Use of plain radiography and computed tomography to identify fish bone foreign bodies

2000 ◽  
Vol 123 (4) ◽  
pp. 0435-0438 ◽  
Author(s):  
Allen J. Lue ◽  
W. Daniel Fang ◽  
Spiros Manolidis
2000 ◽  
Vol 123 (4) ◽  
pp. 435-438 ◽  
Author(s):  
Allen J. Lue ◽  
W. Daniel Fang ◽  
Spiros Manolidis

Author(s):  
Tzu-Chi Wu ◽  
Pin-Wen Huang ◽  
Chun-Bin Tung

Abstract Background Fish bones are the most common aerodigestive foreign bodies found in adults. Most cases of fish bone impaction improve after primary management by emergency physicians with a mirror laryngoscopy using a tongue depressor, before otolaryngologists perform a fiberoptic nasendoscopy. A computed tomography scan usually follows to determine the next step. Studies have recently been concerned about overdoses of radiation from computed tomography. However, clear algorithms remain unavailable for fish bone ingestion management to date. Methods A retrospective review was conducted on 180 patients who visited the emergency department with complaints of fish bone impaction between January 2017 and January 2019. Results A total of 81.6% of patients with fish bone impaction got symptomatic relief after primary management by emergency physicians and otolaryngologists. Out of 180 patients, 33 (18.3%) needed an endoscopic procedure due to persistent symptoms. Only one (0.56%) required an operation due to perforation. In the group failing primary management, the plain radiography of eight patients showed a positive finding and an esophagogastroscopy was done to remove the fish bones. Conclusion Lateral neck radiography is still beneficial to patients with fish bone ingestion failure from primary management. Positive lateral soft tissue radiography in cases with persistent symptoms post primary management may directly suggest esophagogastroscopy without confirmation from a computed tomography, unless complications are suspected. For patients aged below 40, following up on their conditions after post management radiography shows negative results may increase their safety.


2010 ◽  
Vol 39 (2) ◽  
pp. 72-78 ◽  
Author(s):  
M H Aras ◽  
O Miloglu ◽  
C Barutcugil ◽  
M Kantarci ◽  
E Ozcan ◽  
...  

2020 ◽  
Vol 46 (3) ◽  
pp. 64
Author(s):  
N.V. Rudik ◽  
A. S. Sementsov ◽  
D. B. Fedchuk

Abstract Stomach foreign bodies take second place after foreign bodies of the esophagus and can be both harmless as well as life-threatening. The shape, size, and time of the swallowed foreign body to get deposited in the specific location determine the type of treatment. The article presents a clinical observation – the stomach wall perforation of fish bones, principles of examination of the patient, computed tomography data and surgical treatment. Keywords: stomach, foreign body, perforation, computed tomography, treatment.


2017 ◽  
Vol 68 (2) ◽  
pp. 194-201 ◽  
Author(s):  
Reza Javadrashid ◽  
Masoud Golamian ◽  
Maryam Shahrzad ◽  
Parisa Hajalioghli ◽  
Zahra Shahmorady ◽  
...  

Purpose The study sought to compare the usefulness of 4 imaging modalities in visualizing various intraorbital foreign bodies (IOFBs) in different sizes. Methods Six different materials including metal, wood, plastic, stone, glass. and graphite were cut in cylindrical shapes in 4 sizes (dimensions: 0.5, 1, 2, and 3 mm) and placed intraorbitally in the extraocular space of fresh sheep's head. Four skilled radiologists rated the visibility of the objects individually using plain radiography, spiral computed tomography (CT), magnetic resonance imaging (MRI), and cone-beam computed tomography (CBCT) in accordance with a previously described grading system. Results Excluding wood, all embedded foreign bodies were best visualized in CT and CBCT images with almost equal accuracies. Wood could only be detected using MRI, and then only when fragments were more than 2 mm in size. There were 3 false-positive MRI reports, suggesting air bubbles as wood IOFBs. Conclusions Because of lower cost and using less radiation in comparison with conventional CT, CBCT can be used as the initial imaging technique in cases with suspected IOFBs. Optimal imaging technique for wood IOFBs is yet to be defined.


1998 ◽  
Vol 112 (4) ◽  
pp. 360-364 ◽  
Author(s):  
Ken-ichi Watanabe ◽  
Toshihiko Kikuchi ◽  
Yukio Katori ◽  
Hiroko Fujiwara ◽  
Reiji Sugita ◽  
...  

AbstractThe usefulness of computed tomography (CT) in the diagnosis of fish bone impaction in the oesophagus was evaluated. Thirty-two patients were examined by plain X-ray followed by direct oesophagoscopy for suspected fish bone impaction. Among 25 cases in which fish bones were actually removed, foreign bodies were not clearly demonstrated by plain X-ray in 14 cases (56 per cent). Eleven cases underwent CT prior to the oesophagoscopic examination. Fish bones were clearly demonstrated by CT in all patients. CT also clearly visualized secondarily-induced inflammatory changes in the neighbouring structures. In order to confirm this result, we made a simulation model of oesophageal fish bone impaction, using fish bones of three different species surrounded by a water bag. In comparison with plain X-ray, CT depicted a superior image of fine fish bones and provides extremely useful information for the management of impacted fish bones in the oesophagus.


2020 ◽  
pp. 084653711989919 ◽  
Author(s):  
Shintaro Ichikawa ◽  
Hiroshi Onishi ◽  
Utaroh Motosugi

Fish bones are some of the most commonly ingested foreign bodies. In most cases, fish bone ingestion is asymptomatic, and the bones are expelled from the body spontaneously. Otherwise, patients with fish bone ingestion can present to the emergency department with nonspecific symptoms. Fish bones can become impacted in various part of the body. Even in cases that are initially asymptomatic after ingestion, serious complications may develop at a later stage. Computed tomography (CT) plays an important role in the diagnosis of fish bone ingestion because it is the most sensitive modality for detecting these foreign bodies. It is important to be familiar with CT findings to detect ingested fish bones and the related complications and to direct further management of the condition.


2003 ◽  
Vol 117 (7) ◽  
pp. 568-569 ◽  
Author(s):  
Manoj Kumar ◽  
George Joseph ◽  
Seena Kumar ◽  
Malcolm Clayton

Fish bones are one of the most common foreign bodies in the upper aero-digestive tract. The use of plain X-ray in identifying fish bones has questionable value. We believe that the knowledge of the type of the fish ingested improves the diagnostic value of the neck X-rays. This study was designed to evaluate the relative radio-densities of the bones of commonly eaten fish in the UK. Twenty-three species of fish were studied and their bones were grouped into three depending upon their ratio-densities. This information is expected to be useful in identifying fish bones while reading plain radiography.


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