Conservative Management of an Uncommon Renal Foreign Body Secondary to Explosion Injury

2001 ◽  
Vol 51 (3) ◽  
pp. 594-596 ◽  
Author(s):  
Mario Sofer ◽  
Itzhak Kaver ◽  
Yoram Kluger ◽  
Juza Chen ◽  
Haim Matzkin
Keyword(s):  
Foreign Body ◽  
Conservative Management ◽  
Explosion Injury

Conservative Management in Two Penetrating Fishbone Injuries: A Case Series and Literature Review

2021 ◽  
Keyword(s):  
Foreign Body ◽  
Literature Review ◽  
Conservative Management ◽  
Case Reports ◽  
Case Series ◽  
Foreign Body Ingestion ◽  
Medical Referral

Foreign body ingestion is a regular medical referral. Patients present with different objects such as chicken bones, nails, coins, and fishbones. It is usually managed in causality and passes without any intervention. However, occasionally, we come across fishbone complications requiring intervention. We discuss the course and management of two case reports of fishbone injuries in different abdominal regions.

scholarly journals The Enigma in Management of Complicated Foreign Body Ingestion Impacted Distal to Oesophagus: A Case Series and Literature Review

2020 ◽  
Author(s):  
Raymond Zhun Ming Lim ◽  
Addy Aun Wei Ang ◽  
Jih Huei Tan ◽  
Ee Peng Lee ◽  
Jun Loong Chiew ◽  
...  
Keyword(s):  
Gastrointestinal Tract ◽  
Foreign Body ◽  
Conservative Management ◽  
Foreign Bodies ◽  
Case Series ◽  
Management Approach ◽  
Luminal Diameter ◽  
First Case ◽  
Surgical Extraction ◽  
Schizophrenic Patients

Abstract BackgroundIngestion of foreign bodies leading to impaction at the pharynx and oesophagus have been extensively described in English literatures. However, impactions at the gastrointestinal tract distal to the oesophagus are less commonly encountered due to the more capacious luminal diameter as it approaches the stomach. While intentional foreign body ingestions impacted distal to the oesophagus are often more complicated, literatures on the management of these distal oesophageal impactions are scarce. Case presentationWe present five cases of foreign body impaction at varying sites of gastrointestinal tract beyond the oesophagus, contrasting management approach comparing the role of endoscopy, open surgery and conservative management. Cases presented include patients aged 40 to 70 with intentional foreign bodies ingestion. The first case described a cerebral palsy patient with pica who had to undergo difficult evacuation under anaesthesia followed by colonoscopy; the second and third cases presented two different schizophrenic patients with two differing management approach. The second case was managed with multiple operations due to complications and died eventually, making the only mortality in our case series; whereas the third case was managed conservatively with acceptable outcome after multiple laparotomies prior. Fourth and fifth cases described two body packers who swallowed tobacco and two phones, respectively; the former was uneventfully managed conservatively, the latter, had to undergo surgical extraction. Individualized approach to these distal impactions of ingested foreign bodies are described with a review of available literatures which are tabulated and discussed in this case series. ConclusionEndoscopy, surgery, conservative management and sometimes a combination of approaches are utilised for the management of foreign bodies impacted distal to the oesophagus, especially in complex and recurrent cases. Decision, timing and approach of extraction must be individualised with consideration of risk weighed against the benefit of each intervention over the other.

Evaluation of a Symptom-Based Algorithm for Managing Battery Ingestions in Children

2021 ◽  
Author(s):  
James A. Fraser ◽  
Kayla B. Briggs ◽  
Wendy Jo Svetanoff ◽  
Thomas M. Attard ◽  
Tolulope A. Oyetunji ◽  
...  
Keyword(s):  
Foreign Body ◽  
Small Bowel ◽  
Conservative Management ◽  
Chart Review ◽  
Gastroesophageal Junction ◽  
Retrospective Chart Review ◽  
X Rays ◽  
Button Battery ◽  
Additional Imaging ◽  
Endoscopic Retrieval

Abstract Objectives While complications from battery ingestion can be severe, especially with the emergence of stronger battery elements, not all ingestions require prompt removal. We aim to evaluate a symptom-focused algorithm for battery ingestion that emphasizes observation over intervention to investigate its safety. Materials and Methods Patients were identified through a query of foreign-body ingestion radiographs obtained between 2017 and 2020. A retrospective chart review was then performed of all patients who presented with button battery ingestions to identify compliance with our algorithm, overall outcomes, and complications. Results In total, 2% of all radiographs (44/2,237) demonstrated button battery ingestions. The median age of patients was 3.8 years (interquartile range, 2.6–5.3). Most batteries were found in the stomach (64%, n = 28), but were also identified in the esophagus (14%, n = 6), small bowel (14%, n = 6), and colon (9%, n = 4). All esophageal batteries were managed with immediate endoscopic retrieval. Ten gastric batteries were not managed per protocol, with seven admitted for observation despite being asymptomatic and repeat abdominal X-rays demonstrating persistent gastric location of the battery. Four patients underwent esophagogastroduodenoscopy; however, in two patients the battery had migrated past the stomach prior to intervention. All small bowel batteries and three of four asymptomatic colon batteries were managed per protocol; one patient had additional imaging that demonstrated battery passage. Conclusion Adherence to a symptom-focused protocol for conservative management of button battery ingestions beyond the gastroesophageal junction is safe and frequently does not require admission, serial imaging, or intervention.

Glossopharyngeal neuralgia following foreign body impaction in the neck

2000 ◽  
Vol 114 (1) ◽  
pp. 70-72 ◽  
Author(s):  
C. J. Webb ◽  
Z. G. G. Makura ◽  
M. S. McCormick
Keyword(s):  
Foreign Body ◽  
Conservative Management ◽  
Nerve Root ◽  
Glossopharyngeal Nerve ◽  
Glossopharyngeal Neuralgia ◽  
Neck Trauma ◽  
First Case ◽  
Foreign Body Impaction

Glossopharyngeal neuralgia is rare, typically idiopathic and treated with carbamazepine. Surgery to decompress or transect the glossopharyngeal nerve root may be performed if conservative management fails. We present a case following trauma to the neck with foreign body impaction. To our knowledge this is the first case of glossopharyngeal neuralgia due to neck trauma.

scholarly journals Management of esophageal perforation with fistula formation in an 80 year old woman with multiple co-morbidities

2021 ◽  
Vol 7 (5) ◽  
pp. 882
Author(s):  
Jalal Almarzooq ◽  
Ayman Alkhabbaz ◽  
Nabeel Abdulla
Keyword(s):  
Foreign Body ◽  
Conservative Management ◽  
Esophageal Perforation ◽  
Open Surgery ◽  
Surgical Intervention ◽  
Fish Bone ◽  
Foreign Body Ingestion ◽  
Fistula Formation

<p class="abstract">Esophageal perforation due to foreign body ingestion may lead to serious complications. Here we present a case of an 80 year old lady with multiple co-morbidities who presented with a proximal esophageal perforation with fistula formation following ingestion of a fish bone. Due to her age and co-morbidities the decision was made to manage her conservatively by IV antibiotics, NG tube feeds and observation. Follow up after 2 months showed resolution of the perforation and fistula, without the patient needing any surgical intervention. This case highlights conservative management of esophageal perforation with complications in patients with co-morbidities where open surgery is not favoured.</p>

Iatrogenic foreign body in the bronchus

Anaesthesia ◽  
2000 ◽  
Vol 55 (10) ◽  
pp. 1036-1037 ◽  
Author(s):  
A. Dutta ◽  
K. Jain ◽  
P. Chari
Keyword(s):  
Foreign Body
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