Duodenocolic fistula by nail ingestion in a child

Abstract Unintentional foreign body ingestion is common among children. Normally, these ingested foreign bodies pass spontaneously. Only few of them may lead to complications such as fistula, which requires surgical intervention. We are reporting a case of accidental construction nail ingestion in a 3-year-old male child, for 30 days, without any symptoms. Diagnosis of duodenocolic fistula by construction nail was made on clinical examination and abdominal radiography features. He underwent surgical intervention, with nail removal, dudenal and colic primary closure. The follow-up was uneventful. We recommend emergently retrieval of sharp-pointed and long-ingested foreign bodies like a construction nail. Conservative outpatient management by clinical observation is not appropriate for this kind of foreign bodies. It may lead to complications such as perforation and fistula.

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Utility of Conventional Radiography in the Diagnosis and Management of Pediatric Airway Foreign Bodies

Annals of Otology Rhinology & Laryngology ◽

10.1177/000348949810701004 ◽

1998 ◽

Vol 107 (10) ◽

pp. 834-838 ◽

Cited By ~ 65

Author(s):

Andrew B. Silva ◽

Harlan R. Muntz ◽

Randall Clary

Keyword(s):

Foreign Body ◽

Physical Examination ◽

Foreign Bodies ◽

Surgical Intervention ◽

Operative Intervention ◽

Radiographic Imaging ◽

Pediatric Airway ◽

Diagnosis And Management ◽

Breath Sounds ◽

Airway Foreign Body

Pediatric airway foreign bodies are potentially life-threatening situations. The otolaryngologist is often consulted to aid in the diagnosis and management of these difficult cases. Although radiographic studies are often obtained, the decision for surgical intervention is usually based on a suspicious history and physical examination. Our hypothesis is that radiographic imaging should not alter the decision for surgical intervention. We retrospectively reviewed the cases of pediatric airway foreign bodies managed by the otolaryngology department at St Louis Children's Hospital between December 1990 and June 1996 with both radiographic imaging and operative intervention. Ninety-three cases of potential aspiration were identified, with a median patient age of 20 months. The most common presenting signs and symptoms were aspiration event (n = 82), wheezing (n = 76), decreased breath sounds (n = 47), cough (n = 39), respiratory distress (n = 17), fever (n = 16), pneumonia (n = 14), and stridor (n = 7). At the time of endoscopy, 73 patients were found to have an airway foreign body. The sensitivity and specificity of the imaging studies in identifying the presence of an airway foreign body in the 93 patients were 73% and 45%, respectively. Our decision for operative intervention was based on the history and physical examination, and was not changed in the presence of a negative radiographic study. The routine use of radiography should not alter the management of airway foreign bodies, providing that there is a well-equipped endoscopic team familiar with airway foreign bodies.

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An Asymptomatic Foreign Body in the Nose in an Eighteen-Year-Old Patient: Button Battery

Case Reports in Surgery ◽

10.1155/2015/129851 ◽

2015 ◽

Vol 2015 ◽

pp. 1-3

Author(s):

Merih Onal ◽

Gultekin Ovet ◽

Necat Alatas

Keyword(s):

Foreign Body ◽

Nasal Obstruction ◽

Foreign Bodies ◽

Surgical Intervention ◽

Chronic Sinusitis ◽

Upper Airway ◽

Common Occurrence ◽

Button Battery ◽

Button Batteries ◽

Early Surgical Intervention

Foreign bodies lodged in the upper airway are a common occurrence in children. Many unusual foreign bodies in the nose have been reported as foreign bodies like nuts, plastic toy parts, beads, and so forth. Most of these produce minimal morbidity but button batteries due to their early chemical disintegration require early surgical intervention. Here, we report a case of button battery lodged in the nose for several years with a symptom of nasal obstruction and chronic sinusitis.

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Airway Complications from an Esophageal Foreign Body

Case Reports in Pulmonology ◽

10.1155/2016/3403952 ◽

2016 ◽

Vol 2016 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Ismael Garcia ◽

Joseph Varon ◽

Salim Surani

Keyword(s):

Foreign Body ◽

Foreign Bodies ◽

Surgical Intervention ◽

Correct Diagnosis ◽

Diagnosis And Treatment ◽

Esophageal Foreign Body ◽

Hypoxemic Respiratory Failure ◽

Endoscopic Intervention ◽

Foreign Body Impaction ◽

Upper Gastrointestinal

Introduction. Foreign body impaction (FBI) in the esophagus can be a serious condition, which can have a high mortality among children and adults, if appropriate diagnosis and treatment are not instituted urgently. 80–90% of all foreign bodies trapped in the esophagus usually pass spontaneously through the digestive tract, without any medical or surgical intervention. 10–20% of them will need an endoscopic intervention.Case Report. We hereby present a case of a large chicken piece foreign body impaction in the esophagus in a 25-year-old male with mental retardation. Patient developed hypoxemic respiratory failure requiring intubation. The removal required endoscopic intervention.Conclusions. Foreign bodies trapped in the upper gastrointestinal tract are a serious condition that can be fatal if they are not managed correctly. A correct diagnosis and treatment decrease the chances of complications. Endoscopic treatment remains the gold standard for extracting foreign body impaction.

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Self-Inflicted Urethrovesical Foreign Bodies in Children

Case Reports in Urology ◽

10.1155/2012/134358 ◽

2012 ◽

Vol 2012 ◽

pp. 1-3

Author(s):

Canan Ceran ◽

Sema Uguralp

Keyword(s):

Foreign Body ◽

Foreign Bodies ◽

Surgical Intervention ◽

Skin Incision ◽

Definitive Treatment ◽

Endoscopic Removal ◽

X Ray ◽

History Of ◽

Endoscopic Guidance ◽

Lower Urinary

We present two cases of self-inflicted urethrovesical foreign body in children. Case 1 was a 6-year-old girl admitted with a history of self-introduction of a pin. The X-ray revealed the pin as 3.5 cm in length and in the bladder. The foreign body was removed endoscopically. Case 2 was a 13-year-old boy with a self-introduced packing needle, 13 cm in length, partially in the urethra. The end and the tip of the needle passed through the urethra to the surrounding tissues. Foreign body removed via a little skin incision with endoscopic guidance. Foreign bodies are rarely found in the lower urinary tract of children. Definitive treatment is usually the endoscopic removal; however, sometimes surgical intervention may require.

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STOMACH FISH BONE PERFORATION.CLINICAL CASE

Modern medical technologies ◽

10.34287/mmt.3(46).2020.11 ◽

2020 ◽

Vol 46 (3) ◽

pp. 64

Author(s):

N.V. Rudik ◽

A. S. Sementsov ◽

D. B. Fedchuk

Keyword(s):

Computed Tomography ◽

Foreign Body ◽

Foreign Bodies ◽

Clinical Observation ◽

Fish Bone ◽

Specific Location ◽

Fish Bones ◽

Life Threatening ◽

Wall Perforation ◽

Tomography Data

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.

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Foreign body in urinary bladder: our experience and review of literature

International Surgery Journal ◽

10.18203/2349-2902.isj20195388 ◽

2019 ◽

Vol 6 (12) ◽

pp. 4327 ◽

Cited By ~ 1

Author(s):

Mohd Hamid Shafique Ahmed ◽

Prakash W. Pawar ◽

Ajit S. Sawant ◽

Jitendra Sakharani ◽

Amandeep Arora ◽

...

Keyword(s):

Foreign Body ◽

Urinary Bladder ◽

Foreign Bodies ◽

Clinical Presentation ◽

Presentation Mode ◽

Medical College ◽

Urinary Tract Symptoms ◽

History Of ◽

Lower Urinary

Background: The objective of the study was to study clinical presentation, mode of insertion, and management of intravesical foreign bodies in patients treated at our hospital.Methods: This was a retrospective study conducted between January 2018 to June 2019. Six patients underwent treatment for urinary bladder foreign body at Lokmanya Tilak Municipal Medical College and Sion Hospital, Mumbai, Maharashtra, India. Medical records were analyzed retrospectively with regard to nature of foreign body, each patient’s clinical presentation, the mode of insertion and how the foreign was managed.Results: A total of six foreign bodies were retrieved from patients’ urinary bladders. The patients range in age from 28 to 65 years (mean age was 45 years). The Clinical presentation includes Lower urinary tract symptoms. Four patients were male and two were female. Circumstance of insertion was iatrogenic in 5 patients and self-insertion in 1 patient. Five patients were treated endoscopically (cystoscopy retrieval with or without cystolithotrity) and one patient with supra pubic cystostomy. Post-operative hospital stay was of 1 to 2 days. Mean follow up period was 3 months. Psychiatric referral and counseling were done in patients with history of self-insertion of foreign body in urinary bladder.Conclusions: Foreign body in the urinary bladder remain a challenge to the urologist. Removal of the foreign body without injury to the urinary bladder or the urethra gives good outcome.

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Anesthesia for Removal of Foreign Bodies in Lower Respiratory Tracts in Souro Sanou University Hospital Center in Bobo-Dioulasso: About 46 Cases

International Journal Of Medical Science And Clinical Invention ◽

10.18535/ijmsci/v5i3.13 ◽

2018 ◽

Vol 5 (3) ◽

pp. 3625-3629

Author(s):

Barro SD ◽

Tankoano A I ◽

Ouedraogo RW-L ◽

Guibla I

Keyword(s):

Foreign Body ◽

General Anesthesia ◽

Foreign Bodies ◽

Anesthetic Management ◽

University Hospital ◽

Foreign Body Extraction ◽

Bobo Dioulasso ◽

Consultation Time ◽

Hospital Center

Introduction : The inhalation of foreign body is a common cause of respiratory distress in children. Anesthesia for this endoscopy represents a challenge for the anesthesiologist. Objective : To assess the anesthetic management of foreign body extraction of the lower respiratory tracts in a context of limited resources. Patients and methods : This is a retrospective study in descriptive aim, over 3 years from 1st January 2014 to 31st December 2016. It involved patients admitted for foreign bodies of the lower respiratory tracts in Resuscitation service and ENT in Souro Sanou University Hospital Center in Bobo-Dioulasso . Results : A total of 46 patients were hospitalized for foreign bodies of the lower respiratory tracts during the study period. The mean age of the patients was 2.6 years ± 8.23. Patients were predominantly male with 27 cases (58.70 %), a sex ratio of 1.42. The foreign bodies were of organic type in 82.60% of the cases, against 17.4 % of non organic. The location of foreign bodies was laryngeal in 03 cases (06.52%), tracheal in 06 cases (13.04%) and bronchial in 37 cases (80.43%). The average consultation time was 3.12 days ± 4.7. The circumstances of discovery were a notion of penetration syndrome in 69.57%, respiratory dyspnea in 91.30%, a queasy cough in 56.52% of cases and a chance discovery in 2.17% of cases. . The foreign bodies were radio-opaque in 17.39% of cases. Extraction of foreign bodies was performed under general anesthesia. In intraoperative operating room, incidents / accidents were noted in 23.91 %. Operative follow-up was simple in 82.60% of cases and complications were recorded in 15.21% of cases. Conclusion : Foreign bodies of the lower respiratory tracts remain a topical issue for the child. The therapeutic treatment is based on the realization of a Laryngo-tracheo-bronchial endoscopy, under general anesthesia by an experienced crew.

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Organic esophageal foreign body, vegetable, rarely in older children

Romanian Journal of Medical Practice ◽

10.37897/rjmp.2015.3.17 ◽

2015 ◽

Vol 10 (3) ◽

pp. 303-307

Author(s):

Corneliu TOADER ◽

◽

Alina OPREA ◽

Anca Simona CONSTANTIN ◽

Liviu NICULESCU ◽

...

Keyword(s):

Foreign Body ◽

General Anesthesia ◽

Foreign Bodies ◽

Surgical Intervention ◽

Older Children ◽

Esophageal Foreign Body ◽

Esophageal Body

Most foreign bodies ingested or impacted food boluses in the esophagus pass spontaneously to the stomach without requiring an intervention of extracting them. However, in 10-20% of cases, it is necessary to intervene endoscopic to extract the foreign body and, in very rare cases, about 1% surgical intervention for the extraction of the esophageal body is demanded. Sensitive categories for the foreign esophageal bodies are firstly children and rarely the adults. Foreign esophageal bodies are more common in children than in adults, and it is one of the pediatric otorhinolaryngology emergencies. The authors present the case of a 14 years old patient, at whom the esophagoscopy under general anesthesia, which was imperious, has detected a rare vegetal esophageal foreign body.

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Management of radiation-related supraglottic stenosis with serial in-office steroid injections

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20185311 ◽

2018 ◽

Vol 5 (1) ◽

pp. 184

Author(s):

Christine M. Kim ◽

Pratik B. Patel ◽

Aaron J. Feinstein ◽

Dinesh K. Chhetri

Keyword(s):

Head And Neck ◽

Paradigm Shift ◽

Surgical Intervention ◽

Outpatient Management ◽

Clinical Protocol ◽

Steroid Injections ◽

Clinical Challenge ◽

History Of ◽

Head And Neck Radiation

Management of supraglottic stenosis in patients with history of head and neck radiation presents a clinical challenge for otolaryngologists. The cornerstone of treatment has historically been surgical intervention, both endoscopic and open. However, recently described techniques related to outpatient management of subglottic and tracheal stenosis with routine in-office steroid injections may provide a translatable model for supraglottic stenosis management. We describe a clinical protocol for in-office steroid injections to the laryngopharynx for patients with supraglottic stenosis secondary to radiation fibrosis. Two patient cases are reported, including endoscopic examinations over a follow-up period of 12 to 16 months. Both patients experienced significant improvement in their supraglottic airways. In-office steroid injections may be beneficial to prevent or slow stenosis recurrence in patients treated with radiation for head and neck cancer. With continued refinement of this technique, a paradigm shift may occur in the management of supraglottic stenosis.

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Good visual rehabilitation in a patient without traumatic cataract surgery after removal of a ferrous intravitreal foreign body by external magnetic extraction through a pars plana incision: A case report

10.21203/rs.2.319/v1 ◽

2019 ◽

Author(s):

Zhitao Su ◽

Panpan Ye ◽

Jijian Lin ◽

Xiaodan Huang ◽

Xiaoyun Fang

Keyword(s):

Visual Acuity ◽

Foreign Body ◽

Foreign Bodies ◽

External Approach ◽

Traumatic Cataract ◽

Visual Axis ◽

Visual Rehabilitation ◽

Pars Plana ◽

Magnetic Extraction

Abstract Background: There is an increasing trend toward performing pars plana vitrectomy and simultaneous cataract extraction in the management of patients with intraocular foreign bodies and traumatic cataracts. Herein, we describe a case of good visual rehabilitation in a patient without traumatic cataract surgery after removal of a ferrous intravitreal foreign body (IVFB) using an external approach. Case presentation: A 44-year-old man presented to our ophthalmology department because of decreased visual acuity after a penetrating trauma to the left eye 2 days earlier. Best-corrected visual acuity (BCVA) was 20/200. An examination revealed a midperipheral self-sealing corneal penetrating wound at the 5 o’clock position, in addition to a mild inflammatory reaction in the anterior chamber. Pupil dilation revealed peripheral anterior and posterior capsular violations, with subcapsular opacity involving the visual axis. A small metallic-like foreign body suspended in the vitreous was confirmed by B-scan ultrasonography and orbital computed tomography. This IVFB was successfully removed by external magnetic extraction through a pars plana incision. At the 2-week follow-up, the traumatic cataract was partially resolved, and BCVA improved to 20/125. At the 3-month follow-up, the traumatic cataract was mostly resolved, the visual axis was clear under a normal pupil, and BCVA improved to 20/20. Peripheral localized lens opacity was found after pupil dilation, and a fundus examination revealed no obvious abnormality. Conclusions: The size and location of an intraocular foreign body and the location and extent of lenticular involvement and associated injuries should be considered in patients with intraocular foreign bodies and traumatic cataracts. In selected patients with a small ferrous IVFB and a localized traumatic cataract, a good visual outcome may be achieved with minimal surgery. Keywords: Intravitreal foreign body, Traumatic cataract, External approach, Case report.

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