaging of the cranium revealed that a knife blade was penetrating the cranial bone and touching the superior sagittal sinus.Intervention: After removing the foreign body, magnetic resonance imaging showed that the superior sagittal sinus remained open.Conclusion: We want to stress that possible problems can arise due to the retention of objects in the cranium, while also highlighting the risk of superficial clinical examination.Keywords: head trauma, guidelines, retained object, neuroimaging

  6. Endoscopic Management of Foreign Bodies in the Upper Gastrointestinal Tract: An Evidence-Based Review Article

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    Pedro Magalhães-Costa

    2016-05-01

    Full Text Available Gastrointestinal foreign bodies (FB are comprised of food bolus impaction and intentionally or unintentionally ingested or inserted true FB. Food bolus impaction and true FB ingestion represent a recurrent problem and a true challenge in gastrointestinal endoscopy. More than 80–90% of the ingested true FB will pass spontaneously through the gastrointestinal tract without complications. However, in 10–20% of the cases an endoscopic intervention is deemed necessary. True FB ingestion has its greatest incidence in children, psychiatric patients and prisoners. On the other hand, food bolus impaction typically occurs in the elderly population with an underlying esophageal pathology. The most serious situations, with higher rates of complications, are associated with prolonged esophageal impaction, ingestion of sharp and long objects, button batteries and magnets. Physicians should recognize early alarm symptoms, such as complete dysphagia, distressed patients not able to manage secretions, or clinical signs of perforation. Although many papers are yearly published regarding this subject, our knowledge is mainly based on case-reports and retrospective series. Herein, the authors summarize the existing evidence and propose an algorithm for the best approach to FB ingestion.

  7. Ultrasound guided percutaneous removal of wooden foreign bodies in the extremities with hydro-dissection technique

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    Park, HeeJin; Lee, So Yeon; Chung, Eun Chul; Rho, Myung Ho [Dept. of Radiology, Sungkyunkwan University School of Medicine, Kangbuk Samsung Hospital, Seoul (Korea, Republic of); Lee, Sung Moon; Son, Eun Seok [Dongsan Medical Center, Keimyung University School of Medicine, Daegu (Korea, Republic of); Lee, Sun Joo [Dept. of Radiology, Inje University College of Medicine, Busan Paik Hospital, Busan (Korea, Republic of)

    2015-12-15

    We described the technique of ultrasound (US)-guided percutaneous removal of the foreign bodies (FB) with hydro-dissection in the radiologic department and presented video files of several cases.Four patients referred to the radiology department for US evaluation and US-guided percutaneous removal of the FBs in the upper and lower extremities between November, 2006 and November, 2013 were included in this study. The procedures started with US evaluation for the exact location and shape of the FB. A 5 mm-sized skin incision was made at the site of the nearest point from the FB where no passing arteries or tendons were present. We adopted a hydro dissection technique to separate the FB from adjacent tissue using a 2% lidocaine solution. Injected anesthetics detached the FBs from surrounding tissue and thereby facilitated removal. After the tip of the mosquito forceps reached the FB, the wooden FBs were removed. The mean time required for the entire procedure was approximately 20 minutes. There were no significant complications during the US-guided removal or long-term complications after the procedure. All 4 FBs were successfully removed from the soft tissue under US guidance. Ultrasound-guided percutaneous removal of the FBs with hydro-dissection in the radiology department is a less invasive and safe method over surgical removal in the operating room. Additionally, the use of a guide wire and serial dilator may help minimize soft tissue injury and facilitate the introduction of forceps.

  8. Foreign bodies in upper gastrointestinal tract and urgent endoscopic interventions – review of a ten-year period

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    Pavel Skok

    2005-07-01

    Full Text Available Background: Foreign bodies in the upper digestive tube are rarely the cause of an urgent condition in gastroenterology. They usually enter the digestive tube during nutrition or by mistake. However, certain groups of the population such as convicts or psychiatric patients tend to swallow them intentionally. The authors aim was to assess the percentage of patients in which urgent endoscopic investigation revealed true foreign bodies in the upper digestive tube, to evaluate the success of endoscopic procedures and the resolution of eventual complications.Patients and methods: The study includes patients in which urgent endoscopic investigations of the upper digestive tract were performed in a 10-year period (1 January 1994 to 31 December 2003.Results: Altogether 6416 patients were investigated, mean age 59.3 years, SD ± 17.2 years, range 1–106 years, 2452 females and 3964 males. In 51 patients, 0.8% of all subjects, foreign bodies were detected in the esophagus or stomach. In these patients a total of 65 endoscopic investigations were performed, in 94% the foreign bodies were removed endoscopically (48/51 patients, in three cases the endoscopic procedures were not successful. Among the foreign bodies removed were various metal or plastic objects: coins, keys, screws, hooks, batteries, razor blades, needles, parts of kitchen, toilet or writing utensils, lighters, buttons, toys, a toothbrush as well as impacted pieces of bone. In the patients with successful endoscopic removal of the objects, no significant complications were noted. In 3 patients (3/48, 6.3% only mild hemorrhages from the region of the esophagogastric junction were observed.Conclusions: The technological development of endoscopic instruments made it possible to carry out different therapeutic procedures. The method has proved successful in removing foreign bodies from the upper digestive tube. Various factors affect the success of the procedure, the more important being adequate

  9. 特殊食道异物1例%Special Esophageal Foreign Body in 1 Cases

    Institute of Scientific and Technical Information of China (English)

    许亮

    2015-01-01

    In daily life, often due to accidental y put food or foreign body into the esophagus and stranded, resulting in a series of symptoms. Can occur at any age, with the elderly, children's. If not promptly removed delayed treatment can cause cause life-threatening bleeding esophageal inflammation around, mediastinum inflammation and abscess, fistula and perforation of the large blood vessels. Under general anesthesia in our hospital under the emergency treatment of esophageal endoscopy and foreign body removal surgery, or the removal of foreign body through the endoscopic removal of foreign body. Various impurities are removed such as toothpicks, the tip of the bone, chicken bone, fishbone, needle, nails, coins, but ons, lean mass, shel , a pen cap, hair clips, denture, denture, duck bone. In this paper, a case of esophageal foreign body in our hospital was analyzed, and the experience of the special esophageal foreign body was analyzed.%在日常生活中,经常由于不慎将食物或异物咽入食管而滞留其中,产生一系列不适症状。可发生在任何年龄,以老人居多,幼儿次之。若不及时取出延误治疗可引起食管周围炎、纵隔炎和脓肿、食管瘘、穿破大血管引起致命的大出血。一般我院行急诊全麻下食道镜检+异物取出术,或经胃镜食道异物取出术。各类异物都取出过比如:牙签、尖骨、鸡骨、鱼刺、针、钉子、硬币、纽扣、瘦肉团块、枣壳、笔帽、发夹、义齿、假牙,鸭骨等。本文总结分析我院食道镜检+异物取出术的特殊食道异物一例,经验体会,报告如下。

  10. The Foreign Body Giant Cell Cannot Resorb Bone, But Dissolves Hydroxyapatite Like Osteoclasts.

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    Bas ten Harkel

    Full Text Available Foreign body multinucleated giant cells (FBGCs and osteoclasts share several characteristics, like a common myeloid precursor cell, multinuclearity, expression of tartrate-resistant acid phosphatase (TRAcP and dendritic cell-specific transmembrane protein (DC-STAMP. However, there is an important difference: osteoclasts form and reside in the vicinity of bone, while FBGCs form only under pathological conditions or at the surface of foreign materials, like medical implants. Despite similarities, an important distinction between these cell types is that osteoclasts can resorb bone, but it is unknown whether FBGCs are capable of such an activity. To investigate this, we differentiated FBGCs and osteoclasts in vitro from their common CD14+ monocyte precursor cells, using different sets of cytokines. Both cell types were cultured on bovine bone slices and analyzed for typical osteoclast features, such as bone resorption, presence of actin rings, formation of a ruffled border, and characteristic gene expression over time. Additionally, both cell types were cultured on a biomimetic hydroxyapatite coating to discriminate between bone resorption and mineral dissolution independent of organic matrix proteolysis. Both cell types differentiated into multinucleated cells on bone, but FBGCs were larger and had a higher number of nuclei compared to osteoclasts. FBGCs were not able to resorb bone, yet they were able to dissolve the mineral fraction of bone at the surface. Remarkably, FBGCs also expressed actin rings, podosome belts and sealing zones--cytoskeletal organization that is considered to be osteoclast-specific. However, they did not form a ruffled border. At the gene expression level, FBGCs and osteoclasts expressed similar levels of mRNAs that are associated with the dissolution of mineral (e.g., anion exchange protein 2 (AE2, carbonic anhydrase 2 (CAII, chloride channel 7 (CIC7, and vacuolar-type H+-ATPase (v-ATPase, in contrast the matrix degrading

  11. The Foreign Body Giant Cell Cannot Resorb Bone, But Dissolves Hydroxyapatite Like Osteoclasts

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    ten Harkel, Bas; Schoenmaker, Ton; Picavet, Daisy I.; Davison, Noel L.; de Vries, Teun J.; Everts, Vincent

    2015-01-01

    Foreign body multinucleated giant cells (FBGCs) and osteoclasts share several characteristics, like a common myeloid precursor cell, multinuclearity, expression of tartrate-resistant acid phosphatase (TRAcP) and dendritic cell-specific transmembrane protein (DC-STAMP). However, there is an important difference: osteoclasts form and reside in the vicinity of bone, while FBGCs form only under pathological conditions or at the surface of foreign materials, like medical implants. Despite similarities, an important distinction between these cell types is that osteoclasts can resorb bone, but it is unknown whether FBGCs are capable of such an activity. To investigate this, we differentiated FBGCs and osteoclasts in vitro from their common CD14+ monocyte precursor cells, using different sets of cytokines. Both cell types were cultured on bovine bone slices and analyzed for typical osteoclast features, such as bone resorption, presence of actin rings, formation of a ruffled border, and characteristic gene expression over time. Additionally, both cell types were cultured on a biomimetic hydroxyapatite coating to discriminate between bone resorption and mineral dissolution independent of organic matrix proteolysis. Both cell types differentiated into multinucleated cells on bone, but FBGCs were larger and had a higher number of nuclei compared to osteoclasts. FBGCs were not able to resorb bone, yet they were able to dissolve the mineral fraction of bone at the surface. Remarkably, FBGCs also expressed actin rings, podosome belts and sealing zones—cytoskeletal organization that is considered to be osteoclast-specific. However, they did not form a ruffled border. At the gene expression level, FBGCs and osteoclasts expressed similar levels of mRNAs that are associated with the dissolution of mineral (e.g., anion exchange protein 2 (AE2), carbonic anhydrase 2 (CAII), chloride channel 7 (CIC7), and vacuolar-type H+-ATPase (v-ATPase)), in contrast the matrix degrading enzyme

  12. Therapy-resistant foreign body giant cell granuloma at the periapex of a root-filled human tooth

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    Nair, P.N.; Sjoegren, U.K.; Krey, G.; Sundqvist, G. (Dental Institute, University of Zurich (Switzerland))

    1990-12-01

    Although the primary etiological factor of periapical lesions is microbial, there are other independent factors that can adversely affect the outcome of endodontic treatment. In this communication, we present morphological evidence in support of the role of a foreign body reaction of periapical tissue to root-filling materials. The specimen consisted of a surgical biopsy of an asymptomatic periapical lesion which persisted after a decade of postendodontic follow-up. The biopsy was processed for correlated light and electron microscopy and was analyzed by various microtechniques. The unique feature of the lesion was the presence of vast numbers of large multinucleated cells and their cytoplasmic inclusion bodies. Morphologically, these multinucleated cells resembled foreign body giant cells. They contained characteristic birefringent cytoplasmic inclusions which on electron-probe x-ray microanalysis consistently revealed the presence of magnesium and silicon. The magnesium and silicon are presumably the remnants of a root-filling excess which protruded into the periapex and had been resorbed during the follow-up period. These observations strongly suggest that in the absence of microbial factors, root-filling materials which contain irritating substances can evoke a foreign body reaction at the periapex, leading to the development of asymptomatic periapical lesions that may remain refractory to endodontic therapy for long periods of time.

  13. A Firm and Painful Plaque on the Thorax: The Role of Ultrasound in the Detection of Foreign Bodies.

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    Garrido-Ríos, Anastasia A; Echeverria-García, Begoña; Álvarez-Garrido, Helena; Borbujo, Jesús

    2016-02-01

    The presence of a subcutaneous foreign body may not be easily suspected after the initial history and exploration of the patient. The authors report a 54-year-old male who came to the Department of Dermatology, Hospital Universitario de Fuenlabrada, Madrid, Spain with a firm plaque, fixed to deep structures, which showed several draining orifices over the costal grid. After several tests, the authors performed an ultrasonography that revealed the presence of a fistula from a foreign body secondary to a previously untreated costal fracture that occurred several years before. The authors believe ultrasonography is a readily available and useful tool that may help dermatologists in daily clinical practice, with the advantage of being a noninvasive test.

  14. Size- and shape-dependent foreign body immune response to materials implanted in rodents and non-human primates

    Science.gov (United States)

    Veiseh, Omid; Doloff, Joshua C.; Ma, Minglin; Vegas, Arturo J.; Tam, Hok Hei; Bader, Andrew R.; Li, Jie; Langan, Erin; Wyckoff, Jeffrey; Loo, Whitney S.; Jhunjhunwala, Siddharth; Chiu, Alan; Siebert, Sean; Tang, Katherine; Hollister-Lock, Jennifer; Aresta-Dasilva, Stephanie; Bochenek, Matthew; Mendoza-Elias, Joshua; Wang, Yong; Qi, Merigeng; Lavin, Danya M.; Chen, Michael; Dholakia, Nimit; Thakrar, Raj; Lacík, Igor; Weir, Gordon C.; Oberholzer, Jose; Greiner, Dale L.; Langer, Robert; Anderson, Daniel G.

    2015-06-01

    The efficacy of implanted biomedical devices is often compromised by host recognition and subsequent foreign body responses. Here, we demonstrate the role of the geometry of implanted materials on their biocompatibility in vivo. In rodent and non-human primate animal models, implanted spheres 1.5 mm and above in diameter across a broad spectrum of materials, including hydrogels, ceramics, metals and plastics, significantly abrogated foreign body reactions and fibrosis when compared with smaller spheres. We also show that for encapsulated rat pancreatic islet cells transplanted into streptozotocin-treated diabetic C57BL/6 mice, islets prepared in 1.5-mm alginate capsules were able to restore blood-glucose control for up to 180 days, a period more than five times longer than for transplanted grafts encapsulated within conventionally sized 0.5-mm alginate capsules. Our findings suggest that the in vivo biocompatibility of biomedical devices can be significantly improved simply by tuning their spherical dimensions.

  15. Unilateral hyperlucent lung in a child caused by a foreign body identified with v/q scintigraphy.

    Science.gov (United States)

    Balink, Hans; Collins, James; Korsten-Meijer, Astrid G W; Rottier, Bart L

    2012-09-01

    A 5-year-old girl presented with episodes of coughing, inspiratory stridor, and occasionally squeaking breath sounds. There was no history of a foreign body aspiration. Initially, she was diagnosed with allergic asthma. However, signs and symptoms continued despite a trial of inhaled corticosteroids. A chest radiograph showed a hyperlucent right lung, mainly in the upper lobe, with decreased vascular markings compatible with Swyer-James-MacLeod syndrome, or foreign body aspiration. V/Q imaging showed markedly diminished right lung ventilation and perfusion, especially in the upper lobe, with a hot spot in the area of the right bronchus. At bronchoscopy, a pistachio nutshell was removed from the right main bronchus.

  16. Transrectal impalement of an incense stick in a child presenting as foreign body in the urinary bladder.

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    Mahapatra, Rajkumar Singha; Priyadarshi, Vinod; Madduri, Vijay Kumar Sarma; Pal, Dilip Kumar

    2014-06-12

    The diversity of objects that can be found in the urinary bladder often surpasses the urologist's imagination and mostly they are introduced per urethrally. Impalement injuries of the rectum with bladder perforation have been rarely reported. A high index of clinical suspicion is required to make the diagnosis of bladder perforation while assessing patients presenting with rectal impalement. In this interesting case, a young male child presented with haematuria and dysuria. He had a history of accidentally sitting on an agarbatti (Indian incense stick) stand while playing, followed by perianal pain which subsided spontaneously. Next day he presented with haematuria and dysuria. Clinical examination was inconclusive. On thorough investigation, a linear echogenic foreign body was found in the urinary bladder. The child was operated and the foreign body (incense stick) was removed. This is the first reported case of rectal impalement injury with incense stick, migrated to the urinary bladder in a 2-year-old child.

  17. Successful removal of a telephone cable, a foreign body through the urethra into the bladder: a case report

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    Trehan Ravi K

    2007-11-01

    Full Text Available Abstract The variety of foreign bodies inserted into or externally attached to the genitourinary tract defies imagination and includes all types of objects. The frequency of such cases renders these an important addition to the diseases of the genitourinary organs. The most common motive associated with the insertion of foreign bodies into the genitourinary tract is sexual or erotic in nature. In adults this is commonly caused by the insertion of objects used for masturbation and is frequently associated with mental health disorders. We report a case of insertion of telephone cable wire into the urethra. Our case highlights the importance of good history, clinical examination, relevant radiological investigation and simple measures to solve the problem.

  18. Corpo estranho perfurante cervical: relato de caso Cervical perforating foreign body: case report

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    F.R. Pinto

    2000-03-01

    Full Text Available As perfurações cervicais por corpos estranhos são incomuns. Sua abordagem cirúrgica depende do grau de lesão das vísceras cervicais e do desenvolvimento de sinais e sintomas de infecção cérvico-mediastinal. OBJETIVO: O presente artigo objetiva registrar a ocorrência de trauma perfurante cervical por fragmento de arame com lesão de laringe e hipofaringe dando origem a extenso enfisema cérvico-mediastinal. Correlações anátomo-clínicas e a conduta adotada são discutidas MATERIAL E MÉTODOS: O caso relatado é o de um indivíduo de 28 anos, do sexo masculino, vítima de ferimento perfurante na região cervical anterior por fragmento de arame. O corpo estranho assestou-se no espaço retrofaríngeo do doente, ao nível da 6a vértebra cervical, após perfurar a laringe e a hipofaringe. Não há caso semelhante relatado na literatura. A documentação radiológica do caso é apresentada. Apesar da potencial gravidade das lesões, o doente evoluiu bem e não necessitou de tratamento cirúrgico. CONCLUSÕES: O caso em questão, além de ilustrar, através dos exames de imagem, a complexa anatomia das fáscias e dos espaços cervicais profundos, demonstra a possibilidade da aplicação do tratamento conservador em grande parte das lesões traumáticas de laringe e hipofaringe.BACKGROUND: Neck perforations by foreign bodies are uncommon. The surgical approach depends on the extension of visceral wounds and the development of cervical or mediastinal infection. PURPOSE: The objective of this paper is to report a neck perforation trauma by a piece of wire, with associated laryngeal and hypopharyngeal wounds and extensive cervico-mediastinal emphysema. Anatomic and clinical correlations are discussed, as well as the management of the case. MATERIAL AND METHODS: A 28-year-old male patient suffered a perforating trauma in his neck by a piece of wire. This foreign body was laid in the retropharyngeal space, at the level of the sixth cervical

  19. Bone wax as a cause of a foreign body granuloma in a cranial defect: a case report.

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    Wolvius, E B; van der Wal, K G H

    2003-12-01

    Bone wax was used to stop bleeding of the diploic vessels after harvesting cranial bone for reconstruction of an orbital floor defect. After five months a fistula in the overlying skin of the donor site appeared and was eventually surgically explored. Remnants of bone wax and surrounding inflammatory tissue were removed and the fistula was excised. Histological examination revealed a foreign body granuloma. The use of bone wax and possible alternative local haemostatic agents and their complications are discussed.

  20. Chemical and physical effects on the adhesion, maturation, and survival of monocytes, macrophages, and foreign body giant cells

    Science.gov (United States)

    Collier, Terry Odell, III

    Injury caused by biomedical device implantation initiates inflammatory and wound healing responses. Cells migrate to the site of injury to degrade bacteria and toxins, create new vasculature, and form new and repair injured tissue. Blood-proteins rapidly adsorb onto the implanted material surface and express adhesive ligands which mediate cell adhesion on the material surface. Monocyte-derived macrophages and multi-nucleated foreign body giant cells adhere to the surface and degrade the surface of the material. Due to the role of macrophage and foreign body giant cell on material biocompatibility and biostability, the effects of surface chemistry, surface topography and specific proteins on the maturation and survival of monocytes, macrophages and foreign body giant cells has been investigated. Novel molecularly designed materials were used to elucidate the dynamic interactions which occur between inflammatory cells, proteins and surfaces. The effect of protein and protein adhesion was investigated using adhesive protein depleted serum conditions on RGD-modified and silane modified surfaces. The effects of surface chemistry were investigated using temperature responsive surfaces of poly (N-isopropylacrylamide) and micropatterned surfaces of N-(2 aminoethyl)-3-aminopropyltrimethoxysilane regions on an interpenetrating polymer network of polyacrylamide and poly(ethylene glycol). The physical effects were investigated using polyimide scaffold materials and polyurethane materials with surface modifying end groups. The depletion of immunoglobulin G caused decreased levels of macrophage adhesion, foreign body giant cell formation and increased levels of apoptosis. The temporal nature of macrophage adhesion was observed with changing effectiveness of adherent cell detachment with time, which correlated to increased expression of beta1 integrin receptors on detached macrophages with time. The limited ability of the micropatterned surface, polyimide scaffold and surface

  1. Foreign body in the bronchus in children: 22 years experience in a tertiary care paediatric centre

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    Shasanka Shekhar Panda

    2014-01-01

    Full Text Available Background: Our objective was to assess types, presentation, duration of symptoms and usefulness of rigid bronchoscopy for diagnosis and treatment of bronchial foreign body (FB in children. Materials and Methods: Records of children with documented FB aspiration treated in Department of Paediatric Surgery from January 1991 to December 2012 were analysed retrospectively. Diagnosis was made on the basis of history, clinical examination, radiological evaluation and bronchoscopy. Results: A total of 196 children underwent emergency rigid bronchoscopy for suspected bronchial FB and in 173 cases FB was found. Out of 173 cases, 118 (68.21% were males and 55 (31.79% were females. Mean age was 3.7 years (range: 2 months-12 years while mean duration of symptoms was 28 h (range: from 3 h to 4 months. Most common FB bronchus found was peanut 141 (81.50%. FB was localised to right bronchus in 112 (64.74% cases while in 44 (25.43% cases left bronchus was involved. In 17 (9.83% cases FB was seen at carina only. Cough was the most common presenting symptom in 131 (75.72% cases. The most common finding in chest X-ray was consolidation-collapse lung or emphysematous lung in 83 (47.97% cases followed by the flattening of the diaphragm in 17 (9.83% cases. In 35 (20.23% cases chest X-ray was found to be normal. Pre-operative endotracheal intubation was done in 13 (7.51% cases while 20 (11.56% cases required post-operative mechanical ventilation. Conclusion: High index of suspicion should be kept for bronchial FB in children who present with suggestive history of FB ingestion even with normal physical and radiological evaluation.

  2. Endoscopic removal of foreign bodies from the upper gastrointestinal tract: 5-year experience

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    Emara MH

    2014-07-01

    Full Text Available Mohamed H Emara, Ehab M Darwiesh, Mohamed M Refaey, Sherif M Galal Tropical Medicine Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt Background: Foreign bodies (FBs in the upper gastrointestinal tract are produced chiefly by accidental swallowing but rarely produce symptoms. Removal of FBs is not an infrequent challenge for upper gastrointestinal endoscopy. The aim of this study is to elicit our experience in a 5-year period in dealing with FBs in the upper gastrointestinal tract using upper endoscopy. Methods: This retrospective study was conducted at Zagazig University Hospitals, Egypt, over a 5-year period. We reviewed all patients' files with full notations on age, sex, type of FB and its anatomical location, treatments, and outcomes (complications, success rates, and mortalities. Patients with incomplete files and those with FBs not identified at the endoscopic examination were excluded. Results: A total of 45 patients were identified. Their ages ranged from 6 months to 102 years. Slight male predominance was noticed (53.3%. The most frequent presentation was a history of FB ingestion without any associated manifestations (44.4%. Coins were the most commonly encountered FBs (14/45. Esophagus was the most common site of trapping (27/45. The overall success rate was 95.6% (43/45. Upper endoscopy successfully resolved the problem by either FB removal (41/43 or dislodgment of the impacted fleshy meat to the stomach (2/43. Two cases were referred for surgical removal. The rate of complications was 6.7%. Furthermore, no mortalities due to FB ingestion or removal had been reported throughout the study. Conclusion: Our experience with FB removal emphasizes its importance and ease when performed by experienced hands, at well-equipped endoscopy units, and under conscious sedation in most cases, with high success rates and minor complications. Keywords: upper endoscopy, coins, postsclerotherapy esophageal stricture, fleshy meat

  3. Chemical carcinogens as foreign bodies and some pitfalls regarding cancer immune surveillance.

    Science.gov (United States)

    Blankenstein, Thomas; Qin, Zhihai

    2003-01-01

    Interferon-gamma-receptor (IFN-gammaR)-deficient mice are more susceptible to tumor induction by methylcholanthrene (MCA) in comparison to control littermates. The cellular source of IFNgamma is not known, but the absence of T cells does not significantly increase the incidence of MCA-induced tumors. However, it appears that the presence of T cells in combination with unknown, perhaps environmental, factors can decrease MCA-induced tumor incidence, indicating that IFN-gamma of unknown origin contributes to the protective response. The current knowledge of cancer biology, immune regulation, and tumor-promoting effects of inflammation are difficult to reconcile with the concept of immune surveillance against non-virus-associated cancer. Analysis of the primary MCA-treated mouse indicates, as one protective mechanism, a tissue repair response against MCA-induced damage, in the course of which MCA is encapsulated and persists for long time in tumor-free mice, termed foreign-body reaction. The protection from DNA damage could simultaneously diminish tissue injury and malignant transformation. We argue that inhibition of MCA-induced carcinogenesis is mechanistically different from tumor transplantation immunity and that a longer latency in MCA-treated mice is unlikely due to T cell-mediated tumor recognition and selection of less immunogenic variants. We discuss that the IFNgammaR-dependent mechanism against MCA is unrelated to the original concept of T cell-mediated immune surveillance and that the increased spontaneous tumor incidence observed in some immune-deficient mice is likely to be explained by opportunistic infection and tumor-promoting chronic inflammation.

  4. Percutaneous Retrieval of Foreign Bodies Around Vital Vessels Aided with Vascular Intervention: A Technical Note

    Energy Technology Data Exchange (ETDEWEB)

    Yang, Xiu-Jun, E-mail: woothingyang2008@126.com [Shanghai Eighth People’s Hospital, Department of Radiology (China); Xing, Guang-Fu, E-mail: xgf8848@126.com [Shanghai Eighth People’s Hospital, Department of General Surgery (China)

    2015-10-15

    ObjectiveTo describe a new interventional technique to remove foreign bodies (FBs) embedded in soft tissues around vital vessels.MethodsUnder fluoroscopic guidance and using local anesthesia, percutaneous removal of FBs was performed using forceps in nine patients. All patients suffered from a metallic soft tissue FB located in close proximity to important vessels and one also had a small traumatic pseudoaneurysm adjacent to the FB. Prior to removal of the FB, the position of the nearest vessel was identified using a guide wire or catheter placed into the vessel. Balloon catheter was also simultaneously used to temporarily stop the blood flow of the nearest artery during the FB removal in three of the nine patients.ResultsAll of the nine FBs with 0–2 mm interval to the nearest vessel were successfully removed in the nine patients without any serious complications. The removed FBs measured 3–12 mm in length and 1–3 mm in width. The total fluoroscopic time of retrieval of each FB was 5–9 min (mean, 6.4 min). The volume of intraoperative bleeding ranged from 5 to 12 ml (mean, 7.5 ml). The length of hospital stay for each patient ranged from 4 to 8 days (mean, 5.5 days).ConclusionVascular intervention-aided percutaneous FB removal is minimally invasive and an effective method for removal of FBs around vital vessels.

  5. Bronchoscopic foreign body extraction in a pulmonary medicine department: a retrospective review of egyptian experience.

    Science.gov (United States)

    Korraa, Emad; Madkour, Ashraf; Wagieh, Khaled; Nafae, Ahmed

    2010-01-01

    Foreign body (FB) removal in our hospital was almost exclusively performed by surgeons through a rigid bronchoscope until the pulmonologists started getting involved in FB extraction. This study aimed to retrospectively review the results of 2 years of experience with 120 patients who presented or were referred to the Pulmonary Medicine Department, Ain Shams University Hospital in Cairo, Egypt, with clinical suspicion of FB aspiration during the period between December 2006 and December 2008. FBs were removed by either rigid and/or flexible bronchoscopy using either general or topical anesthesia. There were 54 male and 66 female patients with an age range between 3 months and 70 years and 68.5% of the patients were under the age of 10 years. Ninety patients (75%) presented with a definite history of FB aspiration, with a time interval between aspiration and presentation ranging between less than 6 hours and 12 months. The FB was visible on the chest x-ray in 42 cases. Aspirations were primarily into the right lung (53.2%). Seeds and scarf pins were the most common FB found, and were retrieved in 36 cases. Pulmonologists were successful in extracting 110 out of 111 (99.1%) bronchoscopically visualized FBs, and open thoracotomy was required in only 1 case for FB removal. In another 6 cases, only mucous plug was found to be the endogenous FB, whereas no FB could be found in 3 cases. No mortality or serious complications took place during or after the bronchoscopy. In conclusion, pulmonologists can extract FBs easily and safely either by using rigid and/or flexible bronchoscopes if they have the appropriate experience.

  6. Fatal mass ingestion of gastric foreign bodies in juvenile hooded seals (Cystophora cristata stranded in north-western iberian peninsula

    Directory of Open Access Journals (Sweden)

    Josep M. Alonso-Farré

    2011-09-01

    Full Text Available The hooded seal (Cystophora cristata is a subarctic and arctic pinniped species with its limit of distribution in southern Europe established west of the British Isles. Nevertheless, since 1970, strandings of juvenile individuals have been reported much further south than this limit. The special clinical and management considerations to take into account with these arctic seals have become a new challenge to veterinary clinicians of southern North-Atlantic stranding networks. We present here three clinical cases involving mass ingestion of foreign bodies, which seems to be a generalized finding in this species. Although the presence of gastroliths are considered to be normal in pinnipeds, the fast and ultimately lethal cases presented here highlights how an excessive presence of gastric foreign bodies could result in a gastrointestinal stasis syndrome, which has to be quickly resolved, medically or surgically. Portable ultrasound and X-ray equipments have demonstrated their value as gastric foreign bodies diagnostic procedures with nervous wildlife patients, such as the juvenile hooded seals. Finally, we conclude that it is extremely important to avoid the use of loose stones or sand over resting areas and to take extreme precautions with small items near the rehabilitation pools when dealing with this seal species.

  7. Pantoea agglomerans as an indicator of a foreign body of plant origin in cases of wound infection.

    Science.gov (United States)

    Vaiman, M; Lazarovich, T; Lotan, G

    2013-04-01

    To investigate the role of Pantoea agglomerans as an infectious agent that causes infection in a wound even after the wound was managed at the emergency department. A retrospective cohort study, reviewing the medical records of patients with traumatic wounds that were admitted to the emergency department from 2007-20 12 and had signs of wound infection for more than I 0 days after the wound was managed. Bacteriological results, clinical picture,and treatment results were obtained. Nine cases were identified. Pantoea agglomerans was detected in all cases. After 1-2 months of ineffective treatment, patients were hospitalised and surgical revisions of the wounds were performed.In all cases, small foreign bodies of plant origin were detected. After surgical revision, wounds were healed in 2-3 days. In cases of prolonged healing of post-traumatic wounds, the presence of foreign bodies of plant origin infected with Pantoea agglomerans should be taken into account. Removal of such foreign bodies leads to rapid healing of the wounds.

  8. Penetrating thoracic injury with retained foreign body: can video-assisted thoracic surgery take up the leading role in acute management?

    Science.gov (United States)

    Yu, Peter S Y; Chan, Herman H M; Lau, Rainbow W H; Capili, Freddie G; Underwood, Malcolm J; Wan, Innes Y P

    2016-08-01

    Video-assisted thoracic surgery (VATS) is widely adopted in acute management of patient with thoracic trauma, but its use in penetrating thoracic injuries with retained foreign bodies were rarely reported. We described three of such cases using VATS as the first line approach. Identification of injuries, control of bleeders, clot evacuation, resection of damaged lung parenchyma and safe retrieval of foreign bodies were all performed via complete VATS within short operative time. Patient were uneventfully discharged during early post-operative period. We suggest that, for haemodynamically stable patients, VATS offers a safe and minimally-invasive alternative to conventional thoracotomy for penetrating thoracic injury with retained foreign bodies.

  9. Fuzzy clustering-based segmented attenuation correction in whole-body PET

    CERN Document Server

    Zaidi, H; Boudraa, A; Slosman, DO

    2001-01-01

    Segmented-based attenuation correction is now a widely accepted technique to reduce noise contribution of measured attenuation correction. In this paper, we present a new method for segmenting transmission images in positron emission tomography. This reduces the noise on the correction maps while still correcting for differing attenuation coefficients of specific tissues. Based on the Fuzzy C-Means (FCM) algorithm, the method segments the PET transmission images into a given number of clusters to extract specific areas of differing attenuation such as air, the lungs and soft tissue, preceded by a median filtering procedure. The reconstructed transmission image voxels are therefore segmented into populations of uniform attenuation based on the human anatomy. The clustering procedure starts with an over-specified number of clusters followed by a merging process to group clusters with similar properties and remove some undesired substructures using anatomical knowledge. The method is unsupervised, adaptive and a...

  10. Superficial corneal foreign body: laboratory and epidemiologic aspects Corpo estranho corneal superficial: aspectos laboratoriais e epidemiológicos

    Directory of Open Access Journals (Sweden)

    Ednajar Tavares Macedo Filho

    2005-12-01

    Full Text Available PURPOSE: To determine by bacterioscopy and culture the microorganisms carried by corneal foreign body and their sensitivity to antibiotics by antibiotic sensitivity test. METHODS: A prospective study was carried out and information was collected on 101 patients who presented with corneal foreign body at the São Paulo Hospital Eye Emergency Service. Prior to any treatment, a sample of the ipsilateral inferior conjunctival fornix and the foreign body were collected and immersed in thioglycolate broth. Samples were sown on solid culture media including blood, chocolate and Sabouraud agar. Bacterioscopic examination using Gram and Giemsa staining and sensitivity test were performed. Positive foreign body culture results were compared to ipsilateral conjunctival fornix culture to exclude possible normal flora growth. RESULTS: Approximately 92% of patients were males with a mean age of 35 years and in 62.4% (95% confidence interval: 52.2 - 71.8% had the right eye was affected. Foreign body positive cultures were achieved in 32.7% (95% confidence interval: 23.7 - 42.7% of the cases. The microorganisms isolated from the foreign body culture were identified as: Streptococcus, alpha-hemolytic (n=4, Staphylococcus aureus (n=4, Staphylococcus, coagulase-negative (n=4, Corynebacterium xerosis (n=3, unidentified Gram-positive bacillus (n=2, Moraxella sp (n=1, Serratia sp (n=1, Acynetobacter sp (n=1. The microbial sensitivity test showed that 95% of the cases were sensitive to chloramphenicol and 90% were sensitive to ciprofloxacin, these being antibiotics used in our routine service. CONCLUSION: Superficial corneal foreign body acts as important contaminant vector and the great majority of isolated bacteria were sensitive to the antibiotic prophylaxis used in the treatment.OBJETIVOS: Identificar por meio de cultura e bacterioscopia os microrganismos veiculados por corpo estranho corneal e sua sensibilidade aos antibióticos em teste de antibiograma. M

  11. The influence of body mass index and gender on coronary arterial attenuation with fixed iodine load per body weight at dual-source CT coronary angiography

    Energy Technology Data Exchange (ETDEWEB)

    Zhu, Xiaomei; Zhu, Yinsu; Xu, Hai; Tang, Lijun; Xu, Yi [Dept. of Radiology, the First Affiliated Hospital of Nanjing Medical Univ., Nanjing, Jiangsu (China)], E-mail: lijun.tang@hotmail.com

    2012-07-15

    Background. Most of current coronary CT angiography protocols are not adapted to body weight (BW) or cardiac output and no literature about influence of gender on coronary attenuation are reported with administration of a fixed iodine load per BW. Purpose. To determine the influence of body mass index (BMI) and gender on coronary arterial attenuation if contrast material dose is linearly adjusted to a patient's BW at dual-source CT coronary angiography (DSCT-CA). Material and Methods. A total of 207 consecutive patients (mean age 60.6 years) undergoing DSCT-CA were included. Contrast material (370 mg I/mL) dose calculation was randomly categorized into two groups (Group1: 1.10 mL/kg for men and women; Group 2: men 1.10 mL/kg, women 0.99 mL/kg) and flow rate was calculated as dose was divided by scan time plus 8 s. Mean arterial attenuations between men and women were compared with respect to attenuations of ascending aorta (AA) above coronary ostia, left main coronary artery (LM), proximal segments of right coronary artery (RCA), left anterior descending (LAD), and left circumflex artery (LCX) in two groups, respectively. Attenuations of coronary arteries were correlated with BW and BMI with simple linear regression. Results. The mean attenuations of AA, LM, RCA, LAD, and LCX were 407.8 {+-} 53.6 HU, 412.6 {+-} 55.4 HU, 411.4 {+-} 64.3 HU, 399.1 {+-} 56.7 HU, and 399.1 {+-} 60.2 HU, respectively, and there were no significant differences between men and women in group 1 (AA, P = 0.571; LM, P = 0.670; RCA, P = 0.737; LAD, P = 0.439, and LCX, P = 0.888). In group 2, the mean attenuations of AA, LM, RCA, LAD, and LCX in men were significantly higher than those in women (AA, P = 0.008; LM, P = 0.025; RCA, P = 0.017; LAD, P = 0.015, and LCX, P = 0.002). Positive linear regression between BW and attenuations of AA (R{sup 2} = 0.047, P = 0.02), LM (R{sup 2} = 0.036, P = 0.04), RCA (R{sup 2} = 0.080, P < 0.01), LAD (R{sup 2} = 0.078, P < 0.01), and LCX (R{sup 2} = 0

  12. [Surgery for posterior segment intraocular foreign bodies -- anatomical and functional results].

    Science.gov (United States)

    Brănişteanu, Daniel; Moraru, Andreea

    2013-01-01

    To assess the anatomical and visual outcome and also the retinal complications following vitreoretinal surgery for posterior segment intraocular foreign bodies (IOFBs). Retrospective analysis of 59 IOFBs, with different locations within posterior segment,removed during pars plana vitrectomy (PPV) between January 1999 and January 2011, by the same surgeon, in Eye Clinic 1 Iasi. 47 out of 59 IOFBs (79.66%) were removed immediately after primary wound closure and 12 with a delay ranging from 48 hours to 5 years. All IOFBs were metallic. Total 20G pars plana vitrectomy with IOFB removal by forceps or intraocular magnet, careful membrane peeling and laser photocoagulation around the retinal injury (if present) was performed. Relaxing retinotomy was necessary in 3 cases of retinal incarceration. Endotamponade with SF6 (26 cases) or silicone oil (8 cases) were performed, if needed, at the end of surgery. The average follow-up period after surgery was 17.9 month (ranging 6 - 36 months). 18 out of 59 IOFBs (30.5%) were intraretinal. 39 out of 59 eyes (66.10%) showed signs of endophthalmitis at the time of surgery. Preoperative visual acuity ranged from light perception to 0.6. The mean visual acuity significantly increased after surgery from 0.16 preoperatively to 0.5 at the end of follow-up (range hand movements--1). 51 out of 59 cases (86.44%) had stable anatomical result. A final visual acuity equal or better than 0.1 was obtained in 45 cases (76.27%). Mild retinal folding could be noticed in some cases around the laser-treated retinal injury. In 8 out of 59 cases (13.56%) visual acuity remained low or decreased due to macular injury or PVR associated retinal detachment requiring additional surgery. IOFBs, and especially those intraretinal, require an early, complex and customized approach during PPV. Functional results do not match anatomical restoration if macula or optic nerve are impacted. Main postoperative complications were represented by retinal folds and PVR

  13. X-ray detection of ingested non-metallic foreign bodies.

    Science.gov (United States)

    Saps, Miguel; Rosen, John M; Ecanow, Jacob

    2014-05-08

    To determine the utility of X-ray in identifying non-metallic foreign body (FB) and assess inter-radiologist agreement in identifying non-metal FB. Focus groups of nurses, fellows, and attending physicians were conducted to determine commonly ingested objects suitable for inclusion. Twelve potentially ingested objects (clay, plastic bead, crayon, plastic ring, plastic army figure, glass bead, paperclip, drywall anchor, eraser, Lego™, plastic triangle toy, and barrette) were embedded in a gelatin slab placed on top of a water-equivalent phantom to simulate density of a child's abdomen. The items were selected due to wide availability and appropriate size for accidental pediatric ingestion. Plain radiography of the embedded FBs was obtained. Five experienced radiologists blinded to number and types of objects were asked to identify the FBs. The radiologist was first asked to count the number of items that were visible then to identify the shape of each item and describe it to a study investigator who recorded all responses. Overall inter-rater reliability was analyzed using percent agreement and κ coefficient. We calculated P value to assess the probability of error involved in accepting the κ value. Fourteen objects were radiographed including 12 original objects and 2 duplicates. The model's validity was supported by clear identification of a radiolucent paperclip as a positive control, and lack of identification of plastic beads (negative control) despite repeated inclusion. Each radiologist identified 7-9 of the 14 objects (mean 8, 67%). Six unique objects (50%) were identified by all radiologists and four unique objects (33%) were not identified by any radiologist (plastic bead, Lego™, plastic triangle toy, and barrette). Identification of objects that were not present, false-positives, occurred 1-2 times per radiologist (mean 1.4). An additional 17% of unique objects were identified by less than half of the radiologists. Agreement between radiologists was

  14. Ocular Trauma Score in Siderosis Bulbi With Retained Intraocular Foreign Body

    Science.gov (United States)

    Zhu, Lili; Shen, Pingyu; Lu, Hong; Du, Chixin; Shen, Jianqin; Gu, Yangshun

    2015-01-01

    Abstract The purpose of this study was to investigate the clinical characteristic and visual outcome of siderosis bulbi with retained intraocular foreign body (IOFB) and to validate the predictive value of the Ocular Trauma Score (OTS) in siderosis bulbi. Certain numerical values rendered to the OTS variables at present were summated (Table 1) and converted into 5 OTS categories as performed in the OTS study. The prognostic value of OTS was first assessed in cases of siderosis bulbi resulting from a chemical reaction of retained IOFBs. Twenty-four eyes of 24 patients diagnosed with siderosis bulbi who underwent surgery between 2007 and 2013 at our medical centre were reviewed. Due to patients’ ignorance in ocular injuries, delayed presentation by the patient (54.17%) and no history of trauma (16.67%) were the most common cause of siderosis bulbi with IOFB retention. The main symptom of all these patients was impaired vision. The most common complications were cataract (23/24, 95.83%), followed by retinal pigmentary degeneration (15/22, 68.18%), iris heterochromia (14/24, 58.33%), pupillary mydriasis (10/21, 47.62%), secondary glaucoma (6/24, 25.00%), relative afferent pupillary defect (6/24, 25.00%), and retinal detachment (3/24, 12.50%). IOFBs were removed in 22 eyes (91.67%), except 2 enucleated eyes with absolute glaucoma (8.33%). Among all the patients (24 eyes), the best-corrected visual acuity improved in 63.64%, unchanged in 18.18% and deteriorated in 18.18% after surgical intervention. No statistically significant difference was found between the categorical distributions of our patients and those in the OTS study group. Further promotion and education on eye protection are needed to minimize visual loss from siderosis bulbi. The OTS, which was designed to predict visual outcomes of general ocular trauma, may also provide reliable information about the prognosis of siderosis bulbi resulting from a chemical reaction of retained IOFBs. PMID:26426616

  15. Comparison of MR-based attenuation correction and CT-based attenuation correction of whole-body PET/MR imaging

    Energy Technology Data Exchange (ETDEWEB)

    Izquierdo-Garcia, David [Mount Sinai School of Medicine, Translational and Molecular Imaging Institute, New York, NY (United States); Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Athinoula A. Martinos Center for Biomedical Imaging, Charlestown, MA (United States); Sawiak, Stephen J. [University of Cambridge, Wolfson Brain Imaging Centre, Cambridge (United Kingdom); Knesaurek, Karin; Machac, Joseph [Mount Sinai School of Medicine, Division of Nuclear Medicine, Department of Radiology, New York, NY (United States); Narula, Jagat [Mount Sinai School of Medicine, Department of Cardiology, Zena and Michael A. Weiner Cardiovascular Institute and Marie-Josee and Henry R. Kravis Cardiovascular Health Center, New York, NY (United States); Fuster, Valentin [Mount Sinai School of Medicine, Department of Cardiology, Zena and Michael A. Weiner Cardiovascular Institute and Marie-Josee and Henry R. Kravis Cardiovascular Health Center, New York, NY (United States); The Centro Nacional de Investigaciones Cardiovasculares (CNIC), Madrid (Spain); Fayad, Zahi A. [Mount Sinai School of Medicine, Translational and Molecular Imaging Institute, New York, NY (United States); Mount Sinai School of Medicine, Department of Cardiology, Zena and Michael A. Weiner Cardiovascular Institute and Marie-Josee and Henry R. Kravis Cardiovascular Health Center, New York, NY (United States); Mount Sinai School of Medicine, Department of Radiology, New York, NY (United States)

    2014-08-15

    The objective of this study was to evaluate the performance of the built-in MR-based attenuation correction (MRAC) included in the combined whole-body Ingenuity TF PET/MR scanner and compare it to the performance of CT-based attenuation correction (CTAC) as the gold standard. Included in the study were 26 patients who underwent clinical whole-body FDG PET/CT imaging and subsequently PET/MR imaging (mean delay 100 min). Patients were separated into two groups: the alpha group (14 patients) without MR coils during PET/MR imaging and the beta group (12 patients) with MR coils present (neurovascular, spine, cardiac and torso coils). All images were coregistered to the same space (PET/MR). The two PET images from PET/MR reconstructed using MRAC and CTAC were compared by voxel-based and region-based methods (with ten regions of interest, ROIs). Lesions were also compared by an experienced clinician. Body mass index and lung density showed significant differences between the alpha and beta groups. Right and left lung densities were also significantly different within each group. The percentage differences in uptake values using MRAC in relation to those using CTAC were greater in the beta group than in the alpha group (alpha group -0.2 ± 33.6 %, R{sup 2} = 0.98, p < 0.001; beta group 10.31 ± 69.86 %, R{sup 2} = 0.97, p < 0.001). In comparison to CTAC, MRAC led to underestimation of the PET values by less than 10 % on average, although some ROIs and lesions did differ by more (including the spine, lung and heart). The beta group (imaged with coils present) showed increased overall PET quantification as well as increased variability compared to the alpha group (imaged without coils). PET data reconstructed with MRAC and CTAC showed some differences, mostly in relation to air pockets, metallic implants and attenuation differences in large bone areas (such as the pelvis and spine) due to the segmentation limitation of the MRAC method. (orig.)

  16. Using methylene blue as a marker to find and remove tiny metallic foreign bodies embedded in the soft tissues of children: A randomised controlled trial.

    Science.gov (United States)

    Su, Yuxi; Nan, Guoxin

    2016-05-01

    Embedment of metallic foreign bodies in the soft tissues is commonly encountered in the emergency room. Most foreign bodies are easily removed, but removal is difficult if the foreign body is very small or deeply embedded. To determine the usefulness of methylene blue staining in the surgical removal of tiny metallic foreign bodies embedded in the soft tissue. This prospective study involved 41 children treated between May 2007 and May 2012. The patients were randomly divided into a methylene blue group and a control group. In the control group, foreign bodies were located using a C-arm and removed via direct incision. In the methylene blue group, foreign bodies were located using a C-arm, marked with an injection of methylene blue and then removed surgically. The clinical outcomes, complications, operation time, surgical success rate, incision length, frequency of C-arm use, and length and depth of the foreign body were compared between the two groups. The surgical success rate was significantly higher in the methylene blue group. The average operation time was significantly shorter in the methylene blue group. The C-arm was used significantly less frequently in the methylene blue group than in the control group. The incision length was significantly shorter in the methylene blue group than in the control group. Methylene blue staining facilitated the location and removal of tiny metallic foreign bodies from the soft tissue, and significantly reduced operation time, incision length and radiation exposure compared to the conventional method. Copyright © 2016 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights reserved.

  17. Huge rectovesical fistula due to long-term retention of a rectal foreign body: A case report and review of the literature.

    Science.gov (United States)

    Kiyasu, Yoshiyuki; Kano, Nobuyasu

    2017-01-01

    Most patients with foreign bodies in their rectums present to medical institutions within a few days. In this report, we describe a foreign body in the rectum in situ for 5 months that resulted in a huge rectovesical fistula 4cm in diameter, requiring emergency laparotomy. A 59-year-old man, who had undergone rectal foreign body extraction via the anal canal without any complications 7 years previously, presented with abdominal pain and diarrhea. Computed tomography revealed a cup-shaped rectal foreign body and huge rectovesical fistula. We performed an emergency laparotomy. There was no contaminated ascites. The adhesion around the fistula was too stiff to be dissected. We incised the rectal wall, excised the ceramic cup-shaped foreign body, and detected a fistula approximately 4cm in diameter. We performed sigmoid colostomy, and the incised rectal wall and the bladder wall were sutured, and the residual rectum was supposed to function as a part of the bladder. After the surgery, no severe complications occurred. The patient told us that he inserted the foreign body himself 5 months earlier, and urine had appeared in the stool in the previous month. A long-term retained rectal foreign body is very rare and could create an abnormal huge fistula between the pelvic organs because of prolonged pressure on the walls of the pelvic organs. In patients with a long-term retained rectal foreign body, we should prepare for surgical treatment of not only the rectum but also the other pelvic organs. Copyright © 2017 The Author(s). Published by Elsevier Ltd.. All rights reserved.

  18. Gingival foreign body granuloma in conjunction with the use of a dental water jet: a case report.

    Science.gov (United States)

    Terry, Mark A; Narayana, Nagamani; Kaldahl, Wayne B

    2014-01-01

    Foreign body gingivitis has been described as an inflammatory reaction of marginal or attached gingival tissues due to foreign material in the connective tissue. This article presents the case of a 58-year-old woman with the chief complaint of periodic discomfort in her maxillary "gums" and redness in the facial gingival tissues of the maxillary anterior segment. A biopsy showed a granulomatous reaction in both the red and neutral areas. The patient revealed that she had been using a water jet device on a high pressure setting. She was advised to discontinue the water jet use, after which the gingival redness and inflammation began to subside, and appeared normal at 3- and 6-month follow-up visits.

  19. Bringing back the body into the mind: gestures enhance word learning in foreign language.

    Science.gov (United States)

    Macedonia, Manuela

    2014-01-01

    Foreign language education in the twenty-first century still teaches vocabulary mainly through reading and listening activities. This is due to the link between teaching practice and traditional philosophy of language, where language is considered to be an abstract phenomenon of the mind. However, a number of studies have shown that accompanying words or phrases of a foreign language with gestures leads to better memory results. In this paper, I review behavioral research on the positive effects of gestures on memory. Then I move to the factors that have been addressed as contributing to the effect, and I embed the reviewed evidence in the theoretical framework of embodiment. Finally, I argue that gestures accompanying foreign language vocabulary learning create embodied representations of those words. I conclude by advocating the use of gestures in future language education as a learning tool that enhances the mind.

  20. Plain film, CT and MRI sensibility in the evaluation of intraorbital foreign bodies in an in vitro model of the orbit and in pig eyes

    Energy Technology Data Exchange (ETDEWEB)

    Lagalla, R.; Manfre, L.; Caronia, A.; Bencivinni, F.; Duranti, C. [Institute of Radiology ' ' P. Cignolini' ' , University of Palermo, Palermo (Italy); Ponte, F. [Institute of Ophthalmology, University of Palermo, Palermo (Italy)

    2000-08-01

    Detection and characterization of intraorbital foreign bodies (IFB) is fundamental in acute trauma setting, preventing inflammatory sequelae or complications related to IFB movements when a MRI study is planned. Papers concerning plain film and CT sensibility in IFB detection show controversial results. For this reason we investigated plain film, CT and MRI sensibility in the evaluation of IFB. For an in vitro model, specimens of dry and fresh wood, glass, iron, plastic and graphite were immersed in animal lard and in a 0.9 % sodium chloride plus 3.5 g/dl human serum albumin solution. Specimens of different size and nature where also implanted into enucleated pig eyes. Air bubbles were introduced also. Plain film, CT and MRI investigation were performed. Plain films underestimated intraocular IFB as plastic, fresh or dry wooden IFB were not demonstrated. The CT study was always able to depict and differentiate IFB according to the attenuation values. Severe artefacts prevented demonstration of iron, glass and graphite IFB on MRI, whereas plastic or wooden IFB were always detected. Despite radiographs have been suggested as a prerequisite for MR imaging, because our results showed plain film to underestimate radiolucent IFB, we suggest CT as the modality of choice when IFB has to be ruled out. (orig.)

  1. Cuerpo extraño intratorácico post traumatismo penetrante Thoracic foreign body after penetrating chest trauma

    Directory of Open Access Journals (Sweden)

    ROBERTO GONZÁLEZ L

    2010-06-01

    Full Text Available Presentamos el caso de un hombre de 21 años con un cuerpo extraño intra torácico post traumatismo penetrante. El cuerpo extraño que correspondía a la hoja de un cuchillo, fue extraído a través de la misma herida traumática, sin toracotomía ni cirugía torácica video asistida (VATS. El paciente evolucionó favorablemente. Los cuerpos extraños intra torácicos secundarios a un traumatismo penetrante son infrecuentes. Se recomienda la extracción a través de toracotomía o de VATS, ambos procedimientos permiten una adecuada exploración de las estructuras intra torácicas y reparar potenciales lesiones. En pacientes estables y casos seleccionados se pueden extraer sin cirugía (sin toracotomía o VATS; siempre en pabellón quirúrgico y bajo anestesia general, teniendo todo preparado para cirugía en caso de ser necesario.We present the case of a 21 year old man with an intra thoracic foreign body after penetrating chest trauma. The foreign body was the blade of a knife. It was removed through the wound, without thoracotomy or video-assisted thoracic surgery (VATS and the patient evolved without incidents. Intra-thoracic foreign bodies secondary to penetrating trauma are rare. They are usually removed through thoracotomy or VATS. Both alternatives allow adequate exploration of the intra-thoracic structures and repair injuries that are potentially lethal. In stable patients and selected cases, they can be removed without surgery (without thoracotomy or VATS; always in an operating room and under general anesthesia, in case that surgical exploration could be needed after the procedure.

  2. What is the diagnostic value of flexible bronchoscopy in the initial investigation of children with suspected foreign body aspiration?

    Science.gov (United States)

    Righini, Christian A; Morel, Nils; Karkas, Alexandre; Reyt, Emile; Ferretti, Katarina; Pin, Isabelle; Schmerber, Sebastien

    2007-09-01

    The diagnosis and early bronchoscopic extraction of a foreign body (Fb) in children are life-saving measures. Many studies have described the manifestation of foreign body aspiration (FbA); however, only a few analyzed the role of flexible bronchoscopy in the diagnosis of FbA. The aim of this work is to define the indications of flexible bronchoscopy in the management algorithm of suspected FbA. This study was conducted at a tertiary referral University Medical Center with an outpatient clinic and a 20-bed pediatric emergency unit. Between January 2002 and July 2006 children referred with suspected FbA were included in this prospective study. Children with asphyxiating FbA requiring immediate rigid bronchoscopy, were excluded. If there was no convincing evidence of FbA, a diagnostic flexible bronchoscopy was performed under local anesthesia. In the case where a Fb was actually found, extraction was always performed by rigid bronchoscopy. Seventy cases (median age: 2 years, males: 44/females: 26) were analyzed. Among the 19 children who underwent flexible bronchoscopy first, 7 (37%) had a Fb. Among the 51 who underwent rigid bronchoscopy first, 43 had a Fb and 8 (16%) had a negative first rigid bronchoscopy. Predictive signs of a bronchial Fb were a radiopaque Fb, foreign body aspiration syndrome (FbAS) associated with unilaterally decreased breath sounds or localized wheezing and obstructive emphysema or atelectasis. In case of suspected FbA in children, the following management algorithm is suggested: rigid bronchoscopy should be performed solely in case of asphyxia, finding of a radiopaque Fb, or in the presence FbAS associated with unilaterally decreased breath sounds, localized wheezing and obstructive radiological emphysema, or atelectasis. In all other cases, flexible bronchoscopy should be performed first for diagnostic purposes.

  3. CT findings of foreign body reaction to retained endoloop ligature plastic tube mimicking acute appendicitis: A case report

    Energy Technology Data Exchange (ETDEWEB)

    Ahn, Jae Hong; Kang, Chae Hoon; Choi, Soo Jung; Park, Man Soo; Jung, Seung Mun; Ryu, Dae Shick; Shin, Dong Rock [Dept. of Radiology, GangNeung Asan Hospital, University of Ulsan College of Medicine, Gangneung (Korea, Republic of)

    2016-07-15

    Many hospitals experience one or more retained surgical instrument events with risk of patient morbidity and medicolegal problems. Identification of retained surgical instrument is important. The radiologists should be familiar with imaging finding of retained surgical instrument. In a 62-year-old female with a retained plastic tube, localized peritoneal infiltration around air-containing tubular structure mimicked acute appendicitis on abdomen computed tomography (CT), one year after laparoscopic cholecystectomy. We reported CT findings of foreign body reaction related to retained Endoloop ligature plastic tube mimicking acute appendicitis.

  4. CT Findings of Foreign Body Reaction to a Retained Endoloop Ligature Plastic Tube Mimicking Acute Appendicitis: A Case Report

    Energy Technology Data Exchange (ETDEWEB)

    Ahn, Jae Hong; Kang, Chae Hoon; Choi, Soo-Jung; Park, Man Soo; Jung, Seung Mun; Ryu, Dae Shick; Shin, Dong Rock [Department of Radiology, Asan Foundation, GangNeung Asan Hospital, University of Ulsan College of Medicine, Gangneung 25440 (Korea, Republic of)

    2016-11-01

    Many hospitals experience one or more retained surgical instrument events with risk of patient morbidity and medicolegal problems. Identification of retained surgical instrument is important. The radiologists should be familiar with imaging finding of retained surgical instrument. In a 62-year-old female with a retained plastic tube, localized peritoneal infiltration around air-containing tubular structure mimicked acute appendicitis on abdomen computed tomography (CT), one year after laparoscopic cholecystectomy. We reported CT findings of foreign body reaction related to retained Endoloop ligature plastic tube mimicking acute appendicitis.

  5. Automated attenuation-based tube voltage selection for body CTA: Performance evaluation of 192-slice dual-source CT

    Energy Technology Data Exchange (ETDEWEB)

    Winklehner, Anna; Gordic, Sonja; Lauk, Eliane; Frauenfelder, Thomas; Alkadhi, Hatem; Husarik, Daniela B. [University Hospital Zurich, Institute for Diagnostic and Interventional Radiology, Zurich (Switzerland); Leschka, Sebastian [University Hospital Zurich, Institute for Diagnostic and Interventional Radiology, Zurich (Switzerland); Division of Radiology and Nuclear Medicine, St. Gallen (Switzerland)

    2015-08-15

    To assess radiation dose and image quality in body CT-angiography (CTA) with automated attenuation-based tube voltage selection (ATVS) on a 192-slice dual-source CT (DSCT). Forty patients (69.5 ± 9.6 years) who had undergone body CTA with ATVS (ref.kVp 100, ref.mAs 90) using a 2x192-slice CT in single-source mode were retrospectively included. All patients had undergone prior CTA with a 2x128-slice CT and ATVS with identical imaging and contrast media protocols, serving for comparison. Images were reconstructed with iterative reconstruction at similar strength levels. Radiation dose was determined. Image quality was assessed semi-quantitatively (1:excellent, 5:non-diagnostic), aortic attenuation, noise and CNR were determined. As compared to 128-slice DSCT, 192-slice DSCT selected tube voltages were lower in 30 patients (75 %), higher in 3 (7.5 %), and similar in 7 patients (17.5 %). CTDI{sub vol} was lower with 192-slice DSCT (4.7 ± 1.9 mGy vs. 5.8 ± 2.1 mGy; p < 0.001). Subjective image quality, mean aortic attenuation (342 ± 67HU vs. 268 ± 67HU) and CNR (9.8 ± 2.5 vs. 8.2 ± 2.9) were higher with 192-slice DSCT (all p < 0.01), all datasets being diagnostic. Our study suggests that ATVS of 192-slice DSCT for body CTA is associated with an improved image quality and further radiation dose reduction of 19 % compared to 128-slice DSCT. (orig.)

  6. Intensive therapy with ceftobiprole medocaril of experimental foreign-body infection by methicillin-resistant Staphylococcus aureus.

    Science.gov (United States)

    Vaudaux, Pierre; Gjinovci, Asllan; Bento, Manuela; Li, Dongmei; Schrenzel, Jacques; Lew, Daniel P

    2005-09-01

    The therapeutic activity of ceftobiprole medocaril, the water-soluble prodrug of ceftobiprole, was compared to that of vancomycin in a rat tissue cage model of chronic methicillin-resistant Staphylococcus aureus (MRSA) foreign-body infection. The MICs and MBCs of ceftobiprole and vancomycin in Mueller-Hinton broth for strain MRGR3 were 1 and 4 and 1 and 2 microg/ml, respectively. In vitro elimination rates of strain MRGR3 of 4 and 8 microg/ml of ceftobiprole or vancomycin were equivalent. After 2 weeks of infection, mean +/- standard error of the mean viable counts of strain MRGR3 were 6.83 +/- 0.11 log CFU/ml of tissue cage fluid (n = 87). High-dose regimens of ceftobiprole medocaril (equivalent to 150 mg/kg of ceftobiprole) or 50 mg/kg vancomycin produced nearly identical average peak and trough levels of ceftobiprole and vancomycin in tissue cage fluid, which exceeded the MBC of either antibiotic towards strain MRGR3 for > or =75% of each dosing interval. After 7 days of therapy with ceftobiprole medocaril or vancomycin, average counts of MRGR3 decreased significantly (P ceftobiprole-supplemented agar following therapy with this cephalosporin. The in vivo activity of ceftobiprole medocaril against chronic MRSA foreign-body infections was equivalent to that of vancomycin and did not lead to the emergence of resistant subpopulations.

  7. Application of Endoscopic Taking out the Foreign Body in Maxillary Sinus%鼻内镜在取上颌窦异物的临床应用

    Institute of Scientific and Technical Information of China (English)

    庄建谋; 庄文志; 李健祥

    2011-01-01

    Objective: To study the possibility of taking out the foreign body in the maxillary sinus under nasal endoscope.Methods: Eight patients with the foreign bodies in the maxillary sinus were proved by CT, removed part of hook under anesthesia , expanded ostium maxilare and taken out the foreign body.Results: Eight patients with the foreign bodies in the maxillary sinus were taken out by nasal endoscope.Conclusion: Removed foreign bodies in the maxillary sinus under nasal endoscope , the operation is simple, trauma and recovery after the patients rapidly, there are being popularized in clinical otolaryngology.%目的:研究鼻内镜在取上颌窦异物的可行性.方法:对8例经CT证实有上颌窦异物的患者,在全麻下切除部分钩突,开放上颌窦口取出异物.结果:8例上颌窦异物患者经鼻内镜取出.结论:采用鼻内镜下上颌窦异物取出术,手术操作简便,损伤小,术后患者恢复快,有临床推广价值.

  8. Special Esophageal Foreign Body in 1 Cases%超声误诊残角子宫妊娠破裂1例

    Institute of Scientific and Technical Information of China (English)

    朱洪娟

    2015-01-01

    In daily life, often due to accidental y put food or foreign body into the esophagus and stranded, resulting in a series of symptoms. Can occur at any age, with the elderly, children's. If not promptly removed delayed treatment can cause cause life-threatening bleeding esophageal inflammation around, mediastinum inflammation and abscess, fistula and perforation of the large blood vessels. Under general anesthesia in our hospital under the emergency treatment of esophageal endoscopy and foreign body removal surgery, or the removal of foreign body through the endoscopic removal of foreign body. Various impurities are removed such as toothpicks, the tip of the bone, chicken bone, fishbone, needle, nails, coins, but ons, lean mass, shel , a pen cap, hair clips, denture, denture, duck bone. In this paper, a case of esophageal foreign body in our hospital was analyzed, and the experience of the special esophageal foreign body was analyzed.%探讨残角子宫妊娠破裂的超声表现及鉴别诊断。方法对1例超声误诊残角子宫妊娠破裂进行回顾分析。结果1例残角子宫妊娠破裂,术前诊断双子宫妊娠破裂,积极行手术治疗,术后复查彩超,诊断为残角子宫。结论超声是诊断残角子宫及残角子宫妊娠的首选方法,提倡孕前或孕早期行超声检查,能显著提高诊断正确率,减少误诊,并及时处理,避免潜在危险的发生。

  9. Imaging of foreign bodies in the face and ultrasound guided surgical removal; Diagnostico por imagem de corpos estranhos da face e retirada cirurgica guiada por ultra-sonografia

    Energy Technology Data Exchange (ETDEWEB)

    Lima, Claudio Marcio Amaral de Oliveira; Gambin, Moises; Ribeiro, Erica Barreiros; Amarante Junior, Jose Luiz de Medeiros [Hospital Naval Marcilio Dias, Rio de Janeiro, RJ (Brazil)]. E-mail: cmaol@br.inter.net; cmaolima@hotmail.com; Monteiro, Alexandra Maria Vieira [Pontificia Univ. Catolica do Rio de Janeiro (PUC/Rio), RJ (Brazil). Curso de Pos-Graduacao em Radiologia

    2006-10-15

    The identification and surgical removal of foreign bodies is a complex procedure in medical practice, principally when the involved material is radiolucent. The technological advent of the ultrasonography equipment comes enlarging the field of application of this method more and more, in medical practice. The authors describe a case of an ultrasound guided surgical removal of glass fragments from the face of a patient. The foreign bodies were previously diagnosed by ultrasound and computed tomography. The guided technic showed secure, less invasive and efficient, allowing the retreat of all the fragments. (author)

  10. Foreign body granulomas in the left main bronchus resulting from the sutures for esophageal cancer surgery: the report of two cases

    Institute of Scientific and Technical Information of China (English)

    JIAO Yang; SHANG Yan; LI Qiang; WANG Yang; WU Ning; WANG Qin; WANG Xiang-qi; XIA Ying

    2012-01-01

    In this report,we present two cases of bronchial foreign body granulomas caused by the suture ties used in bronchial surgery for esophageal cancer.Both of them was hospitalized as “tumor transfer or an invasion”,but pathological examination of the neoplasms indicated an inflammatory granuloma showing reaction to the foreign body,These two cases give us an attention that the neoplasms in tracheal or bronchial was not only the invasion or transfer of the primary tumor,but also the possibility of grenuloma development due to the surgical sutures.

  11. Gene expression study of monocytes/macrophages during early foreign body reaction and identification of potential precursors of myofibroblasts.

    Directory of Open Access Journals (Sweden)

    Lindsay Mesure

    Full Text Available Foreign body reaction (FBR, initiated by adherence of macrophages to biomaterials, is associated with several complications. Searching for mechanisms potentially useful to overcome these complications, we have established the signaling role of monocytes/macrophages in the development of FBR and the presence of CD34(+ cells that potentially differentiate into myofibroblasts. Therefore, CD68(+ cells were in vitro activated with fibrinogen and also purified from the FBR after 3 days of implantation in rats. Gene expression profiles showed a switch from monocytes and macrophages attracted by fibrinogen to activated macrophages and eventually wound-healing macrophages. The immature FBR also contained a subpopulation of CD34(+ cells, which could be differentiated into myofibroblasts. This study showed that macrophages are the clear driving force of FBR, dependent on milieu, and myofibroblast deposition and differentiation.

  12. Orthodontic Wire Ingestion during Treatment: Reporting a Case and Review the Management of Foreign Body Ingestion or Aspiration (Emergencies

    Directory of Open Access Journals (Sweden)

    Mohammad Hoseini

    2013-01-01

    Full Text Available Today orthodontic treatment is in growing demand and is not limited to a specific age or social group. The nature of orthodontic treatment is such that the orthodontic wires and appliances, which are used to apply force and move the teeth, are exposed to the oral cavity. Shaping and replacing these wires in oral cavity are the major assignments of orthodontist on appointments. Therefore, we can say that orthodontic treatment requires working with dangerous tools in a sensitive place like oral cavity which is the entrance of respiratory and digestive systems. In this paper, a case of ingesting a broken orthodontic wire during eating is reported, and also necessary remedial measures at the time of encountering foreign body ingestion or aspiration are provided.

  13. Orthodontic Wire Ingestion during Treatment: Reporting a Case and Review the Management of Foreign Body Ingestion or Aspiration (Emergencies).

    Science.gov (United States)

    Hoseini, Mohammad; Mostafavi, Seyed Morteza Saadat; Rezaei, Navid; Boluri, Ehsan Javadzadeh

    2013-01-01

    Today orthodontic treatment is in growing demand and is not limited to a specific age or social group. The nature of orthodontic treatment is such that the orthodontic wires and appliances, which are used to apply force and move the teeth, are exposed to the oral cavity. Shaping and replacing these wires in oral cavity are the major assignments of orthodontist on appointments. Therefore, we can say that orthodontic treatment requires working with dangerous tools in a sensitive place like oral cavity which is the entrance of respiratory and digestive systems. In this paper, a case of ingesting a broken orthodontic wire during eating is reported, and also necessary remedial measures at the time of encountering foreign body ingestion or aspiration are provided.

  14. Foreign body-induced changes in the reticular contraction pattern of sheep observed with M-mode ultrasonography

    Science.gov (United States)

    Morgado, A.A.; Sucupira, M.C.A.; Nunes, G.R.; Hagen, S.C.F.

    2015-01-01

    In the pre-experimental period of a clinical trial, an apparently clinically healthy sheep fitted with ruminal and abomasal cannulas showed changes in the reticular contraction pattern visualized in M-mode ultrasonogram. Radiographic examination revealed a blunt metal screw in its reticulum. By the time change in the reticular motility through the ultrasound examination was detected, the animal had still not expressed any behavioral changes. A description of the clinical case, follow-up of the findings and laboratory data, like white blood cell count, serum pepsinogen and fibrinogen concentrations, were presented. The foreign body was removed through the ruminal cannula and reticular contraction tended to normal. An association of the contraction pattern with measured clinical data was possible, leading to the conclusion that use of M-mode ultrasonography has a potential application in similar clinical situations. PMID:26623361

  15. Foreign body-induced changes in the reticular contraction pattern of sheep observed with M-mode ultrasonography

    Directory of Open Access Journals (Sweden)

    A.A. Morgado

    2015-04-01

    Full Text Available In the pre-experimental period of a clinical trial, an apparently clinically healthy sheep fitted with ruminal and abomasal cannulas showed changes in the reticular contraction pattern visualized in M-mode ultrasonogram. Radiographic examination revealed a blunt metal screw in its reticulum. By the time change in the reticular motility through the ultrasound examination was detected, the animal had still not expressed any behavioral changes. A description of the clinical case, follow-up of the findings and laboratory data, like white blood cell count, serum pepsinogen and fibrinogen concentrations, were presented. The foreign body was removed through the ruminal cannula and reticular contraction tended to normal. An association of the contraction pattern with measured clinical data was possible, leading to the conclusion that use of M-mode ultrasonography has a potential application in similar clinical situations.

  16. Foreign body granulomatous reaction to silica, silicone, and hyaluronic acid in a patient with interferon-induced sarcoidosis.

    Science.gov (United States)

    Novoa, R; Barnadas, M A; Torras, X; Curell, R; Alomar, A

    2013-12-01

    We report the case of a patient who developed sarcoid granulomas 11 months after starting treatment with pegylated interferon alfa and ribavirin for chronic hepatitis C. The sites of the lesions were related to 3 different foreign bodies: silica in old scars on the skin, hyaluronic acid that had been injected into facial tissues, and silicone in an axillary lymph node draining the area of a breast implant. Systemic sarcoidosis was diagnosed on the basis of a history of dry cough and fever and blood tests that revealed elevated angiotensin converting enzyme and liver enzymes. Interruption of the antiviral therapy led to normalization of liver function tests and disappearance of the skin lesions and lymphadenopathies. Dermatologists and cosmetic surgeons should be aware of the risk of sarcoid lesions related to cosmetic implants in patients who may require treatment with interferon in the future. Copyright © 2012 Elsevier España, S.L. and AEDV. All rights reserved.

  17. Body wave attenuation characteristics in the crust of Alborz region and North Central Iran

    Science.gov (United States)

    Farrokhi, M.; Hamzehloo, H.

    2016-11-01

    Attenuation of P and S waves has been investigated in Alborz and north central part of Iran using the data recorded by two permanent and one temporary networks during October 20, 2009, to December 22, 2010. The dataset consists of 14,000 waveforms from 380 local earthquakes (2 Iran, respectively. These relations for Q S for Alborz region and North Central Iran have estimated as (83 ± 8)f (0.99 ± 0.07) and (68 ± 5)f (0.96 ± 0.05), respectively. The observed low Q values could be the results of thermoelastic effects and/or existing fracture. The estimated frequency-dependent relationships are comparable with tectonically active regions.

  18. Diagnostic value of clinical examination and radiographic imaging in identification of intraocular foreign bodies in open globe injury.

    Science.gov (United States)

    Patel, Shriji N; Langer, Paul D; Zarbin, Marco A; Bhagat, Neelakshi

    2012-01-01

    To evaluate the diagnostic accuracy of clinical eye examination and radiographic imaging in the identification of intraocular foreign bodies (IOFBs) in open-globe traumatic injuries. This was a retrospective chart review of open-globe traumatic injuries with IOFBs presenting to University Hospital (UH) at New Jersey Medical School between 1998 and 2008. A total of 527 patients with traumatic open globe injuries presented to UH, Newark, New Jersey, USA, between 1998 and 2008. Of these, 74 patients had surgically confirmed IOFBs. Mean age of patients with traumatic open globe injury and an IOFB was 33 years (range, 8-69 years); mean follow-up was 17.6 months (range, 1 day-90 months). Foreign bodies were identified as glass (13), metal (58), wood (1), plastic (0), and other (2). There were 24 anterior segment (AS) IOFBs, 45 posterior segment (PS) IOFBs, and 5 noted in both segments. Clinical eye examination at presentation identified an IOFB in 34 (45.6%) of 74 patients. B-scan echography revealed an IOFB in 14 (51.9%) of 27 cases. Computed tomography scan of the orbits identified IOFBs in 56 (94.9%) of 59 cases. Clinical eye examination was performed in all (100%) patients. B-scan was performed only when posterior segment pathology was suspected. Computed tomography scan was performed when an IOFB or orbital fracture was suspected. Computed tomography scan was the most reliable method for identifying IOFBs in patients presenting with open globe injuries in comparison to clinical eye examination and B-scan echography. This result was consistent regardless of IOFB location within the globe.

  19. 晶状体内金属异物1例%Intralenticular metallic foreign body:a case report

    Institute of Scientific and Technical Information of China (English)

    S C Reddy

    2010-01-01

    我们报道1例45岁晶状体内残留铁片伴轻微前葡萄膜炎症状患者.局部使用睫状肌麻痹剂和皮质类固醇后视力改善.6mo后由于白内障形成,视力严重恶化.而晶状体囊外切除联合异物取出术联合后房型人工晶状体植入术后视力明显恢复.本研究说明白内障人工晶状体植入手术能使保守治疗无效的白内障所导致的低视力获得良好的视力.%A case of retained intralenticular iron piece with signs of mild anterior uveitis at the time of presentation is reported in a 45 year-old man.His vision improved with topical cycloplegics and corticosteroids.After six months,his vision deteriorated grossly due to cataract formation.He regained good vision following removal of foreign body,extracapsular extraction with posterior chamber intraocular lens implantation.This case highlights the conservative management of the condition till the patient develops cataract resulting in visual disability;and good visual recovery following cataract surgery with intraocular lens implantation.mild anterior uveitis at the time of presentation is reported in a 45 year-old man.His vision improved with topical cycloplegics and corticosteroids.After six months,his vision deteriorated grossly due to cataract formation.He regained good vision following removal of foreign body,extracapsular extraction with posterior chamber intraocular lens implantation.This case highlights the conservative management of the condition till the patient develops cataract resulting in visual disability;and good visual recovery following cataract surgery with intraocular lens implantation.

  20. "Peri-Implantitis": A Complication of a Foreign Body or a Man-Made "Disease". Facts and Fiction.

    Science.gov (United States)

    Albrektsson, Tomas; Canullo, Luigi; Cochran, David; De Bruyn, Hugo

    2016-08-01

    The discrepancy between some scientific views and the daily clinical experience with dental implants has made the topic of "periimplantitis" highly controversial, especially the discussion whether "periimplantitis" should even be considered a "disease" or whether marginal bone loss instead would represent a complication of having a foreign body placed in the oral cavity. The aim of the present paper was to present the outcomes from a consensus meeting on "peri-implantitis" in Rome, Italy (January 8-10, 2016). Seventeen clinical scientists were invited to, based on prepared reviews of the literature, discuss topics related to "periimplantitis." Oral implants may lose bone or even display clinical failure. However, progressive bone loss threatening implant survival is rare and limited to a percent or two of all implants followed up over 10 years or more, provided that controlled implant systems are being used by properly trained clinicians. There is very little evidence pointing to implants suffering from a defined disease entity entitled "peri-implantitis." Marginal bone loss around implants is in the great majority of cases associated with immune-osteolytic reactions. Complicating factors include patient genetic disorders, patient smoking, cement or impression material remnants in the peri-implant sulcus, bacterial contamination of the implant components and technical issues such as loose screws, mobile components or fractured materials. These reactions combine to result in cellular responses with the end result being a shift in the delicate balance between the osteoblast and the osteoclast resulting in bone resorption. However, the great majority of controlled implants display a foreign body equilibrium resulting in very high survival rates of the implants over long term of follow-up. © 2016 Wiley Periodicals, Inc.

  1. Body wave attenuation characteristics in the crust of Alborz region and North Central Iran

    Science.gov (United States)

    Farrokhi, M.; Hamzehloo, H.

    2017-07-01

    Attenuation of P and S waves has been investigated in Alborz and north central part of Iran using the data recorded by two permanent and one temporary networks during October 20, 2009, to December 22, 2010. The dataset consists of 14,000 waveforms from 380 local earthquakes (2 mean values of Q P and Q S at different lapse times have been considered. The frequency dependence of quality factor was determined by using a power-law relationship. The frequency-dependent relationship for Q P was estimated in the form of (62 ± 7) f (1.03 ± 0.07) and (48 ± 5) f (0.95 ± 0.07) in Alborz region and North Central Iran, respectively. These relations for Q S for Alborz region and North Central Iran have estimated as (83 ± 8) f (0.99 ± 0.07) and (68 ± 5) f (0.96 ± 0.05), respectively. The observed low Q values could be the results of thermoelastic effects and/or existing fracture. The estimated frequency-dependent relationships are comparable with tectonically active regions.

  2. "I've got a UFO stuck in my throat!"--an interesting case of foreign body impaction in the oesophagus.

    Science.gov (United States)

    Yip, L W; Goh, F S; Sim, R S

    1998-03-01

    This is a case report of an elderly lady with odynophagia because she accidentally swallowed a tablet which was still wrapped in its blister pack. A discussion of foreign body ingestion, particularly in the elderly, is included. To the authors' knowledge, this is the first paper that includes a lateral cervical radiograph of an ingested blister pack.

  3. Foreign Bodies in the Ear, Nose and Throat: An Experience in a Tertiary Care Hospital in Central Nepal

    Directory of Open Access Journals (Sweden)

    Parajuli, Ramesh

    2015-01-01

    Full Text Available Introduction A foreign body (FB is an object or substance foreign to the location where it is found. FBs in the ear, nose, and throat are a common problem frequently encountered in both children and adults. Objective To analyze FBs in terms of type, site, age, and gender distribution and method of removal. Methods A retrospective study was performed in a tertiary care hospital in the central part of Nepal. The study period was from June 2013 to May 2014. The information was obtained from hospital record books. Results A total of 134 patients had FBs in the ear, nose, or throat; 94 were males and 40 were females. Of the 134 patients, 70 (52.23% had FB in the ear, 28 (20.89% in the nose, and 36 (26.86% in the throat. The FB was animate (living in 28 (40% patients with FB in the ear and 1 (3.5% patient with FB in the nose, but the FB was inanimate (nonliving in any patient with FB in the throat, in 42 (60% patients with FB in the ear FB, and in 27 (96.4% patients with FB of the nose. The FB was removed with or without local anaesthesia (LA in 98 (73.13% patients, and only 36 patients (26.86% required general anaesthesia (GA. The most common age group affected was <10 years. Conclusion FBs in the ear and nose were found more frequently in children, and the throat was the most common site of FB in adults and elderly people. Most of the FBs can be easily removed in emergency room or outpatient department.

  4. Selective blockade of TRPA1 channel attenuates pathological pain without altering noxious cold sensation or body temperature regulation.

    Science.gov (United States)

    Chen, Jun; Joshi, Shailen K; DiDomenico, Stanley; Perner, Richard J; Mikusa, Joe P; Gauvin, Donna M; Segreti, Jason A; Han, Ping; Zhang, Xu-Feng; Niforatos, Wende; Bianchi, Bruce R; Baker, Scott J; Zhong, Chengmin; Simler, Gricelda H; McDonald, Heath A; Schmidt, Robert G; McGaraughty, Steve P; Chu, Katharine L; Faltynek, Connie R; Kort, Michael E; Reilly, Regina M; Kym, Philip R

    2011-05-01

    Despite the increasing interest in TRPA1 channel as a pain target, its role in cold sensation and body temperature regulation is not clear; the efficacy and particularly side effects resulting from channel blockade remain poorly understood. Here we use a potent, selective, and bioavailable antagonist to address these issues. A-967079 potently blocks human (IC(50): 51 nmol/L, electrophysiology, 67 nmol/L, Ca(2+) assay) and rat TRPA1 (IC(50): 101 nmol/L, electrophysiology, 289 nmol/L, Ca(2+) assay). It is >1000-fold selective over other TRP channels, and is >150-fold selective over 75 other ion channels, enzymes, and G-protein-coupled receptors. Oral dosing of A-967079 produces robust drug exposure in rodents, and exhibits analgesic efficacy in allyl isothiocyanate-induced nocifensive response and osteoarthritic pain in rats (ED(50): 23.2 mg/kg, p.o.). A-967079 attenuates cold allodynia produced by nerve injury but does not alter noxious cold sensation in naive animals, suggesting distinct roles of TRPA1 in physiological and pathological states. Unlike TRPV1 antagonists, A-967079 does not alter body temperature. It also does not produce locomotor or cardiovascular side effects. Collectively, these data provide novel insights into TRPA1 function and suggest that the selective TRPA1 blockade may present a viable strategy for alleviating pain without untoward side effects. Copyright © 2011 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.

  5. Cuerpo extraño intraocular en el segmento posterior Intraocular foreign bodies in the posterior segment

    Directory of Open Access Journals (Sweden)

    Diley Pérez García

    2012-01-01

    Full Text Available El trauma causado por cuerpo extraño intraocular es una de las principales causas de pérdida visual severa. Técnicamente es un trauma penetrante con permanencia del agente agresor dentro del globo ocular. Constituye una verdadera emergencia oftalmológica, pues puede ocasionar ceguera aún cuando se realiza un diagnóstico y tratamiento adecuados. Se realizó esta revisión para proponer un algoritmo de trabajo con el propósito de maximizar la recuperación anatómica y funcional después de una lesión de este tipo. La conducta a seguir ante este paciente requiere un tratamiento guiado por la apreciación del mecanismo del daño, naturaleza, localización y tamaño del cuerpo extraño; los conocimientos y la disposición del equipamiento necesario para el tratamiento quirúrgico y los cuidados posoperatorios. Existe controversia en cuanto al momento de extracción del cuerpo extraño; sin embargo, se debe realizar una conducta. La profilaxis de la endoftalmitis con antibióticos sistémicos es recomendada y la intravítrea de antibiótico debe ser considerada en los pacientes de alto riesgo. Se debe realizar el diagnóstico precoz o detección posoperatoria temprana de complicaciones como el desprendimiento de retina, endoftalmitis y la proliferación vítreorretiniana, que se han asociado con un pobre pronóstico visual.Intraocular foreign bodies are a major cause for severe visual loss. By technical definition, it consists of a form of penetrating ocular trauma, characterized by the persistence of the traumatic agent inside the eye, and is considered an ophthalmic emergency, since it may cause blindness even if good diagnosis and treatment are followed. This review was made to submit a management algorithm that can maximize the anatomical and functional outcomes after this type of injury. The management of these patients requires taking into account the mechanism of eye injury, the nature, the location and the size of the foreign body

  6. Ultrasonographically supported removal of foreign bodies of the eye lid and parapharyngeal space in a 13-year-old boy subjected to shot injuries in early childhood

    Directory of Open Access Journals (Sweden)

    Friedrich, Reinhard E.

    2013-11-01

    Full Text Available Background: B-scan ultrasonography is widely used in diagnostics of head and neck pathologies. Ultrasonography can be applied intraoperatively to identify foreign materials. Case report: This case report describes the ultrasonographic identification of foreign bodies of the eye lid and parapharyngeal space in an adolescent who was injured several years ago, obviously a victim of domestic violence. B-scan ultrasonography (small part transducer, emission frequency: 7.5 MHz proved to be a reliable tool to locate the foreign bodies. Ultrasound imaging facilitated the decision-making of the surgical approach and thus reduced the surgical exploration time. Discussion: B-scan ultrasonography is a valuable tool in oral and maxillofacial surgery. The use of B-scan ultrasonography in the head neck region requires the capacity of the surgeon to fuse the ultrasonographic picture with the topography of the head and neck. The advantages and limitations of B-scan ultrasonography in the head and neck region concerning foreign body identification are briefly discussed.

  7. Sweet potato (Ipomoea batatas) attenuates diet-induced aortic stiffening independent of changes in body composition.

    Science.gov (United States)

    Garner, Tyler; Ouyang, An; Berrones, Adam J; Campbell, Marilyn S; Du, Bing; Fleenor, Bradley S

    2017-08-01

    We hypothesized a sweet potato intervention would prevent high-fat (HF) diet-induced aortic stiffness, which would be associated with decreased arterial oxidative stress and increased mitochondrial uncoupling. Young (8-week old) C57BL/6J mice were randomly divided into 4 groups: low fat (LF; 10% fat), HF (60% fat), low-fat sweet potato (LFSP; 10% fat containing 260.3 μg/kcal sweet potato), or high-fat sweet potato diet (HFSP; 60% fat containing 260.3 μg/kcal sweet potato) for 16 weeks. Compared with LF and LFSP, HF- and HFSP-fed mice had increased body mass and percent fat mass with lower percent lean mass (all, P 0.05). Arterial stiffness, assessed by aortic pulse wave velocity and ex vivo mechanical testing of the elastin region elastic modulus (EEM) was greater in HF compared with LF and HFSP animals (all, P mitochondrial uncoupler, for 72 h reduced the EEM of HF arteries compared with nontreated HF segments (P mitochondrial uncoupling.

  8. A foreign body granuloma after gastric perforation mimicking peritoneal dissemination of gastric cancer: report of a case.

    Science.gov (United States)

    Akita, Hirofumi; Watanabe, Yasunori; Ishida, Hideyuki; Nakaguchi, Kazunori; Okino, Tsuyoshi; Kabuto, Toshiyuki

    2009-01-01

    This report presents the case of a 58-year-old man who was found to have foreign body granulomas (FBGs) that mimicked disseminated gastric cancer. The patient presented with a severe attack of acute upper abdominal pain, was admitted to the hospital, and thereafter underwent an immediate laparotomy due to a diagnosis of an upper gastrointestinal perforation. Follow-up endoscopy revealed an ulcer scar measuring 2 cm in size in the anterior wall of the middle stomach. The pathological examination of biopsy specimens taken around the scar revealed well to poorly differentiated adenocarcinoma. At the time of reoperation performed 2 months after the first operation, many small white granulomas were observed which were thought to be the result of peritoneal dissemination of the gastric cancer. However, both the cytology of the Douglas washing and pathological examination of frozen section specimens were negative for carcinoma, and therefore a distal gastrectomy was performed. The pathological examination revealed the presence of FBGs. In this rare case, the FBGs formed shortly after surgery and were difficult to distinguish from disseminated cancer.

  9. Synthetic hydrogel capacity to induce formation of foreign-body giant multinucleate cells differs in vivo and in vitro.

    Science.gov (United States)

    Smetana, K; Holíková, Z; Seitzer, U; Haas, H; Vacík, J

    2000-01-01

    The granulomatous reaction accompanied with MGC formation represents the most striking feature of the non-favourable biological tolerance of implanted devices. We compared MGC formation in the course of the granulomatous reaction in vitro and in vivo employing three types of hydrogels whose biocompatibility had been well studied earlier. The efficiency of the in vitro assay for the granulomatous reaction, including MGC formation, was verified employing the nematode Nippostrongylus brasiliensis, a well-known inductor of MGC formation in vitro. The in vitro results demonstrated a very low level of MGC formation in reaction against all three types of hydrogels without polymer-specific differences in comparison with the nematode experiment characterized by a high extent of MGC formation. On the other hand, the extent of MGC formation was implant type-specific in vivo: pHEMA-co-DMAEMA > pHEMA > pHEMA-co-NaMA. These results indicate that in the in vitro assay it was not possible to discriminate among the types of polymers used in the experiment in comparison with the animal experiment. They also indicate potential differences between granuloma formation induced by parasites and by foreign bodies.

  10. Fish bone foreign body presenting with an acute fulminating retropharyngeal abscess in a resource-challenged center: a case report

    Directory of Open Access Journals (Sweden)

    Oyewole Ezekiel O

    2011-04-01

    Full Text Available Abstract Introduction A retropharyngeal abscess is a potentially life-threatening infection in the deep space of the neck, which can compromise the airway. Its management requires highly specialized care, including surgery and intensive care, to reduce mortality. This is the first case of a gas-forming abscess reported from this region, but not the first such report in the literature. Case presentation We present a case of a 16-month-old Yoruba baby girl with a gas-forming retropharyngeal abscess secondary to fish bone foreign body with laryngeal spasm that was managed in the recovery room. We highlight specific problems encountered in the management of this case in a resource-challenged center such as ours. Conclusion We describe an unusual presentation of a gas-forming organism causing a retropharyngeal abscess in a child. The patient's condition was treated despite the challenges of inadequate resources for its management. We recommend early recognition through adequate evaluation of any oropharyngeal injuries or infection and early referral to the specialist with prompt surgical intervention.

  11. Creation of a realistic model for removal of a metallic corneal foreign body for less than $75.

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    Sayegh, Julie Sami

    2017-01-01

    Full Text Available Metallic corneal foreign bodies (MCFBs are one of the most common causes of ocular injury presenting to the emergency department. Delays in removal, or forceful attempts to remove the MCFB can lead to infection, further injury to the eye, and worsening of vision. In order to prevent these underlying complications, it is imperative for the medical provider to properly master this technique. As current trends in simulation become more focused on patient safety, task-trainers can provide an invaluable learning experience for residents, medical students and physicians. Models made from bovine eyes, agar plates, gelatin, and corneas created from glass and paraffin wax have been previously been created.One study also used a rubber glove filled with water to simulate intraocular measurement with a Tonopen. However the use of corneas created from ballistics gel for MCFB removal and intraocular pressure measurement has not been studied. We propose a realistic, sustainable, cost-effective MCFB task-trainer to introduce the fundamental skills required for MCFB removal and measurement of intraocular pressure with a Tonopen. A pilot survey study performed on medical students and emergency medicine resident physicians showed an increase in comfort levels performing both MCFB removal and measurement of intraocular pressure with a Tonopen after using this task-trainer.

  12. Foreign Body Response to Intracortical Microelectrodes Is Not Altered with Dip-Coating of Polyethylene Glycol (PEG

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    Heui C. Lee

    2017-09-01

    Full Text Available Poly(ethylene glycol (PEG is a frequently used polymer for neural implants due to its biocompatible property. As a follow-up to our recent study that used PEG for stiffening flexible neural probes, we have evaluated the biological implications of using devices dip-coated with PEG for chronic neural implants. Mice (wild-type and CX3CR1-GFP received bilateral implants within the sensorimotor cortex, one hemisphere with a PEG-coated probe and the other with a non-coated probe for 4 weeks. Quantitative analyses were performed using biomarkers for activated microglia/macrophages, astrocytes, blood-brain barrier leakage, and neuronal nuclei to determine the degree of foreign body response (FBR resulting from the implanted microelectrodes. Despite its well-known acute anti-biofouling property, we observed that PEG-coated devices caused no significantly different FBR compared to non-coated controls at 4 weeks. A repetition using CX3CR1-GFP mice cohort showed similar results. Our histological findings suggest that there is no significant impact of acute delivery of PEG on the FBR in the long-term, and that temporary increase in the device footprint due to the coating of PEG also does not have a significant impact. Large variability seen within the same treatment group also implies that avoiding large superficial vasculature during implantation is not sufficient to minimize inter-animal variability.

  13. Comparing models for quantitative risk assessment: an application to the European Registry of foreign body injuries in children.

    Science.gov (United States)

    Berchialla, Paola; Scarinzi, Cecilia; Snidero, Silvia; Gregori, Dario

    2016-08-01

    Risk Assessment is the systematic study of decisions subject to uncertain consequences. An increasing interest has been focused on modeling techniques like Bayesian Networks since their capability of (1) combining in the probabilistic framework different type of evidence including both expert judgments and objective data; (2) overturning previous beliefs in the light of the new information being received and (3) making predictions even with incomplete data. In this work, we proposed a comparison among Bayesian Networks and other classical Quantitative Risk Assessment techniques such as Neural Networks, Classification Trees, Random Forests and Logistic Regression models. Hybrid approaches, combining both Classification Trees and Bayesian Networks, were also considered. Among Bayesian Networks, a clear distinction between purely data-driven approach and combination of expert knowledge with objective data is made. The aim of this paper consists in evaluating among this models which best can be applied, in the framework of Quantitative Risk Assessment, to assess the safety of children who are exposed to the risk of inhalation/insertion/aspiration of consumer products. The issue of preventing injuries in children is of paramount importance, in particular where product design is involved: quantifying the risk associated to product characteristics can be of great usefulness in addressing the product safety design regulation. Data of the European Registry of Foreign Bodies Injuries formed the starting evidence for risk assessment. Results showed that Bayesian Networks appeared to have both the ease of interpretability and accuracy in making prediction, even if simpler models like logistic regression still performed well.

  14. Investigating the experiences of New Zealand MRI technologists: Exploring intra-orbital metallic foreign body safety practices

    Energy Technology Data Exchange (ETDEWEB)

    Jacobs, Philippa K [River Radiology, Victoria Clinic, 750 Victoria Street, Hamilton, Waikato (New Zealand); Henwood, Suzanne [Unitec - Medical Imaging, Unitec Ratanui Street Henderson, Auckland (New Zealand); River Radiology, Victoria Clinic, 750 Victoria Street, Hamilton, Waikato (New Zealand)

    2013-12-15

    Qualitative research is lacking regarding the experiences of magnetic resonance imaging (MRI) technologists and their involvement in workplace safety practices. This article provides a gateway to explore, describe and document experiences of MRI technologists in New Zealand (NZ) pertaining to intra-orbital metallic foreign body (IMFB) safety practices. This phenomenological study describes the experiences of seven MRI technologists all with a minimum of 5 years' NZ work experience in MRI. The MRI technologists were interviewed face-to-face regarding their professional IMFB workplace experiences in order to explore historical, current and potential issues. Findings demonstrated that aspects of organization and administration are fundamentally important to MRI technologists. Varying levels of education and knowledge, as well as experience and skills gained, have significantly impacted on MRI technologists’ level of confidence and control in IMFB practices. Participants’ descriptions of their experiences in practice regarding decision-making capabilities further highlight the complexity of these themes. A model was developed to demonstrate the interrelated nature of the themes and the complexity of the situation in totality. Findings of this study have provided insight into the experiences of MRI technologists pertaining to IMFB safety practices and highlighted inconsistencies. It is hoped that these findings will contribute to and improve the level of understanding of MRI technologists and the practices and protocols involved in IMFB safety screening. The scarcity of available literature regarding IMFB safety practices highlights that more research is required to investigate additional aspects that could improve MRI technologists’ experiences.

  15. Outer Electrospun Polycaprolactone Shell Induces Massive Foreign Body Reaction and Impairs Axonal Regeneration through 3D Multichannel Chitosan Nerve Guides

    Science.gov (United States)

    Behrens, Peter; Wienecke, Soenke; Chakradeo, Tanmay; Glasmacher, Birgit

    2014-01-01

    We report on the performance of composite nerve grafts with an inner 3D multichannel porous chitosan core and an outer electrospun polycaprolactone shell. The inner chitosan core provided multiple guidance channels for regrowing axons. To analyze the in vivo properties of the bare chitosan cores, we separately implanted them into an epineural sheath. The effects of both graft types on structural and functional regeneration across a 10 mm rat sciatic nerve gap were compared to autologous nerve transplantation (ANT). The mechanical biomaterial properties and the immunological impact of the grafts were assessed with histological techniques before and after transplantation in vivo. Furthermore during a 13-week examination period functional tests and electrophysiological recordings were performed and supplemented by nerve morphometry. The sheathing of the chitosan core with a polycaprolactone shell induced massive foreign body reaction and impairment of nerve regeneration. Although the isolated novel chitosan core did allow regeneration of axons in a similar size distribution as the ANT, the ANT was superior in terms of functional regeneration. We conclude that an outer polycaprolactone shell should not be used for the purpose of bioartificial nerve grafting, while 3D multichannel porous chitosan cores could be candidate scaffolds for structured nerve grafts. PMID:24818158

  16. Inflammatory Reaction as Determinant of Foreign Body Reaction Is an Early and Susceptible Event after Mesh Implantation

    Directory of Open Access Journals (Sweden)

    Holger Gerullis

    2014-01-01

    Full Text Available Purpose. To investigate and relate the ultrashort-term and long-term courses of determinants for foreign body reaction as biocompatibility predictors for meshes in an animal model. Materials and Methods. Three different meshes (TVT, UltraPro, and PVDF were implanted in sheep. Native and plasma coated meshes were placed bilaterally: (a interaperitoneally, (b as fascia onlay, and (c as muscle onlay (fascia sublay. At 5 min, 20 min, 60 min, and 120 min meshes were explanted and histochemically investigated for inflammatory infiltrate, macrophage infiltration, vessel formation, myofibroblast invasion, and connective tissue accumulation. The results were related to long-term values over 24 months. Results. Macrophage invasion reached highest extents with up to 60% in short-term and decreased within 24 months to about 30%. Inflammatory infiltrate increased within the first 2 hours, the reached levels and the different extents and ranking among the investigated meshes remained stable during long-term follow up. For myofibroblasts, connective tissue, and CD31+ cells, no activity was detected during the first 120 min. Conclusion. The local inflammatory reaction is an early and susceptible event after mesh implantation. It cannot be influenced by prior plasma coating and does not depend on the localisation of implantation.

  17. Corpos estranhos caminham pelo corpo em direção ao coração? Do foreign bodies migrate through the body towards the heart?

    Directory of Open Access Journals (Sweden)

    Rui Celso Martins Mamede

    2009-04-01

    Full Text Available A fixação dos CE, principalmente os pontiagudos, favorece a migração pelo corpo, gerando a expressão popular: "os CEs caminham pelo corpo em direção ao coração". OBJETIVO: Descrever os mecanismos envolvidos na migração do CE e a forma de diagnosticá-los. METODOLOGIA: Numa população de 3.000 casos de corpos estranhos, em 40 anos, foram analisados quatro que tiveram deslocamento extraluminal. Foram tomados os dados clínicos, radiológicos, endoscópicos e ultrassonográficos coletadas no serviço de documentação médica. RESULTADOS: São apresentadas três histórias clínicas em que o CE era de espinha de peixe e uma de cartilagem de peixe. Em todos se analisou o deslocamento. Em dois a migração se iniciou no esôfago, um para a aorta e outro para a região cervical e nos dois outros, o deslocamento ocorreu a partir da faringe: um para a fáscia pré-vertebral e outro se exteriorizou na região submandibular. Discutem os mecanismos pelos quais ocorre a migração dos CEs pelo corpo e os riscos que tais deslocamentos promovem para o paciente e a forma de diagnosticá-los. CONCLUSÕES: Os CE podem caminhar pelo corpo, porém não para o coração. Em casos de histórias arrastadas de ingestão de CEs, o estudo por imagens se faz obrigatório, previamente ao exame endoscópico.Fixation of foreign bodies (FB, in the mucosa, can favor its migration, giving origin to the popular saying: "FB walk to the heart". AIM: describe the mechanisms involved in FB migration and how to diagnose them. METHODOLOGY: From a sample of 3,000 foreign bodies, during 40 years, we analyzed four which had extra-lumen migration. We analyzed clinical, radiologic, endoscopic and ultrasound data collected at the medical documentation service. RESULTS: three clinical histories are presented, describing two fish bones and one piece of fish cartilage. FB shifting was analyzed in all of them. Migration started in the esophagus in two, one going to the aorta and

  18. Clinical features and removal strategies of intracranial foreign bodies%颅内异物的临床特点及摘除策略

    Institute of Scientific and Technical Information of China (English)

    张申起; 陈谦学; 陈治标; 郑必全; 田道锋; 蔡强; 彭彬

    2013-01-01

    Objective To investigate clinical features,diagnosis,clearance strategies and prognosis of intracranial foreign bodies.Methods Twenty patients with intracranial foreign bodies were analyzed retrospectively,together with review of the related literatures.Results Twenty patients underwent craniotomy for intracranial foreign body removal under guidance of preoperative CT and X-ray localizations and intraoperative C-arm X-ray machine and ultrasound localizations.A total of 35 foreign bodies were removed.One patient underwent second surgical resection after the incomplete removal due to displacement of intracranial foreign bodies.According to Glasgow outcome score (GOS) at discharge,the outcomes were good (GOS =4-5 points) in 16 patients,poor (GOS =2-3 points) in three and death (GOS =1 point) in one.Conclusions CT and X-ray locations before surgery and C-ann X-ray machine and ultrasound locations in operation avail the removal of foreign bodies by craniotomy.In the meantime,prognosis is satisfactory.%目的 探讨颅内异物的临床特点、诊断、摘除策略及预后. 方法 回顾性分析20例颅内异物患者的临床资料,并结合相关文献进行分析. 结果 20例患者均采用CT及X线片定位联合术中C形臂X线机及超声定位,进行开颅异物取出手术,共取出异物35块,1例因术中异物移位,未能全部摘除,行二次手术摘除.出院时格拉斯哥预后评分(GOS):良好(4~5分)16例,差(2~3分)3例,死亡(1分)1例. 结论 术前采用CT及X线片定位,术中C形臂X线机及超声定位辅助有利于开颅异物取出,患者预后满意.

  19. Interventional management for intra-gastric metallic foreign bodies: clinical analysis of 30 cases%介入法取出胃内金属异物30例

    Institute of Scientific and Technical Information of China (English)

    贺祥; 张和平; 任学群; 靳海英; 张杰; 王长福; 王晓宏; 李长坡; 袁天华

    2013-01-01

    目的 探讨介入治疗胃内金属异物的方法、安全性和疗效.方法 30例胃内金属异物患者,均有经口金属异物吞人史.临床表现有上腹部疼痛不适、纳差、消化不良,精神抑郁,粪便潜血实验阳性.30例患者接受介入治疗,观察患者的医疗费用、手术时间、疗效及并发症.结果 30例患者共32件胃内金属异物经自行制作的圈套器全部安全取出,未出现食管及胃黏膜损伤、出血及其他并发症.结论 介入法取胃内金属异物具有操作简便、创伤小、安全性高、费用低、效果好、并发症少等优点,门诊治疗,不需住院,患者易于接受,是治疗胃内金属异物的理想方法.%Objective To discuss the manipulation, safety and effectiveness of interventional management in treating intra - gastric metallic foreign bodies. Methods A total of 30 patients with intra -gastric metallic foreign bodies were enrolled in this study. All patients were males, aged 22 ~ 54 years with a mean age of 37.8 years. A history of orally-taking metallic foreign body existed in all patients. The clinical manifestations included upper abdominal pain, discomfort, anorexia, indigestion, depression, positive occult blood in stool. Interventional treatment was carried out in all patients. The medical expense, operation time, therapeutic efficacy and complications were recorded, and the results were analyzed. Results A total of 32 pieces of stomach metallic foreign body were successfully removed in 30 patients. Neither injuries of esophageal and gastric mucosa nor bleeding of upper digestive tract occurred. Conclusion Using interven - tional management to remove intra - gastric metallic foreign body has many advantages as this technique is technically - simple, minimally - invasive and highly safe. Besides, this technique carries satisfactory therapeutic effectiveness with less cost and fewer complications. Moreover, the patients need not to stay in hospital, and the

  20. Cinnamon extract improves the body composition and attenuates lipogenic processes in the liver and adipose tissue of rats.

    Science.gov (United States)

    Lopes, Bruna P; Gaique, Thaiane G; Souza, Luana L; Paula, Gabriela S M; Kluck, George E G; Atella, Georgia C; Gomes, Anne Caroline C; Simas, Naomi K; Kuster, Ricardo M; Ortiga-Carvalho, Tania M; Pazos-Moura, Carmen C; Oliveira, Karen J

    2015-10-01

    In models of metabolic disorders, cinnamon improves glucose and lipid metabolism. This study explores the effect of chronic supplementation with aqueous cinnamon extract (CE) on the lipid metabolism of rats. Male adult Wistar rats were separated into a control group (CTR) receiving water and a CE Group receiving aqueous cinnamon extract (400 mg of cinnamon per kg body mass per day) by gavage for 25 consecutive days. Cinnamon supplementation did not change the food intake or the serum lipid profile but promoted the following changes: lower body mass gain (P = 0.008), lower relative mass of white adipose tissue (WAT) compartments (P = 0.045) and higher protein content (percentage of the carcass) (P = 0.049). The CE group showed lower leptin mRNA expression in the WAT (P = 0.0017) and an important tendency for reduced serum leptin levels (P = 0.059). Cinnamon supplementation induced lower mRNA expression of SREBP1c (sterol regulatory element-binding protein 1c) in the WAT (P = 0.001) and liver (P = 0.013) and lower mRNA expression of SREBP2 (P = 0.002), HMGCoA reductase (3-hydroxy-3-methylglutaryl-CoA reductase) (P = 0.0003), ACAT1 (acetyl-CoA acetyltransferase 1) (P = 0.032) and DGAT2 (diacylglycerol O-acyltransferase 2) (P = 0.03) in the liver. These changes could be associated with the reduced esterified cholesterol and triacylglycerol content detected in this tissue. Our results suggest that chronic ingestion of aqueous cinnamon extract attenuates lipogenic processes, regulating the expression of key enzymes and transcriptional factors and their target genes, which are directly involved in lipogenesis. These molecular changes possibly promote adaptations that would prevent an increase in circulating cholesterol and triacylglycerol levels and prevent lipid accumulation in tissues, such as liver and WAT. Therefore, we speculate that cinnamon may also be useful for preventing or retarding the development of lipid disorders.