scholarly journals Management of Foreign Bodies in Throat: An Emergency Department's Perspective

2002 ◽  
Vol 9 (3) ◽  
pp. 126-130 ◽  
Author(s):  
Hs Chiu ◽  
Ch Chung
Keyword(s):  
Emergency Department ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Cost Effective ◽  
Endoscopic Examination ◽  
Chief Complaint ◽  
Emergency Physicians ◽  
Retrieval Method ◽  
Fish Bones ◽  
Short Period

Objectives To review the share of emergency physicians and surgeons in the removal of foreign bodies in throat, and to revisit the concept of home observation and elective endoscopic examination for this group of patients. Design Retrospective study for a five month period. Setting Public general hospital with emergency and surgical departments. Population All patients attending the emergency department from 1st January 1999 to 31st May 1999 with a diagnosis or chief complaint of foreign body in throat or foreign body ingestion. Main outcome measures Success rate of foreign body retrieval, method of removal, specialty and patient outcome. Results 79.8% of the foreign bodies were fish bones. Eighty-nine percent foreign bodies was removed by direct laryngoscopy in the emergency department, 6.7% by emergency physicians in the endoscopy unit as outpatients and 4.3% by surgeons after admission. Conclusion In the absence of frank clinical or radiological sign, a short period of home observation before proceeding to elective oesophagogastro-duodenoscopy (OGD) assessment may be helpful as well as cost-effective. This policy screens out some unnecessary instrumentation, without increasing the rate of complications. As emergency physicians remove the majority of foreign bodies, their expanded involvement on an ambulatory basis is both reasonable and feasible.

scholarly journals Rectal Foreign Body Removal in the Emergency Department: A Case Report

2020 ◽  
Vol 4 (3) ◽  
pp. 450-453
Author(s):  
Samuel Nesemann ◽  
Kimberly Hubbard ◽  
Mehdi Siddiqui ◽  
William Fernandez
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Surgical Intervention ◽  
Clinical Suspicion ◽  
Emergency Physicians ◽  
Review Of The Literature ◽  
Foreign Body Removal ◽  
Rectal Foreign Bodies

Introduction: Rectal foreign bodies (RFB) pose a challenge to emergency physicians. Patients are not often forthcoming, which can lead to delays to intervention. Thus, RFBs require a heightened clinical suspicion. In the emergency department (ED), extraction may require creative methods to prevent need for surgical intervention. Case Report: The authors present a case of a successful extraction of a RFB in the ED and review of the literature. Conclusion: Retained RFBs are an unusually problematic reason for an ED visit. Thus, it is important for emergency physicians to be comfortable managing such cases appropriately.

Use of Ophthalmic Sonography to Evaluate for Intraocular Foreign Body in Both Outpatient and Emergency Department/Urgent Care Patients

2021 ◽  
pp. 875647932110332
Author(s):  
Patrick J. Fish
Keyword(s):  
Emergency Department ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Outpatient Setting ◽  
Intraocular Foreign Body ◽  
Urgent Care ◽  
Posterior Chamber ◽  
Emergency Department Setting ◽  
Before And After ◽  
Glass Metal

Intraocular foreign bodies (IOFB) present differently depending on the type of material (wood, glass, metal) for the IOFB, extent of the injury, and location of the injury. IOFB and the injury can cause a perforation or penetration of the globe which can require more extensive treatment including surgery. Proper evaluation of the IOFB and injury can help to determine extent of the injury, the prognosis of the vision, and health of the eye before and after treatment but may be difficult for the physician depending on the view of the posterior chamber being compromised by media or simply by patient sensitivity. The extent of the injury may also prevent proper evaluation due to swelling, lacerations on the lids, or pain. Proper ophthalmic sonography can provide a quick evaluation of the globe for any IOFB in both the outpatient setting as well as emergency department setting. Evaluation via sonography may allow the physician to accurately diagnose and properly treat the patient to help restore and prevent further loss of vision.

scholarly journals A Baby Feeding Nipple: Simple, Cost effective, and Safe Technique for Removal of Denture

2019 ◽  
Vol 10 (02) ◽  
pp. 126-129
Author(s):  
Gaurav Kumar Gupta ◽  
Atul Gawande ◽  
Deepak Sharma ◽  
Sandeep Nijhawan
Keyword(s):  
Visual Field ◽  
Foreign Bodies ◽  
Cost Effective ◽  
The Elderly ◽  
Feeding Tube ◽  
Mucosal Damage ◽  
Endoscopic Examination ◽  
Aged Patients ◽  
Safe Technique ◽  
Sharp Edges

Abstract Introduction: Denture ingestion occurs commonly in the elderly and frequently impacted in the esophagus due to the sharp edges. This can lead to serious complications such as perforation. We are describing here a simple, cost effective and safe technique for removal of dentures. Material and methods: We used a handmade hood protector made from baby feeding nipple with rat-toothed forceps to safely remove ingested denture in two middle aged patients. Both patients had subcutaneous emphysema. Results: Dentures were removed successfully in both patients. Following denture removal, endoscopic examination of the esophagus did not show any sign of mucosal damage, ulceration, bleeding, or perforation. Conclusion: We successfully and safely removed denture from the stomach using handmade hood designed from a baby feeding tube. It may be beneficial for wide visual field and safety. It is an easy, effective, and safe design for the removal of sharp foreign bodies like dentures.

scholarly journals Migratory Fish Bone in the Thyroid Gland: Case Report and Literature Review

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
EnHao Wu ◽  
Lei Huang ◽  
Ya Zhou ◽  
Xun Zhu
Keyword(s):  
Foreign Body ◽  
Thyroid Gland ◽  
Foreign Bodies ◽  
Relevant Literature ◽  
Fish Bone ◽  
Migratory Fish ◽  
Emergency Case ◽  
Presenting Symptoms ◽  
Fish Bones ◽  
The Common

Introduction. Foreign body stuck in the throat is a common emergency case, which can be removed by the endoscopic treatment. Fish bones are one of the common observed foreign bodies in the pharynx or cervical esophagus. Fish bones have a risk of damaging the mucosa when lodged in the upper digestive tract. Foreign bodies of fish bones located outside the laryngopharyngeal tissue are relatively unusual, and it is even more rare that they remain in the thyroid. It may cause local infection, abscess formation, large blood vessels rupture, and other serious life-threatening complications when the position of the fish bone migrates to the neck. We present a unique case of a 31-year-old woman in whom a fish bone was found in the thyroid. The fish bone had been removed successfully two months after the onset of symptoms. The relevant literature is reviewed and summarized.Case Presentation. A foreign body which is located in the neck area by swallowing is usually found in the emergency case. One of the commonest foreign bodies is the fish bone. The common presenting symptoms include foreign body (FB) sensation and or a sharp pain during swallowing. But we report a rare case in which a migratory fish bone stuck in the thyroid gland was found after 3 months. We retrieved previous literature and made a summary.Conclusions. Fish bones are not easy to be found as a foreign body. Surgeons should be aware that fish bones can become lodged in the thyroid gland. Combined with the history should be a wary fish bone to migrate to the case of the thyroid, to avoid misdiagnosis. To confirm the diagnosis, we can take ultrasound, computerized tomographic scanning (CT), and other tests.

scholarly journals Unusual case of mobile phone simulation SIM card’s outer case ingestion: wedged at laryngeal surface of epiglottis

2019 ◽  
Vol 5 (2) ◽  
pp. 514
Author(s):  
Rachna Dhingra ◽  
Jai Lal Davessar ◽  
Shruti Sharma ◽  
Kanwalpreet Kaur
Keyword(s):  
Emergency Department ◽  
Foreign Body ◽  
Mobile Phone ◽  
Unusual Case ◽  
Foreign Bodies ◽  
Pediatric Population ◽  
Title Page ◽  
Common Occurrence ◽  
Accidental Ingestion ◽  
Emergency Department Attendance

<div class="page" title="Page 2"><div class="layoutArea"><div class="column"><p class="abstract">Accidental ingestion of foreign bodies in the pediatric population is usually small pieces from toys or other household objects and subsequent emergency department attendance is a common occurrence. Here we describe an unusual case of accidental swallowing where the foreign body is outer case of mobile phone simulation (SIM) card.</p></div></div></div>

scholarly journals STOMACH FISH BONE PERFORATION.CLINICAL CASE

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.

scholarly journals Migrated pharyngeal fish bone causing spondylodiscitis. Case report

2014 ◽  
Vol 13 (1) ◽  
pp. 67-68 ◽  
Author(s):  
Aluizio Augusto Arantes Júnior ◽  
Jose Augusto Malheiros ◽  
Marco Tulio Domingos Silva e Reis ◽  
Gustavo Meyer de Moraes
Keyword(s):  
Case Report ◽  
Cervical Spine ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Fish Bone ◽  
Emergency Rooms ◽  
Infectious Process ◽  
Fish Bones ◽  
First Case ◽  
Longus Colli

Ingestion of foreign bodies is a common problem seen at emergency rooms and frequently involves chicken and fish bones. There are few cases of migrated foreign bodies through the retropharynx causing infectious process in the area but no one, despite the proximity, causing spondylodiscitis. Perhaps such condition is attributed to the integrity of the longus colli fascia covering and protecting the cervical spine. We described the first case of spondylodiscitis due to a foreign body (saw-toothed fish bone) that penetrated the longus colli fascia and carved into vertebral body C3.

scholarly journals Drug ampoules in rectum: Lucky co-incidental finding in emergency department of eastern Nepal

2017 ◽  
Vol 13 (3) ◽  
pp. 185-187
Author(s):  
Saroj Giri ◽  
R Gupta ◽  
R Bhandari ◽  
S Chaudhuri
Keyword(s):  
Emergency Department ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Incidental Finding

Background: Rectal foreign body is uncommon in emergency usually presenting after failure to remove the object manually or with other complications.Case: Twenty two years male in emergency department presented with rectal  leeding following a manual attempt to remove drug ampoules from rectum.Conclusion: In an unexplained rectal bleed, foreign bodies could be a pitfall.Health Renaissance 2015;13(3): 185-187

scholarly journals Intraoperative Use of C-Arm Fluoroscope for Location of Foreign Body in Maxillofacial Surgery: Series of Cases

2019 ◽  
Vol 3 (1) ◽  
pp. s-0039-1685504
Author(s):  
Manoj Kumar Bhaskaran ◽  
Joseph Lijo ◽  
Arjun Shenoy ◽  
Chinmay Vasant Rao
Keyword(s):  
Foreign Body ◽  
Real Time ◽  
Foreign Bodies ◽  
Intraoperative Imaging ◽  
Maxillofacial Surgery ◽  
Cost Effective ◽  
Effective Technique ◽  
Intraoperative Computed Tomography ◽  
Computed Tomography Scanning ◽  
Cost Effective Technique

The practice of maxillofacial surgery commonly entails working in anatomically confined boundaries with restricted access that can easily lead to instrument and foreign body slippage into deeper tissue planes and, rarely, be aspirated. The use of postoperative adjunctive radiographic techniques has long been used to locate any such misplaced foreign bodies to attempt removal or track their passage through the alimentary tract. The use of intraoperative computed tomography scanning has recently gained momentum; but the set up may not be easily available in all the operation theaters. As such, a definitive cost-effective technique to locate such objects remains elusive. The authors intend to share their experience with the use of the C-Arm fluoroscope for the purpose of real-time intraoperative location and attempted removal of foreign bodies in three patients. The C-Arm fluoroscope can thus be used as a cost-effective technique for real-time intraoperative imaging, compared with more expensive techniques.

Airway Foreign Bodies

2020 ◽  
pp. 155-160
Author(s):  
C. Anthoney Lim ◽  
Rachel Whitney ◽  
Jeremy M. Rose
Keyword(s):  
Emergency Department ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Operative Management ◽  
Treatment Modalities ◽  
Foreign Body Removal ◽  
Life Threatening ◽  
Airway Foreign Body ◽  
Emergent Airway Management ◽  
Physical Findings

The presentation of an airway foreign body can range from benign to truly life-threatening. Respiratory tract obstruction from an airway or esophageal foreign body is relatively rare but remains a leading cause of morbidity and mortality among children. This chapter discusses the evaluation and management for inhaled and aspirated foreign bodies in the upper aerodigestive and lower respiratory tracts. Using anatomical areas as a systematic approach, common presentations, physical findings, and diagnostic workup including imaging options are reviewed. Treatment modalities including emergent airway management and foreign body removal are discussed, with a focus on procedures that can be performed in an emergency department setting and indications for operative management.

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