Seasonality and risk factors for grass seed foreign bodies in dogs

The goal of this study was to describe the ultrasonographic and computed tomographic appearance of a penile foreign body in a dog for the first time. We describe an unusual penile localisation of a grass seed awn in an 11-year-old mixed-breed dog referred for a computed tomography study after a severe haemorrhage from the penis. A fistulous tract was observed after plain and post-contrast whole-body computed tomography acquisition; the foreign body was localised with ultrasound and removed under ultrasonographic guidance, with the complete healing of the penile lesion. Grass awns are common foreign bodies in dogs and cats and are commonly localised in the ear canal, subcutaneous tissue, interdigital space, eyelid, conjunctiva and nasal or oral cavity. These foreign bodies pose a threat due to their peculiar structure, which facilitates their easy access to the affected area and their transit through the body. Clinical signs are often non-specific, and imaging modalities such as ultrasonography and computed tomography are useful techniques for localisation. Our report demonstrates that the combination of computed tomography and ultrasound techniques was crucial for the exact localisation and mini-invasive retrieval of the grass seed.

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Accidental button battery ingestion presenting as croup

The Journal of Laryngology & Otology ◽

10.1017/s0022215114000073 ◽

2014 ◽

Vol 128 (3) ◽

pp. 292-295 ◽

Cited By ~ 6

Author(s):

R Gohil ◽

J Culshaw ◽

P Jackson ◽

S Singh

Keyword(s):

Risk Factors ◽

Case Report ◽

Medical Treatment ◽

Foreign Bodies ◽

Button Battery ◽

Associated Risk Factors ◽

Contrast Swallow ◽

Button Batteries

AbstractObjectives:To report a case of misdiagnosis of an impacted oesophageal button battery in a child, and to describe the associated risk factors for impaction and the management of such cases.Case report:An 18-month-old, otherwise fit and well child with stridulous respiration was initially treated for croup. Medical treatment over the course of three months failed, and appropriate imaging subsequently demonstrated an impacted button battery in the upper oesophagus. This was promptly removed. There were no signs of damage on direct visualisation, or on a follow-up contrast swallow image.Conclusion:This case highlights the difficulty of diagnosing oesophageal foreign bodies. We also discuss the characteristics of button batteries which confer a greater risk of impaction, and the associated sequelae and complications.

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Retained foreign bodies and associated risk factors and outcomes in pediatric surgical patients

Journal of Pediatric Surgery ◽

10.1016/j.jpedsurg.2018.06.004 ◽

2019 ◽

Vol 54 (4) ◽

pp. 640-644

Author(s):

Angelina L. Schwartz ◽

Maziar M. Nourian ◽

Brian T. Bucher

Keyword(s):

Risk Factors ◽

Foreign Bodies ◽

Surgical Patients ◽

Associated Risk Factors

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A Systematic Review of the Causes and Management of Ischaemic Stroke Caused by Nontissue Emboli

Stroke Research and Treatment ◽

10.1155/2017/7565702 ◽

2017 ◽

Vol 2017 ◽

pp. 1-8 ◽

Cited By ~ 2

Author(s):

Ciaran Judge ◽

Sarah Mello ◽

David Bradley ◽

Joseph Harbison

Keyword(s):

Risk Factors ◽

Systematic Review ◽

Cerebral Infarction ◽

Full Text ◽

Foreign Bodies ◽

Air Embolism ◽

Medical Procedures ◽

Cotton Wool ◽

Inclusion Criteria ◽

The Brain

Introduction. The inadvertent or purposeful introduction of foreign bodies or substances can lead to cerebral infarction if they embolize to the brain. Individual reports of these events are uncommon but may increase with the increased occurrences of their risk factors, for example, intra-arterial procedures.Method. We searched EMBASE and MEDLINE for articles on embolic stroke of nontissue origin. 1889 articles were identified and screened and 216 articles were ultimately reviewed in full text and included in qualitative analysis. Articles deemed relevant were assessed by a second reviewer to confirm compatibility with the inclusion criteria. References of included articles were reviewed for relevant publications. We categorized the pathology of the emboli into the following groups: air embolism (141 reports), other arterial gas embolisms (49 reports), missiles and foreign bodies (16 reports), and others, including drug embolism, cotton wool, and vascular sclerosant agents.Conclusion. Air and gaseous embolism are becoming more common with increased use of interventional medical procedures and increased popularity of sports such as diving. There is increasing evidence for the use of hyperbaric oxygen for such events. Causes of solid emboli are diverse. More commonly reported causes include bullets, missiles, and substances used in medical procedures.

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Fore-Stomach Foreign Bodies: prevalence, associated risk factors and types affecting cattle slaughtered at Gondar ELFORA abattoir, northwest Ethiopia

Ethiopian Veterinary Journal ◽

10.4314/evj.v24i2.7 ◽

2020 ◽

Vol 24 (2) ◽

pp. 112-122

Author(s):

Amare Bihon ◽

Teketaye Bayeleyegn ◽

Ayalew Assefa ◽

Yimer Muktar

Keyword(s):

Risk Factors ◽

Foreign Body ◽

Management Practices ◽

Foreign Bodies ◽

Cross Sectional Study ◽

Northwest Ethiopia ◽

Solid Waste Disposal ◽

Cross Sectional ◽

Adult Cattle ◽

Associated Risk Factors

In Ethiopia, recurrent drought and feed shortage coupling with high level of environmental pollution predispose the animals to foreign body ingestion. A cross-sectional study with systematic random sampling approach was employed from November 2018 to April, 2019 with the objectives of estimating the prevalence; identify associated risk factors and to categorize the types of foreign body in cattle slaughtered at Gondar ELFORA Abattoir. Ante-mortem and postmortem examinations were used to collect the data. From the total of 384 animals examined, the overall prevalence of foreign body was 83(21.61%). Adult and old animals were 4.33 (95% CI=0.98, 19.00, p=0.052) and 4.54 (95% CI=1.03, 19.96, p=0.045) times more likely to have a chance of getting foreign body than young animals by keeping another factors constant, respectively. However, the difference is not statistically significant for adult cattle. Moreover, poor and medium body conditioned animals were 2.19 (95% CI=1.04, 4.56, p=0.037) and 1.51 (95% CI=0.72, 3.13, p=0.273) times more likely to acquire foreign bodies than good body conditioned animals by keeping another factors constant. In the positive cases (N=83), 41(49.40%), 34(40.96%), 8(9.64%) and 0(0%) of the foreign bodies were found in the rumen, reticulum, both rumen and reticulum, and omasum, respectively. Majority of foreign bodies identified (79.51%) were non-metallic in nature, including clothes, plastics, rope, sand and stone. Designing and implementation of appropriate solid waste disposal and management practices are strongly recommended to reduce the risk of ingestion of indigestible foreign bodies. Keyword: Abattoir; Cattle; Foreign body; Fore stomach; Prevalence

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Predictors of Recurrent Ingestion of Gastrointestinal Foreign Bodies

Canadian Journal of Gastroenterology ◽

10.1155/2013/671273 ◽

2013 ◽

Vol 27 (1) ◽

pp. e1-e4 ◽

Cited By ~ 16

Author(s):

Ian C Grimes ◽

Bret J Spier ◽

Lisa R Swize ◽

Mary J Lindstrom ◽

Patrick R Pfau

Keyword(s):

Risk Factors ◽

Foreign Body ◽

Psychiatric Disorder ◽

Foreign Bodies ◽

Tertiary Care ◽

Retrospective Chart Review ◽

Foreign Body Ingestion ◽

Gastrointestinal Pathology ◽

Male Sex ◽

Gastrointestinal Foreign Bodies

BACKGROUND: Gastrointestinal foreign bodies are commonly encountered; however, little knowledge exists as to the causes of foreign body ingestions and why they occur repeatedly in some patients.OBJECTIVE: To identify and define patients at high risk for recurrent foreign body ingestion.METHODS: A retrospective chart review of foreign body ingestion was conducted at a tertiary care medical centre over an 11-year period. Variables analyzed included age, sex, incarceration status,Diagnostic and Statistical Manual of Mental Disorders-IVdiagnosis, success of endoscopy, type of sedation used, method of extraction, complications, presence of gastrointestinal pathology, and incidence of recurrent food impaction or foreign body.RESULTS: A total of 159 patients with a foreign body ingestion were identified. One hundred fourteen (77%) experienced a single episode of ingestion and 45 (23%) experienced multiple ingestions. Of the patients with multiple ingestions, 27 (60%) had recurrent food impactions while 18 (40%) ingested foreign objects. In the recurrent ingestor group, a psychiatric disorder had been diagnosed in 16 patients (35.6%) and there were 13 incarcerated individuals (28.9%). The average number of recurrences was 2.6 per patient (117 total recurrences). Individuals with a psychiatric disorder experienced 3.9 recurrences per patient, while prisoners averaged 4.1 recurrences per patient. The combination of a psychiatric disorder and being incarcerated was associated with the highest recurrence rate (4.33 per patient). Multivariable logistic regression revealed that male sex (OR 2.9; P=0.022), being incarcerated (OR 3.0; P=0.024) and the presence of a psychiatric disorder (OR 2.5; P=0.03) were risk factors for recurrent ingestion.CONCLUSION: Risk factors for recurrent ingestion of foreign bodies were male sex, being incarcerated and the presence of a psychiatric disorder.

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Blood Lead Levels in Children With Foreign Bodies

PEDIATRICS ◽

10.1542/peds.89.4.593 ◽

1992 ◽

Vol 89 (4) ◽

pp. 593-596

Author(s):

James F. Wiley ◽

Fred M. Henretig ◽

Steven M. Selbst

Keyword(s):

Risk Factors ◽

Emergency Department ◽

Inner City ◽

Lead Poisoning ◽

Foreign Bodies ◽

Venous Blood ◽

Blood Lead ◽

Blood Lead Levels ◽

Medical Clinic ◽

Lead Levels

To determine the risk of increased blood lead levels in children with aural, nasal, or gastrointestinal foreign bodies, the authors prospectively obtained venous blood lead and erythrocyte protoporphyrin levels from 40 study patients and two control groups without foreign bodies (65 patients presenting to a medical clinic and 40 patients presenting to an emergency department). A questionnaire was used to assess environmental and behavioral risk factors for lead poisoning in the three groups. Mean blood lead level was higher in children with foreign bodies (P < .001), and they were more likely to have a venous blood lead value of more than 1.2 μmol/L (25 μg/dL, P < .01) than patients in either control group. Seventy-eight percent of study patients had no prior lead screening by parent's report vs 64% of emergency department control subjects and 55% of medical clinc control subjects. Control patients in the emergency department had the same incidence of elevated blood lead values as patients enrolled from the medical clinic(6%). No differences in environmental risk factors were found among the three groups. Study patients more often had a history of pica or ingestion of a poison than control patients from the medical clinic. Inner-city children with foreign bodies have increased lead exposure and may have an increased risk for lead poisoning. In areas of high prevalence of lead poisoning, children with foreign bodies should be screened for lead poisoning in the emergency department. General lead screening in the emergency department may be justified for high-risk, inner-city populations.

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Risk Factors for Otolaryngological Foreign Bodies in Eastern Poland

Otolaryngology ◽

10.1177/0194599812455297 ◽

2012 ◽

Vol 147 (5) ◽

pp. 889-893 ◽

Cited By ~ 3

Author(s):

Beata Rybojad ◽

Artur Niedzielski ◽

Grażyna Niedzielska ◽

Paweł Rybojad

Keyword(s):

Risk Factors ◽

Foreign Body ◽

Elementary Education ◽

Urban Areas ◽

Foreign Bodies ◽

Medical Center ◽

Tertiary Care ◽

Case Series ◽

Psychomotor Development ◽

Tertiary Care Medical Center

Objective To identify the sociodemographic characteristics and risk factors associated with suspected foreign bodies in the ear, nose, throat, airway, and esophagus among Polish children. Study Design Case series with chart review. Setting Tertiary care medical center. Subjects and Methods A retrospective analysis of the medical records of patients hospitalized for a suspected foreign body (FB) between 1998 and 2008 was conducted. Data regarding place of residence, presence of siblings, parents’ educational status, seasonality, psychomotor development, age, and sex were collected and statistically analyzed. Results Of the 1011 patients with suspected foreign body insertion, 849 (84%) had a positive diagnosis. Of the confirmed foreign bodies, 96 were found in the tracheobronchial tree, 142 were found in the esophagus, and 611 were located in the external auditory canals, nasopharyngeal passage, tonsils, auricles, or lips. Sociodemographically, 596 of the children came from urban areas, with a preponderance of males (55%). Objects were removed more frequently in summer and autumn (60%). Children with siblings (53%) predominated. The majority of patients (52%) had parents with an elementary education. Food was the most frequent foreign body in children under 3 years of age. Patients with delayed psychomotor development constituted 1.6% of the analyzed population. Conclusions Being male, 1 to 3 years of age, belonging to an urban family with siblings, and having parents with an elementary education increased the risk of foreign body insertion. Training caregivers about proper nutrition and safety rules when playing with children can reduce the risk of accidents related to foreign body insertion.

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