Bilateral Pneumothorax Resulting from the Bronchoscopic Removal of a Puncture Vine Fruit

1983 ◽  
Vol 92 (4) ◽  
pp. 396-397 ◽  
Author(s):  
James P. Dudley
Keyword(s):  
Differential Diagnosis ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Main Stem ◽  
Tribulus Terrestris ◽  
Airway Wall ◽  
Chest Tubes ◽  
Bilateral Pneumothorax ◽  
Main Stem Bronchus ◽  
Intraoperative Procedures

Because pneumothorax may impair ventilation, it should be included in the differential diagnosis whenever ventilating problems are encountered during intraoperative procedures. Since pneumothorax is not an expected complication following atraumatic removal of tracheobronchial foreign bodies, it may not be considered if ventilation problems arise. When a foreign body has one or more sharp spines, however, consideration should be given to the possibility that the spine may have perforated the airway wall and that a pneumothorax may ensue following removal. Removal of a fruit of a puncture vine ( Tribulus terrestris) from the junction of the carina and right main stem bronchus was followed by increased resistance to ventilation due to bilateral pneumothorax. Insertion of chest tubes bilaterally returned respirations to normal. Bronchoscopists should be aware of this possible complication of spine-covered foreign bodies.

scholarly journals Intruding implements: a pictorial review of retained surgical foreign objects in neuroradiology

2019 ◽  
Vol 10 (1) ◽  
Author(s):  
Alessandra D’Amico ◽  
Teresa Perillo ◽  
Lorenzo Ugga ◽  
Renato Cuocolo ◽  
Arturo Brunetti
Keyword(s):  
Differential Diagnosis ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Correct Identification ◽  
Pathophysiological Mechanism ◽  
Local Inflammatory Response ◽  
Inflammatory Reactions ◽  
Foreign Objects ◽  
Pictorial Review ◽  
Review Reports

AbstractIntra-cranial and spinal foreign body reactions represent potential complications of medical procedures. Their diagnosis may be challenging as they frequently show an insidious clinical presentation and can mimic other life-threatening conditions. Their pathophysiological mechanism is represented by a local inflammatory response due to retained or migrated surgical elements. Cranial interventions may be responsible for the presence of retained foreign objects represented by surgical materials (such as sponges, bone wax, and Teflon). Spinal diagnostic and therapeutic procedures, including myelography, chordotomy, vertebroplasty, and device implantation, are another potential source of foreign bodies. These reactions can also follow material migration or embolization, for example in the case of Lipiodol, Teflon, and cement vertebroplasty. Imaging exams, especially CT and MRI, have a central role in the differential diagnosis of these conditions together with patient history. Neuroradiological findings are dependent on the type of material that has been left in or migrated from the surgical area. Knowledge of these entities is relevant for clinical practice as the correct identification of foreign bodies and related inflammatory reactions, material embolisms, or migrations can be difficult. This pictorial review reports neuroradiological semeiotics and differential diagnosis of foreign body-related imaging abnormalities in the brain and spine.

The Diagnosis and Surgical Management of Intracardiac Quill Foreign Body in a Dog

2016 ◽  
Vol 52 (1) ◽  
pp. 73-76 ◽  
Author(s):  
Daniel Joseph Santiago Nucci ◽  
Julius Liptak
Keyword(s):  
Computed Tomography ◽  
Foreign Body ◽  
Right Ventricle ◽  
Surgical Management ◽  
Foreign Bodies ◽  
Cardiac Injury ◽  
Median Sternotomy ◽  
Good Prognosis ◽  
Bilateral Pneumothorax ◽  
The Right

A dog was referred to Alta Vista Animal Hospital with a porcupine quill penetrating the right ventricle. The presenting complaint was tachypnea and dyspnea secondary to bilateral pneumothorax. Computed tomography revealed bilateral pneumothorax without evidence of quills. A median sternotomy was performed and the quill was removed. The dog recovered uneventfully. Quill injuries are common in dogs; however, intracardiac quill migration is rare. Dogs without evidence of severe cardiac injury secondary to intracardiac foreign bodies may have a good prognosis.

scholarly journals Foreign Body Aspiration of a Dental Bridge in the Left Main Stem Bronchus

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Monay Mahmoud ◽  
Syed Imam ◽  
Hetalben Patel ◽  
Matthew King
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Neuromuscular Diseases ◽  
Foreign Body Aspiration ◽  
Main Stem Bronchus ◽  
Life Threatening ◽  
Left Main Stem Bronchus ◽  
Successful Retrieval ◽  
Prompt Diagnosis ◽  
Life Threatening Event

Aspiration of tracheobronchial foreign bodies is a life-threatening event that occurs mainly in children. Occurrence in adults is rare and usually has a subtle presentation as most adults are unaware of aspiration of any foreign material. Decreased levels of consciousness, sedation, and neuromuscular diseases are major risk factors for foreign body aspiration in adults. Prompt diagnosis and intervention through foreign body retrieval are critical to prevent significant morbidity and mortality. Retrieval procedure is risky, and sudden decompensation of the patient can occur anytime. We are presenting an adult who accidentally aspirated his dental prosthesis during sleep and underwent successful retrieval of the dental bridge using flexible bronchoscopy.

Long-Retained Vaginal Foreign Body Causing Chronic Vaginitis in a Bulldog

2010 ◽  
Vol 46 (1) ◽  
pp. 56-60 ◽  
Author(s):  
Elisabeth C. Snead ◽  
John W. Pharr ◽  
Brendon P. Ringwood ◽  
Jennifer Beckwith
Keyword(s):  
Differential Diagnosis ◽  
Foreign Body ◽  
Vaginal Discharge ◽  
Foreign Bodies ◽  
History Of

A vaginal foreign body consisting of a piece of retained calvarium from a macerated fetus was identified and removed using vaginoscopy in a 4-year-old, spayed female bulldog. The dog had a 12-month history of chronic mucopurulent vaginitis. Vaginal foreign bodies, although uncommon, are a differential diagnosis for recurrent mucopurulent or hemorrhagic chronic vaginal discharge. A case of chronic vaginitis caused by a long-retained intravaginal foreign body in a dog is described and compared to four other canine cases reported in the literature.

scholarly journals A Tumor-Like Lump in the Palm Caused by an Inconspicuous-for 75 Years-Bullet

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Efstratios D. Athanaselis ◽  
Apostolos Fyllos ◽  
Nikolaos Stefanou ◽  
Socrates E. Varitimidis ◽  
Dimitrios Giannikas
Keyword(s):  
Differential Diagnosis ◽  
World War Ii ◽  
Foreign Body ◽  
Unusual Case ◽  
Foreign Bodies ◽  
Soft Tissue Mass ◽  
World War ◽  
Tissue Mass ◽  
Long Period ◽  
Bullet Fragment

Case. An unusual case of a foreign body in the hand is described here. Excision of a tumor-like soft tissue mass revealed a 75-year-old World War II bullet fragment of which patient was unaware. Conclusion. Differential diagnosis of hand lumps and inflammatory reaction must always include retained foreign bodies even after a very long period of posttraumatic quiescence or patient’s inability to provide a relative injury case history.

scholarly journals Not ’just' a foreign body in the ear canal

2019 ◽  
Vol 12 (4) ◽  
pp. e229302
Author(s):  
Niall Woodley ◽  
Mohd Afiq Mohd Slim ◽  
Theofano Tikka ◽  
Richard Robert Locke
Keyword(s):  
Differential Diagnosis ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Surgical Intervention ◽  
Adult Population ◽  
Delayed Diagnosis ◽  
Cotton Wool ◽  
Ear Canal ◽  
Emergency Team ◽  
Nose And Throat

Foreign bodies are commonly seen by the Ear, Nose and Throat emergency team with cotton wool being the most common aural foreign body seen in the adult population. Most complications secondary to aural foreign bodies described in the literature are minor and rarely require any surgical intervention. Here, we present two cases with impacted cotton wool as aural foreign bodies which resulted in suppurative labyrinthitis and osteomyelitis causing profound sensorineural hearing. These cases highlight the importance of considering aural foreign bodies in the differential diagnosis in those presenting with unilateral symptoms as significant complications, although rare, can occur, particularly in those with delayed diagnosis.

scholarly journals Retained iatrogenic foreign body causing persistent non-healing wound: a case report

2020 ◽  
Vol 7 (3) ◽  
pp. 883
Author(s):  
Aisha Waquad ◽  
Hiren Patel ◽  
Mai Gandhi ◽  
Guny Gabriel
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Foreign Body ◽  
Negative Pressure ◽  
Foreign Bodies ◽  
Negative Pressure Therapy ◽  
Pressure Therapy ◽  
Incision And Drainage ◽  
Healing Wound ◽  
Healing Wounds

An 88-year-old female presented with non-healing wound of left hip, found to have iatrogenic foreign body. The patient presented at the age of 88 with complaints of a persistent wound of left hip. She had a previous incision and drainage of an abscess on her left hip and subsequently received negative pressure therapy. She underwent a wound exploration and found to have multiple foreign bodies in the wound. While uncommon, iatrogenic foreign body should be considered as a possible differential diagnosis in patient with non-healing wounds. The literature on iatrogenic foreign body is reviewed. Iatrogenic foreign body is an uncommon pathology but should be included in the differential diagnosis in patients presenting with a non-healing wound. 

A Large Bullet in the Bladder

Swiss Surgery ◽  
2001 ◽  
Vol 7 (3) ◽  
pp. 139-140 ◽  
Author(s):  
Halkic ◽  
Wisard ◽  
Abdelmoumene ◽  
Vuilleumier
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Gross Hematuria ◽  
Suprapubic Cystostomy ◽  
Laparoscopic Port ◽  
Urethral Trauma ◽  
Bullet Injury

All manner of foreign bodies have been extracted from the bladder. Introduction into the bladder may be through self-insertion, iatrogenic means or migration from adjacent organs. Extraction should be tailored according to the nature of the foreign body and should minimise bladder and urethral trauma. We report a case of a bullet injury to the bladder, which finally presented as a gross hematuria after remaining asymptomatic for four years. We present here an alternative to suprapubic cystostomy with a large bladder foreign body treated via a combined transurethral unroofing followed by removal using a grasper passed through a suprapubic laparoscopic port.

CLINICAL AND PARACLINICAL CHARACTERISTICS AND RESULTS FROM TREATMENT OF FOREIGN BODIES INGESTION

2016 ◽  
pp. 63-69
Author(s):  
Hoang Cuong Vo ◽  
Thanh Dang ◽  
Phuong Nam Tran ◽  
Thanh Thai Le
Keyword(s):  
Foreign Body ◽  
Clinical Characteristics ◽  
Foreign Bodies ◽  
University Hospital ◽  
Age Group ◽  
Central Hospital ◽  
Results Of Treatment ◽  
Rigid Esophagoscopy ◽  
Flexible Esophagoscopy ◽  
Esophageal Foreign Bodies

Background: Foreign bodies ingestion is a emergency in otology, knowledge of people about foreign bodies ingestion is not enough. Objective: To study the clinical characteristics, paraclinical characteristics and results of treatment from foreign bodies ingestion in Hue Central Hospital and Hue University Hospital. Methods and patiens: A cross descriptive and prospective study over the period from 6/2014 to 5/2016, total are 137 patients come to be diagnosised and treatmented. Results: the average age is 35 years old. Gender: male (51.8%) and women (48.2%). Adults (84.7%) having more than children (15.3%). Age group from 16-30 years is highest (32.8%). There are 95.7% of organic foreign bodies, 4.3% are inorganic foreign bodies. There are 90.5% of patients on diagnosis and treatment in stages less inflammation, arthritis 8.0% in the period and 1.5% in the period complications. Foreign body in the throat problems (73.7%), esophageal foreign bodies (26.3%). Pick up directly foreign bodies 54%, indirectly by the mirror 11.7% and endoscopy 8%, rigid esophagoscopy is 17.5%, flexible esophagoscopy is 7.3%, cervicotomy is 1.5%. Conclusion: Practing direction with in the oropharynx foreign body, using the larynx mirror or endoscopy with in the laryngopharynx for the esophagus foreign bodies, rigid esophagoscopy is better. Key words: Foreign bodies ingestion

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