scholarly journals Removal of Ingested Magnetic Bodies via Laparoscopic Appendectomy

2020 ◽  
Vol 08 (01) ◽  
pp. e68-e70
Author(s):  
Vojtech Dotlacil ◽  
Barbora Frybova ◽  
Martin Vyhnanek ◽  
Lubos Zeman ◽  
Michal Rygl
Keyword(s):  
Gastrointestinal Tract ◽  
Laparoscopic Appendectomy ◽  
Foreign Bodies ◽  
Magnetic Beads ◽  
Case Reports ◽  
Pediatric Population ◽  
Abdominal Cavity ◽  
Abdominal Radiograph ◽  
The Right ◽  
Endoscopic Localization

AbstractIngestion of a foreign body is a frequent diagnosis in the pediatric population. In a small percentage of cases, foreign bodies themselves are strong magnets, and swallowing of multiple magnetic bodies can lead to serious complications in the gastrointestinal tract. Two consecutive case reports of patients who swallowed two magnetic beads are presented. In both cases, the abdominal radiograph described two magnets in contact, one in the area of the left hypochondrium and one in the right hypogastrium. Attempts of endoscopic localization and removal were unsuccessful. Due to the failure of magnet progression, laparoscopic revision of the abdominal cavity was indicated in both patients on the 25th and 4th day after swallowing. Using the magnetic forces between the magnets and the laparoscopic instruments, the foreign bodies were localized in the appendix of the first patient and in the cecum of the other one. The magnets were extracted together with the removal of the appendix in both patients. This is one of the first articles describing the successful extraction of foreign magnetic bodies from the gastrointestinal tract via laparoscopic appendectomy.

scholarly journals A gastrointestinalis traktusból migrált, lenyelt idegen testek esetei

2019 ◽  
Vol 160 (42) ◽  
pp. 1677-1681
Author(s):  
Ákos Balázs ◽  
Tamás Vass ◽  
Dávid Tárnoki ◽  
Zsolt Baranyai
Keyword(s):  
Gastrointestinal Tract ◽  
Foreign Bodies ◽  
Surgical Intervention ◽  
Left Lobe ◽  
Full Recovery ◽  
Diagnostic Difficulties ◽  
Right Lobe ◽  
The Right ◽  
Swallowed Foreign Bodies ◽  
Septic Condition

Abstract: Migration of swallowed foreign bodies from the gastrointestinal tract is a rare phenomenon compared with the total number of ingestions. In the reported two cases, the serious septic condition indicated urgent surgical intervention. We found a piece of wire swallowed a few months earlier in the right lobe of the liver and the retroperitoneum in case one, and a piece of wire in the pericardium, which migrated from the stomach through the left lobe of the liver, in case two. Abscesses and phlegmonae were found in the retroperitoneum and then in the femoral region requiring a reoperation in case one, and in the liver and pericardium in case two. After the evacuation of abscesses, both patients made full recovery. Diagnostic difficulties and therapeutic challenges served the reasons to present these cases. Orv Hetil. 2019; 160(42): 1677–1681.

scholarly journals The Fakir Child: Clinical Observation or Invasive Treatment?

2020 ◽  
Vol 12 (3) ◽  
pp. 103-107
Author(s):  
Antonio Gatto ◽  
Serenella Angelici ◽  
Claudia Di Pangrazio ◽  
Lorenzo Nanni ◽  
Danilo Buonsenso ◽  
...  
Keyword(s):  
Emergency Department ◽  
Foreign Bodies ◽  
Case Reports ◽  
Pediatric Population ◽  
Case Series ◽  
Expectant Management ◽  
X Rays ◽  
Gi Tract ◽  
Invasive Treatment ◽  
Foreign Objects

Accidental swallowing of foreign bodies is a common problem among the pediatric population (6 months to 3 years), especially if the foreign body (FB) presents a sharp end that could potentially lead to perforation of the gastrointestinal (GI) tract, resulting in infection and complications. We report the case of a 2-year-old, admitted to the Emergency Department of our hospital after ingesting two FBs classifiable as sharp objects, specifically two metal nails, both approximately 4-cm long, which had been swallowed in one go, as reported by the parents. The patient had been previously admitted to another hospital in the same region, where the Emergency Department (ED) doctors took an X-ray to confirm the ingestion. The foreign bodies ingestion was thus confirmed, and they were, according to their report, located in the GI tract over the stomach. The patient has been monitored through all of his stay in the hospital and the progression of the foreign bodies has been documented with serial X-rays. Since neither clinical nor radiological signs of perforation were present, putting the FBs in the small bowel, a non-operative expectant management was followed. After 4 days of admission, the patient had passed one of the two FBS and later on the second one, without any complication. Thereafter the patient was discharged. The management of sharp gastrointestinal foreign objects ingestion is still debated, and the data of the current literature are poor. A number of case reports and small case series describe successful conservative management for the majority of ingested sharp objects. According to the literature data, our report confirms that the ingestion of sharp objects and relatively big objects in a baby can be successfully non-operatively managed, even despite the age of the patient and though the FBs are multiple.

scholarly journals Hepatic Abscess Induced by Fish Bone Migration: Two Case Reports

2018 ◽  
Vol 31 (5) ◽  
pp. 276 ◽  
Author(s):  
José Eduardo Mateus ◽  
Carlos Silva ◽  
Sofia Beirão ◽  
Jorge Pimentel
Keyword(s):  
Septic Shock ◽  
Gastrointestinal Tract ◽  
Foreign Bodies ◽  
Clinical Presentation ◽  
Case Reports ◽  
Age Groups ◽  
Hepatic Abscess ◽  
Fish Bone ◽  
Common Occurrence ◽  
History Of

Although foreign body ingestion is a common occurrence, perforation and penetration of the gastrointestinal tract is unusual and the development of a hepatic abscess is even more rare. The authors describe two cases of fish bone perforation of the gastrointestinal tract with hepatic perforation and abscess formation, from distinctive age groups and varying presentation, although both developed septic shock. The lack of history of ingestion of foreign bodies, non-specificity of both clinical presentation and complementary examinations all play a role in delaying the diagnosis and therefore in the prognosis itself.

scholarly journals Magnetic foreign bodies in the gastrointestinal tract - two case reports and literature review

2021 ◽  
Vol 22 (3) ◽  
pp. 221-224
Author(s):  
Vojtěch Dotlačil ◽  
Barbora Kučerová ◽  
Dagmar Sovadinová ◽  
Jiří Šnajdauf
Keyword(s):  
Gastrointestinal Tract ◽  
Literature Review ◽  
Foreign Bodies ◽  
Case Reports

scholarly journals A Retrospective Analysis of Acute Appendicitis in Children Treated with Laparoscopic Appendectomies at a Single Center in Dubai, UAE

2021 ◽  
pp. 1-6
Author(s):  
Saad Syed ◽  
Hussein Naji
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Ct Scan ◽  
Laparoscopic Appendectomy ◽  
Pediatric Population ◽  
Iliac Fossa ◽  
Demographic Data ◽  
Free Fluid ◽  
Rebound Tenderness ◽  
The Right

<b><i>Background:</i></b> Appendicitis is one of the most common emergency conditions that occur in the pediatric population. The condition is usually suspected clinically, and the diagnosis is confirmed by radiological investigations such as ultrasound, CT scan, or MRI. This study was conducted to contribute to global databases by presenting data from the Middle East with an objective of identifying the clinical characteristics of children who were diagnosed with acute appendicitis and underwent laparoscopic appendectomy at a single pediatric surgery center in Dubai. <b><i>Methods:</i></b> A 2-year hospital-based retrospective cohort study was conducted at Mediclinic Parkview Hospital, Dubai, enrolling all patients younger than 14 years who were diagnosed with acute appendicitis and who underwent laparoscopic appendectomy. Demographic data, clinical presentation, laboratory, radiological and pathology findings, postoperative complications, and readmission rates were analyzed. <b><i>Results:</i></b> Fifty-six patients were operated on and enrolled in this study. All patients (56/56) presented with abdominal pain, while an associated fever was present in 44.6% (25/56); 78.5% (44/56) of the patients had nausea but 64.3% (36/56) had vomiting. On examination, all patients had abdominal tenderness, while rebound tenderness in the right iliac fossa (RIF) was found in 92.8% (52/56) of the patients. Laboratory investigations showed elevated leukocyte count in 76.7% (43/56) of patients. Appendicitis was diagnosed on ultrasound in 57.4% (31/54) of the patients, and free fluid was visualized in 40.7% (22/54) of the patients. Appendicitis was diagnosed on CT scan in all 25 patients, and free fluid was visualized in 64% (16/25) of the patients. The number of admission days ranged from 1 to 5 days, with a median of 2 days. And 62.5% (35/56) of patients were discharged in the first 2 days from admission. Major and minor complications after surgery were documented in 4 and 14 patients, respectively. Pathology reports showed features of acute appendicitis in all the resected appendices. <b><i>Conclusions:</i></b> Acute appendicitis in children should be suspected in all children with acute abdominal pain. This study can help guide the management of pediatric appendicitis and allow proper and standardized documentation of findings and judicious use of laboratory and radiological investigations.

scholarly journals Foreign Bodies and Bowel Obstructions

2020 ◽  
Author(s):  
Jessica Elizabeth Taylor ◽  
Devin Clegg
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Case Reports ◽  
Pediatric Population ◽  
Surgical Techniques ◽  
Endoscopic Removal ◽  
Rare Presentation ◽  
Endoscopic Intervention ◽  
Clinical Exam ◽  
Anatomic Locations

Foreign body ingestion most commonly occurs in the pediatric population, with approximately 80–90% of objects passing spontaneously in individuals who are evaluated by medical professionals. Objects may be lodged in a variety of anatomic locations. Only about 10% of foreign bodies progress past the stomach. Of the 10–20% of objects that fail to pass, less than 1% requires surgical intervention. Small bowel obstructions are a rare presentation of foreign body ingestions. There are case reports, guidelines, and retrospective reviews in the literature regarding the management of ingested foreign bodies. In patients who do not have spontaneous passage of foreign bodies, endoscopic and surgical techniques have been utilized for successful retrieval. The timing and indication for endoscopic intervention is dependent upon several factors, including the type and location of the foreign body and is also contingent upon patient symptoms. Numerous case reports and studies describe the successful endoscopic removal of foreign bodies in the upper and lower gastrointestinal tract. Although the type and location of an ingested object is critical for determining the success of endoscopic intervention, the patient’s clinical exam and stability is also an aspect to consider when deciding on management of bowel obstructions caused by foreign bodies.

scholarly journals INDICATION OF INTERVENTIONAL PROCEDURE FOR ISOLATED SYNCOPAL PULMONARY STENOSIS IN ADOLESCENTS: CASE REPORTS AND REVUE OF LITERATURE.

2021 ◽  
Vol 07 (09) ◽  
Author(s):  
Z. MEHSSANI ◽  
Keyword(s):  
Right Ventricular ◽  
Balloon Dilatation ◽  
Interventional Procedure ◽  
Case Reports ◽  
Pediatric Population ◽  
Pulmonary Stenosis ◽  
Pulmonary Regurgitation ◽  
Older Children ◽  
Associated Lesions ◽  
The Right

Pulmonic stenosis refers to a dynamic or fixed anatomic obstruction to flow from the right ventricle to the pulmonary arterial vasculature. Although most commonly diagnosed and treated in the pediatric population, some patients with severe, isolated PS may be diagnosed for the first time as adults, and represents approximately 10% of all congenital heart disease. We report the cases of three adolescents, who presented to the ER after having several episodes of syncopes during exercise. The TTE showed a dome-shaped pulmonary valve, with a peak pulmonary velocity between 5,3 and 6,8 m/s, with a right ventricular hypertrophy and dilatation. We proceed to the balloon valvuloplasty and used balloon dilatation catheter until the waisting disappeared. An echocardiography was performed the day after the procedure, showing a drop peak pulmonary velocity and decreased right ventricular dilatation. In older children and adults, percutaneous pulmonary valvuloplasty is the first line treatment for valvar pulmonary stenosis irrespective of symptoms. Catheter-based balloon valvotomy is recommended for patients with non-dysplastic valvular PS and with peripheral PS. Surgery is recommended for patients with sub-infundibular or infundibular PS and hypoplastic pulmonary annulus, with dysplastic pulmonary valves, and for patients with associated lesions which need a surgical approach, such as severe pulmonary regurgitation or severe tricuspide regurgitation. Simple balloon dilatation can provide a definitive solution and avoid the need for surgery.

scholarly journals Urothelial Papilloma of the Urinary Bladder in Children: Report of Two Cases

2020 ◽  
Vol 08 (01) ◽  
pp. e23-e26
Author(s):  
Kata Davidovics ◽  
Sandor Davidovics ◽  
Andras Farkas ◽  
Noemi Benedek ◽  
Tamas Tornoczki ◽  
...  
Keyword(s):  
Male Patient ◽  
Case Reports ◽  
Pediatric Population ◽  
Residual Tumor ◽  
Recurrent Abdominal Pain ◽  
Ureteral Orifice ◽  
Solitary Lesion ◽  
Negative Case ◽  
The Right

AbstractUrothelial neoplasms of the bladder (UNB) are considerably rare throughout the pediatric population. UNB develops from the urothelial tissue in the form of a benign disease, generally favoring a successful prognosis in the majority of cases. The authors present the diagnosis and treatment regarding two medical case reports in which urothelial papilloma was diagnosed and effectively treated. Case 1: A 15-year-old male patient was presented to our clinic complaining of a painless yet distinctive, macroscopic form of hematuria. Following a routine examination, which included ultrasound (US) and intravenous pyelography, the urethrocystoscopy revealed an intravesical solitary lesion positioned in the vicinity of the left ureteral orifice. Additionally, histology confirmed urothelial papilloma. During the follow-up, laboratory, urinary control tests, and US results all proved negative. Case 2: A 13-year-old male patient was admitted to our clinic and examined, in regard to complaints associated with recurrent abdominal pain. The pathology was discovered incidentally on abdominal US. Preoperative US and magnetic resonance imaging (MRI) studies ensued, resulting in a scheduled MRI, followed by urethrocystoscopy, which confirmed an intravesical solitary lesion positioned near the right ureteral orifice. Histology revealed urothelial papilloma. During the follow-up control cystoscopy, one resection was repeated due to the presence of a residual tumor. Today, 10 years since the presence of uroepithelial papilloma, both patients are asymptomatic and tumor-free. If there is likely suspicion of recurrence, cystoscopy is recommended.

scholarly journals Late presentation of extrauterine adenomyomas after laparoscopic morcellation at hysterectomy: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mohammed Nagdi Zaki ◽  
Aafia Mohammed Farooq Gheewale ◽  
Nada Ibrahim ◽  
Ibrahim Abd Elrahman
Keyword(s):  
Case Report ◽  
Transvaginal Ultrasound ◽  
Iliac Fossa ◽  
Abdominal Cavity ◽  
Laparoscopic Hysterectomy ◽  
Pathology Report ◽  
Presacral Space ◽  
Gnrh Analogue ◽  
Power Morcellation ◽  
The Right

Abstract Background An adenomyoma is a well circumscribed form of adenomyosis and can be located within the myometrium, in the endometrium as a polyp, or extrauterine with the last being the rarest presentation amongst the three. With the ongoing advancement in gynecological surgery, the use of electromechanical morcellators have made the removal of large and dense specimens possible with minimally invasive techniques. However, it has also caused an increase in complications which were previously rare. Whilst the tissue is being grinded within the abdominal cavity, residual tissue can spread and remain inside, allowing for implantation to occur and thereby giving rise to recurrence of uterine tissue as a new late postoperative complication. Case presentation A 45-year-old woman presented with worsening constipation and right iliac fossa pain. Her past surgical history consists of laparoscopic supra-cervical hysterectomy that was indicated due to uterine fibroids. Computerized tomography and magnetic resonance imaging were done, which showed an irregular lobulated heterogeneous mass seen in the presacral space to the right, located on the right lateral aspect of the recto-sigmoid, measuring 4.5 × 4.3 × 4.3 cm in size. A transvaginal ultrasound revealed a cyst in the left ovary. The patient had a treatment course over several months that included Dienogest (progestin) and Goserelin (GnRH analogue) with add-back therapy. In line with the declining response to medications, the patient was advised for a laparoscopic ovarian cystectomy. During the surgery, an additional lesion was found as a suspected fibroid and the left ovarian cyst was identified as pockets of peritoneal fluid which was sent for cytology. The surgical pathology report confirmed adenomyosis in both specimens, namely the right mass and the initially suspected fibroid. Conclusion In this case report, we showcase a rare occurrence of an extrauterine adenomyoma presenting two years post laparoscopic morcellation at hysterectomy. This poses questions regarding the benefits versus risks of power morcellation in laparoscopic hysterectomy.

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