Computed tomography scan for the diagnosis of esophageal foreign body

2005 ◽  
Vol 23 (7) ◽  
pp. 897-898 ◽  
Author(s):  
Jonathan K. Kazam ◽  
Deirdre Coll ◽  
Charles Maltz
2016 ◽  
Vol 3 (2) ◽  
Author(s):  
Ian Holmes ◽  
Kiran Gajurel ◽  
Jose Montoya

Abstract Foreign body aspirations that are not recognized at the time of aspiration can lead to insidious symptoms that can present a diagnostic challenge. We report the case of a 70-year-old man presenting with postobstructive pneumonia 2 months after aspirating his own tooth during a meal. He had been mistakenly diagnosed with asthma and treated with bronchodilators before a computed tomography scan of the thorax revealed the impacted tooth in his left bronchus. We review the clinical features and microbiology of postobstructive pneumonia and discuss the rationale of its treatment.


2021 ◽  
Vol 5 (1) ◽  
pp. 46-52
Author(s):  
Januardi Rifian Jani ◽  
Eko Agus Subagio

Penetrated Traumatic Spinal Injury by Airgun Shot are rare events. As a result, handling this case is both, thrilling and challenging. We present a case of a penetrated traumatic spinal injury from an airgun, as well as a summary of the literature on how to treat them. A 9-year-old boy was taken to hospital after being shot in the right side of his front neck with an air rifle. The patient had been shot from a distance with an upfront direction. The patient had no breathing problem but complained of pain during swallowing. The patient was conscious, alert, and oriented. There was no breathing distress. The head and neck Computed Tomography Scan displayed a foreign body with metal-density at the vertebral body of the first thoracal and discontinuity of the esophageal wall. Debridement and exploration surgery have successfully released the bullet. Repair trachea had been performed. Postoperatively, the patient had no complications. We can conclude that a foreign body at the spine, especially in the vertebral body of the cervical, can be effectively and safely released by exploration surgery.


1970 ◽  
Vol 12 (4) ◽  
pp. 229-230
Author(s):  
Sarah Guigui ◽  
Tova Lifshitz ◽  
Amjad Baidousi ◽  
Ronit Yagev ◽  
Jaime Levy

Senile scleral plaques are late onset ocular calcifications, and are usually detected incidentally on orbital computed tomography scan following trauma. This report is of 4 elderly patients with senile scleral plaques who were admitted to the emergency room following trauma to the head. A head/orbital computed tomography scan was performed as part of the routine examination. In all 4 patients, computed tomography scan revealed a clear retina and no scleral perforation or foreign body intrusion, but bilateral radiodense areas were located anterior to the insertion of the horizontal rectus muscles. These areas were diagnosed as senile scleral plaques. Even though these ocular calcifications are benign, they have important prognostic implications, and should therefore be identified correctly and not confused with other ocular pathologies.


2021 ◽  
pp. 014556132110346
Author(s):  
Konstantinos Garefis ◽  
Konstantinos Tarazis ◽  
Konstantinos Gkiouzelis ◽  
Anastasia Kipriotou ◽  
Iordanis Konstantinidis ◽  
...  

A tracheal diverticulum is a type of paratracheal air cyst and is usually an incidental finding after a computed tomography scan of the neck and thorax. With an incidence between 1% and 4% in adults, tracheal diverticula are rare entities that can be symptomatic in certain cases. We present a case of a COVID-19 positive patient who presented to our hospital and was diagnosed with multiple tracheal diverticula during his hospitalization.


2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Binghua Zhu ◽  
Jing Tang ◽  
Rong Fang ◽  
Xuejie Fei ◽  
Qing Wang ◽  
...  

Abstract Background We diagnosed a clinical case of pulmonary infection involving Mycobacterium tuberculosis and Tropheryma whipplei in a patient with acute respiratory distress syndrome. The diagnosis was assisted by metagenomic next-generation sequencing of bronchoalveolar lavage fluid. Case presentation A 44-year-old Han Chinese inmate was transferred to the emergency department because of dry cough, chest tightness, and shortness of breath. The patient’s body temperature rose to 39.3 °C following empirical cephalosporin treatment for 1 week. The blood CD4+/CD8+ ratio was 0.7, suggesting immunodeficiency. Routine microbiological tests were performed, and tuberculosis interferon gamma release assays were positive. Mycobacterium tuberculosis polymerase chain reaction was also positive. Chest computed tomography scan revealed miliary nodules and ground-glass opacifications, which were in accordance with tuberculosis. To fully examine the etiology, we performed routine laboratory tests and metagenomic sequencing, the results of which indicated the presence of Mycobacterium tuberculosis and Tropheryma whipplei. We administered anti-tuberculosis regimen in combination with trimethoprim/sulfamethoxazole. The patient recovered, with chest computed tomography scan showing absorption of lesions. Conclusions Compared with traditional diagnostic methods such as culture and serology, metagenomic next-generation sequencing has the advantage of detecting a wide array of microorganisms in a single test and therefore can be used for clinical diagnosis of rare pathogens and microbial coinfections. It is particularly useful for immunocompromised patients as they are more prone to infection by opportunistic microorganisms.


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