Retained Wooden Foreign Body in a Child's Parotid Gland: A Case Report

1998 ◽  
Vol 77 (2) ◽  
pp. 140-143 ◽  
Author(s):  
Audie L. Woolley ◽  
Lee T. Wimberly ◽  
Stuart A. Royal
Keyword(s):  
Foreign Body ◽  
Parotid Gland ◽  
Foreign Bodies ◽  
Interesting Case ◽  
Radiologic Diagnosis ◽  
Diagnostic Challenge ◽  
Experienced Surgeon ◽  
Wooden Foreign Body ◽  
Current Guidelines ◽  
Review Current

Foreign bodies can present a diagnostic challenge to even the experienced surgeon. In one review of 200 surgical cases involving retained foreign bodies, one-third of the cases had been initially missed.1 Wooden foreign bodies in particular pose a challenge to the physician. In the review cited above, only 15% of wooden foreign bodies were well visualized on plain radiographs.1 Acutely, on computed tomography (CT) scans, wooden foreign bodies will usually mimic air.2 However, with time, the attenuation value of a wooden foreign body may increase as moisture is absorbed from the surrounding tissues.3 Once this occurs, the wooden foreign body may mimic fat, water or muscle.2 We present an interesting case of a wooden foreign body in the parotid gland in order to illustrate a common presentation of such a foreign body, to review current guidelines for their clinical and radiologic diagnosis, and to suggest strategies for the management of their unique complications.

scholarly journals An unusual wooden foreign body in the face: a case report

2017 ◽  
Vol 32 (1) ◽  
pp. 50
Author(s):  
Gilberto Leal Grade ◽  
Roberta Dalmolin Bergoli De Almeida ◽  
Leandro Calcagno Reinhardt ◽  
Marcos Antonio Torriani
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Emergency Services ◽  
Anatomical Site ◽  
Initial Examination ◽  
Diagnostic Challenge ◽  
Maxillofacial Region ◽  
Level Of Consciousness ◽  
The Face ◽  
Wooden Foreign Body

Although injuries with the presence of foreign bodies in the maxillofacial region are relatively common in urgency and emergency services, they still pose a diagnostic challenge that is related to several factors, such as type of trauma, foreign body material, patient’s level of consciousness and anatomical site involved. A third of foreign bodies in the face are not detected upon initial examination and may remain in deep tissues until they are accidentally encountered by imaging tests for other purposes or until the patient shows symptoms such as pain or swelling. This article reports a case of a 9 cm piece of wood extracted from a patient’s middle third region of the left midface after 30 days of trauma occurrence, with associated infection suggesting a clinical picture of neoplasia.

Foreign Body Nose: An Unusual Presentation

2021 ◽  
Vol 28 (3) ◽  
pp. 282-284
Author(s):  
Ankit Gulati ◽  
Surinder K Singhal ◽  
Shashikant A Pol ◽  
Nitin Gupta
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Interesting Case ◽  
Alar Cartilage ◽  
Open Approach ◽  
Medial Canthus ◽  
History Of ◽  
Foreign Body Impaction ◽  
Nasal Bleed ◽  
High Index Of Suspicion

Introduction This is a very interesting case of retained homicidal foreign body in the nose in contrast to most of the foreign bodies which are accidental. Case Report A 27 year old male presented to ENT emergency with alleged history of assault over face with sharp object following which patient developed nasal bleed. On examination vertical laceration of approximately 8 cm in length was present along left naso-orbital groove extending superiorly from medial canthus of left eye and inferiorly to nasal alar cartilage. On anterior rhinoscopy a metallic foreign body was seen in both nasal cavities, which appeared to be crossing from left to right side piercing the nasal septum. Foreign body was removed via open approach. Discussion Penetrating maxillofacial injury with foreign body impaction are less common. High index of suspicion is required in diagnosing these cases. Radiological intervention should be done to get idea of exact location and extent of foreign body. Lateral rhinotomy is a useful approach in removing these foreign bodies.

scholarly journals Denture Impaction Causing an Upper Esophageal Diverticulum

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Shireen Samargandy ◽  
Hani Marzouki ◽  
Talal Al-Khatib ◽  
Mazin Merdad
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
The Elderly ◽  
Barium Swallow ◽  
Diagnostic Challenge ◽  
Case Presentation ◽  
History Of ◽  
Endoscopic Diverticulotomy ◽  
Tomography Scan ◽  
Rule Out

Background. Dentures are a common cause of inadvertent foreign body ingestion particularly in the elderly. Due to their radiolucent nature, they often present a diagnostic challenge to care providing physicians. Case Presentation. A 66-year-old female presented to our otolaryngology clinic with a 2-year history of dysphagia. Her physical examination was unremarkable. Computed tomography scan of the neck and barium swallow suggested Zenker diverticulum. She was planned for endoscopic diverticulotomy; however, during surgery, a foreign body was incidentally found and retrieved, which was a partial lower denture. The diverticulum resolved thereafter, and the patient's symptoms abated. Conclusion. The authors recommend evaluating the esophagus endoscopically first in cases of upper esophageal diverticular formation, even when planning an open repair approach, to rule out any concealed foreign bodies.

Detection of Foreign Bodies using Ultrasound: A Possible Pitfall

1994 ◽  
Vol 2 (1) ◽  
pp. 35-38 ◽  
Author(s):  
Bing Siang Gan ◽  
Lawrence N Hurst ◽  
H Brian Evans ◽  
Donal Downey
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Hand Surgery ◽  
Diagnostic Ultrasound ◽  
Clinical Suspicion ◽  
Ultrasound Scanning ◽  
Flexor Tendons ◽  
Anatomical Localization ◽  
Wooden Foreign Body ◽  
Exploratory Surgery

Recently, a number of reports have brought the use of ultrasound scanning in the detection of foreign bodies to the field of hand surgery. A case is presented in which ultrasound was not able to diagnose the presence of a large (3.5 × 0.5 × 0.5 cm) nonradiopaque wooden foreign body lying between the flexor tendons of the forearm. However, embedded in ultrasound gel, the piece could readily be identified. This report serves as a reminder that the anatomical localization of a foreign body amid structures with vastly different echogenicity from its surroundings (such as flexor tendons of the hand and forearm) may reduce the usefulness of diagnostic ultrasound and that in such circumstances clinical suspicion may be a more reliable indication for exploratory surgery.

scholarly journals Unusual Foreign Body of Parotid Gland Presenting as Sialolithiasis: Case Report and Literature Review

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Sivapatha Sundaram Sreetharan ◽  
Rajan Philip
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Parotid Gland ◽  
Unusual Case ◽  
Foreign Bodies ◽  
Image Intensifier ◽  
Ct Scans ◽  
Superficial Parotidectomy ◽  
Unusual Foreign Body ◽  
Surgical Options

This case report highlights an unusual case where a foreign body in the parotid gland was initially thought to be sialolithiasis based on CT scans. The foreign body was safely retrieved from the parotid gland without formal superficial parotidectomy using methylene blue and an image intensifier to localize the lesion. Diagnosis and management of foreign bodies in the parotid gland are reviewed, and surgical options in removal of such lesions are discussed.

Beware of chicken bones: An uncommon presentation of a foreign body in the palate

Dental Update ◽  
2021 ◽  
Vol 48 (2) ◽  
pp. 115-117
Author(s):  
Dinesh Martin ◽  
Candy Naraynsingh
Keyword(s):  
Foreign Body ◽  
3D Imaging ◽  
Foreign Bodies ◽  
Diagnostic Challenge ◽  
Uncommon Presentation ◽  
Animal Bone ◽  
Atypical Clinical Presentation ◽  
Foreign Body Impaction ◽  
Odontogenic Lesion ◽  
Radiographic Presentation

This paper describes a case of an intra-osseous foreign body impaction in the hard palate, a chicken bone fragment, in an adult male. The presentation mimicked that of an odontogenic lesion. Though palatal soft tissue foreign bodies in toddlers are well reported, the literature is sparse on cases involving adults. The location of the foreign body, and radiographic presentation, resulted in a diagnostic challenge to the attending clinician. This appears to be the first reported case of an animal bone presenting in this way in an adult. CPD/Clinical Relevance: The case highlights the importance of credible history reporting, 3D imaging and developing accurate differentials in the diagnostic pathway when faced with an atypical clinical presentation.

scholarly journals Unusual Presentation of Gastric Perforation by Foreign Body: A Case Report

2011 ◽  
Vol 2011 ◽  
pp. 1-2 ◽  
Author(s):  
V. S. R. Rao ◽  
R. Sarkar ◽  
Richard Turner ◽  
K. R. Wedgwood
Keyword(s):  
Case Report ◽  
Gastrointestinal Tract ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Gastric Perforation ◽  
Interesting Case ◽  
Atypical Presentation ◽  
Diagnostic Dilemma ◽  
Ingested Foreign Body ◽  
High Index Of Suspicion

Perforation of the gastrointestinal tract by ingested foreign body is rare. The majority of patients do not recall ingestion of the foreign body, and dietary foreign bodies are most commonly involved. We present an interesting case where the offending foreign body gave rise to a diagnostic dilemma masquerading as a pancreatic mass. A high index of suspicion is indicated especially when dealing with atypical presentation and nonspecific symptoms as highlighted in this case.

scholarly journals Ingestion of Bell Clappers by a Shaman in Jumla, Nepal: A Case Report

2019 ◽  
Vol 57 (215) ◽  
Author(s):  
Niresh Thapa ◽  
Subi Basnyat ◽  
Muna Maharjan
Keyword(s):  
Foreign Body ◽  
Psychiatric Illness ◽  
Foreign Bodies ◽  
Surgical Intervention ◽  
Interesting Case ◽  
Foreign Body Ingestion ◽  
Ileocecal Junction ◽  
Post Operative Period ◽  
History Of ◽  
Significant Injury

Accidental foreign body ingestion is a common problem encountered in Emergency. Deliberate foreign body ingestion may result due to an act of insanity or an act of daring. A shaman locally known as Dhami was brought to Emergency with the history of ingestion of bell clappers. He denied the history of psychiatric illness or substance abuse. On physical examination, there were signs of peritonitis. Laparotomy was done to remove the foreign bodies. Post-operative period was uneventful. Apart from the surgical intervention, psychological counselling was given to him. This is a rare interesting case due to the fact that the 15 cm long foreign bodies passing all the way through without significant injury and finally causing obstruction in ileocecal junction and perforation in the distal ileum.

scholarly journals Unexpected Radiologic Findings for a Casting Type of Radiolucent Colorectal Foreign Body Composed of Polyurethane Foam

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Emi Sanjo ◽  
Fumihiko Tamamoto ◽  
Shoichi Ogawa ◽  
Maiko Sano ◽  
Tetsunori Yoshimura ◽  
...  
Keyword(s):  
Foreign Body ◽  
Polyurethane Foam ◽  
Foreign Bodies ◽  
Abdominal Radiograph ◽  
Radiologic Diagnosis ◽  
Careful Evaluation ◽  
Plain Abdominal Radiograph ◽  
Radiologic Findings ◽  
Diagnostic Difficulties ◽  
Abdominal Radiographs

Radiologic diagnosis of colorectal foreign bodies is usually not very difficult, because inserted materials are often clearly visible on plain abdominal radiographs. However, when they are radiolucent, a plain abdominal radiograph has been reported to be useless. As radiolucent colorectal foreign bodies appear as radiolucent artificial contours or air-trapped materials in the pelvis, almost always the diagnosis itself can be made by careful evaluation of plain abdominal radiographs. We encountered a case of casting type of radiolucent colorectal foreign body formed from polyurethane foam. It presented us with unexpected radiologic findings and led to diagnostic difficulties.

scholarly journals Intraorbital Wooden Foreign Body: A Case Report

2015 ◽  
Vol 3 (3) ◽  
pp. 119-121 ◽  
Author(s):  
Sanjeeta Sitaula ◽  
Vijay Gautam
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Good Prognosis ◽  
Ocular Motility ◽  
Intravenous Antibiotics ◽  
Severity Of Injury ◽  
Orbital Problems ◽  
Life Threatening ◽  
History Of ◽  
Wooden Foreign Body

Intraorbital foreign bodies are one of the commonly encountered orbital problems. They may be sight threatening due to the severity of injury or its complications and even life threatening if not managed appropriately. We present a case of a 24-year old female with history of fall injury from a tree with an impacted intraorbital wooden foreign body. The patient was treated with prophylactic intravenous antibiotics and prompt removal of the foreign body was done under general anesthesia in the operation theatre. The post operative visual recovery was excellent with significant improvement of ocular motility and limited improvement of ptosis. Hence even organic foreign bodies can have good prognosis with timely intervention.DOI: http://dx.doi.org/10.3126/jkmc.v3i3.12248Journal of Kathmandu Medical CollegeVol. 3, No. 3, Issue 9, Jul.-Sep., 2014, Page: 119-121

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