Comparison of the efficacy and characteristics of metallic foreign body extraction by incision surgery and x-ray guided forceps after body-surface projection positioning

Foreign body in urinary bladder is not an uncommon entity. Mostly it happens due to iatrogenic reasons or for sexual gratification. Here we are reporting a common foreign body in urinary bladder with a rare cause which is not reported in literature earlier. A 50-year-old married man referred from village with history of inserting electric wire in urethra and X-ray pelvis showing coiled metallic foreign body in the bladder region. There was dysuria, burning and sometimes hematuria. All other investigations were normal. On examination his both groins and perianal region were involved with Tinea cruris. Patient told that he had intense itching which was not benefitted by skin treatment. He himself started doing some manipulation in urethra with a piece of wire to get some relief in itching. The metallic wire was removed by cystoscopy under spinal anaesthesia and C-arm guidance. Post-operative course was uneventful, and patient was sent to dermatologist for treatment of Tinea cruris. After 1 month there were no urinary symptoms and patient had improvement in Tinea symptoms. We recommend that whenever anyone comes across a case of foreign body in urinary bladder, detailed history should be taken, and local examination should be done to find any organic cause for the same and treated to prevent recurrence and stigma to the patient.

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Long-Standing Blades of Scissors in Paranasal Sinus Over 40 Years

Journal of Rhinology ◽

10.18787/jr.2020.00323 ◽

2020 ◽

Vol 27 (2) ◽

pp. 132-134

Author(s):

Ji-Eun Choi ◽

Hack Jung Kim ◽

Seung-Kyu Chung

Keyword(s):

Computed Tomography ◽

Foreign Body ◽

Foreign Bodies ◽

Metallic Foreign Body ◽

Middle Meatus ◽

Maxillofacial Region ◽

X Ray ◽

Computed Tomography Scans ◽

Wait And See ◽

Over 40 Years

Foreign bodies in the sinus are rare entities that are often associated with trauma. This paper presents a case of a metallic foreign body that was retained without any symptoms for over 40 years. A skull X-ray and computed tomography scans showed blades of scissors inside the maxillary sinus, extending to the middle meatus without affecting vital structures. The foreign body was successfully removed by an endoscopic approach. There were no complications during and after the surgery. The presence of retained foreign bodies in the maxillofacial region is rarely discussed in previous publications. This manuscript focuses on the asymptomatic period of this foreign body and aims to discuss the necessity and feasibility of a wait-and-see approach in selected cases.

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To X-Ray or Not to X-Ray? Discussing Unknown Nasal Foreign Bodies and Button Batteries

Ear Nose & Throat Journal ◽

10.1177/01455613211033123 ◽

2021 ◽

pp. 014556132110331

Author(s):

Rujuta R. Roplekar Bance ◽

Vikas Acharya ◽

Coyle Paula ◽

J Panesar

Keyword(s):

Foreign Body ◽

Foreign Bodies ◽

X Rays ◽

Metallic Foreign Body ◽

Plain Radiographs ◽

X Ray ◽

Button Batteries

The emergency of esophageal button batteries is recognized. Foreign bodies in the ear or nose are treated as comparatively nonemergent. We present the case of a child who presented with suspected pen-nib in the nostril to highlight the importance of investigation and intervention in unwitnessed nasal foreign body and review the literature regarding X-rays in these cases. Fifteen papers were identified as per search parameters; 3 papers recommend the use of plain radiographs for nasal foreign bodies. We propose that in unwitnessed pediatric nasal foreign body insertion, a facial X-ray should be considered, especially if suspecting a metallic foreign body.

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Ocular siderosis resulting from a retained intralenticular metallic foreign body

BMJ Case Reports ◽

10.1136/bcr-2020-235228 ◽

2020 ◽

Vol 13 (6) ◽

pp. e235228

Author(s):

Rafal Nowak

Keyword(s):

Foreign Body ◽

Cataract Surgery ◽

Foreign Bodies ◽

Ferrous Metal ◽

Intraocular Foreign Body ◽

Eye Injury ◽

Metallic Foreign Body ◽

X Ray ◽

Penetrating Eye Injury ◽

Potential Factor

Intraocular foreign bodies are a potential factor threatening with loss of vision. The development of cataract and symptoms of ocular siderosis are the most common signs of ferrous metal entering the eye. We present a case of a 45-year-old man who reported to the hospital for planned cataract surgery. He denied the possibility of any past eye injury. Despite this, apart from the cataract, X-ray and CT scans confirmed the presence of an intralenticular foreign body and symptoms of ocular siderosis. Cataract surgery was successfully performed using phacoemulsification, and the metallic foreign body was removed. Intraocular foreign body symptoms may be overlooked by patients and even physicians and may occur with considerable delay. Hence, in patients with indirect symptoms of penetrating eye injury, the presence of an intraocular foreign body should not be ruled out, even if the patient denies this possibility.

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Aspirated Metallic Foreign Body Extraction Using a Flexible Cryoprobe

CHEST Journal ◽

10.1378/chest.1106385 ◽

2011 ◽

Vol 140 (4) ◽

pp. 160A ◽

Cited By ~ 1

Author(s):

Adam Wellikoff ◽

Sonia Tindel ◽

Amaraja Kanitker ◽

Robert Holladay

Keyword(s):

Foreign Body ◽

Metallic Foreign Body ◽

Foreign Body Extraction

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Foreign Body in the Anterior Chamber Presenting as Inflammatory Mass on the Iris

Journal of Advances in Medicine and Medical Research ◽

10.9734/jammr/2021/v33i2331181 ◽

2021 ◽

pp. 19-25

Author(s):

Rajgopal Arvinth ◽

Mimiwati Zahari ◽

Sagili Chandrasekhara Reddy

Keyword(s):

Foreign Body ◽

Ct Scan ◽

Anterior Chamber ◽

Anterior Segment ◽

Intraocular Foreign Body ◽

Surgical Removal ◽

Eye Drops ◽

Metallic Foreign Body ◽

Inflammatory Mass ◽

X Ray

A 40-year- old male factory worker presented to our eye clinic with left eye pain, redness and blurring of vision, associated with history of an injury sustained while hammering a nail into the wall three days ago. He had mild symptoms at the onset of the injury. Slit lamp examination of left eye showed a small, self-sealed laceration corneal wound at the temporal limbus and a smooth, well defined, oval mass on the iris in the anterior chamber in the lower temporal quadrant. Rest of the anterior segment and fundus were normal. X-ray orbits showed no intraocular foreign body in the left eye. In view of clinical suspicion, we proceeded with a CT scan of orbits which showed the presence of a small metallic foreign body in the anterior chamber of left eye. After giving topical antibiotic, cycloplegic, and corticosteroid eye drops along with systemic antibiotics for three days, we planned surgical removal of the mass in the anterior chamber. After the mass was removed, we noted a small metallic foreign body embedded within the fibrin mass. The same treatment was continued postoperatively. The left eye became white and quiet, and vision improved to 6/6 with above treatment. The key learning point presented is that when the history is suggestive of intraocular foreign body, even though the X-ray orbits does not show the foreign body one has to get CT scan of orbits done to rule out its presence, especially when there is inflammatory mass in the anterior chamber as seen in our case.

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Fate of an unapproachable sharp metallic foreign body in the gastrointestinal tract

Journal of Digestive Endoscopy ◽

10.4103/0976-5042.173967 ◽

2015 ◽

Vol 6 (04) ◽

pp. 176-178

Author(s):

Prakash Chandra Dalai ◽

Kedar Nath Panda ◽

Bijay Misra ◽

Prakash Agarwal

Keyword(s):

Gastrointestinal Tract ◽

Foreign Body ◽

Flexible Endoscope ◽

Metallic Foreign Body ◽

Dental Procedure ◽

X Ray ◽

Mild Pain ◽

Pediatric Surgeon ◽

Risk Of Injury ◽

Chest X Ray

AbstractSharp pointed objects carrying a risk of injury and perforation should be removed immediately with a flexible endoscope. In the present case, a 3-year-old boy ingested a sharp pin during a dental procedure. The only complain was mild pain in the throat. Chest X-ray done after 14 h of ingestion revealed a sharp pointed pin in the mid esophagus. On urgent endoscopy, no pin was found, but fluoroscopy (C-arm) image revealed same pin parallel to the endoscope at about 20 cm from incisors. It was planned for video thoracoscopic removal, patient referred to a pediatric surgeon, but, fortunately, the pin passed through stool after 3 days before any intervention.

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