scholarly journals Aorto-esophageal fistula caused by fishbone ingestion: a case report on staged endovascular and endoscopic treatment

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yu-Yan Zhang ◽  
Shan Li ◽  
Xiang-Lei Yuan ◽  
Bing Hu
Keyword(s):  
Foreign Bodies ◽  
Normal Diet ◽  
Thoracic Endovascular Aortic Repair ◽  
Esophageal Fistula ◽  
Fistula Repair ◽  
Active Infection ◽  
Case Presentation ◽  
Endoscopic Closure ◽  
Esophageal Lesion ◽  
Laboratory Examinations

Abstract Background Aorto-esophageal fistula (AEF) caused by foreign bodies ingestion is a rare but devastating disorder. Thoracic endovascular aortic repair (TEVAR) has become a widely accepted intervention for treating aorto-esophageal fistulas. As for post-TEVAR esophageal defect, secondary esophagectomy has been the recommended choice for most of the AEFs, but there is no general consensus with regard to the need of secondary surgeries for patients in the absence of clear signs of reinfection or bleeding. We herein presented a case of an AEF caused by fishbone ingestion, after successful TEVAR, the esophageal lesion was closed endoscopically. Case presentation A 38-year-old male presented with esophageal fistula for 4 months. He was diagnosed with AEF because of Chiari's triad after fishbone ingestion 4 months ago. Emergency thoracic aortic stent implantation was done, and given broad spectrum antibiotics and blood transfusion. His symptoms were improved, and discharged with an esophageal fistula left to heal itself. Nevertheless, after 4 months, re-examination of esophago-gastro-duodenoscopy revealed that the diameter of the fistula was changed from 3 to 6 mm. He was then admitted to our hospital for esophageal fistula repair. Laboratory examinations and chest computed tomography showed no signs of active infection, and endoscopic closure of the fistula was achieved with 4 clips. After that, he was discharged and gradually returned to normal diet. Conclusion For AEFs in the absence of active infection with repaired aorta but persistent esophageal fistula, endoscopic closure by endoclips might be an effective treatment choice.

scholarly journals Migration of fish bones into abdominal para‐aortic tissue from the duodenum after leading to duodenal perforation: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rong Wang ◽  
Jinyan He ◽  
Zhengquan Chen ◽  
Kunming Wen
Keyword(s):  
Foreign Bodies ◽  
Treatment Plan ◽  
Fish Bone ◽  
Postoperative Recovery ◽  
Normal Diet ◽  
Duodenal Perforation ◽  
Aortic Tissue ◽  
Case Presentation ◽  
Physical Strength ◽  
Fish Bones

Abstract Background Migration of fish bones into abdominal para-aortic tissue after penetrating the junction of 3rd and 4th part of duodenum is incredibly rare. Case presentation A 68-year-old man was admitted to our hospital with persistent colic in the lower abdomen after eating fish two weeks ago. Abdominal computed tomography (CT) scan showed High density streaks along the anterior and lower edges of the 3rd part of duodenum with peripheral exudation and localized peritonitis. Esophagogastroduodenoscopy didn’t find foreign bodies and perforations in the digestive tract. Laparoscopic surgery and intraoperative endoscopy were made to detect foreign bodies and perforation site was found. After transition to open surgery, the fish bone was found in abdominal para-aortic tissue and removed without complications. Postoperative recovery is smooth, and the patient resumed normal diet and was discharged. Conclusions It is difficult to choose a treatment plan for foreign bodies at the 3rd part of the duodenum, because it is difficult to judge the damage caused by the foreign body to the intestine and the positional relationship with the surrounding important organs. Conservative treatment or surgical treatment both have huge risks. The handling of this situation will extremely test the psychology, physical strength and professional experience of the surgeon.

scholarly journals Removal of a suture needle: a case report

2021 ◽  
Vol 43 (1) ◽  
Author(s):  
Suyun Seon ◽  
Baek-Soo Lee ◽  
Byung-Joon Choi ◽  
Joo-Young Ohe ◽  
Jung-Woo Lee ◽  
...  
Keyword(s):  
Foreign Bodies ◽  
Mouth Opening ◽  
Ct Scanning ◽  
Purulent Discharge ◽  
Dental Clinic ◽  
Case Presentation ◽  
Left Behind ◽  
Successful Removal ◽  
Oral Surgical Procedure ◽  
Location Measurement

Abstract Background Foreign bodies may be embedded or left behind in the oral cavity during oral surgical procedure. The loss of instruments such as impression material, surgical gauze, and broken injection needles are commonly reported in the dental field. These complications are generally symptomatic and show signs of inflammation, pain, and purulent discharge. Accidental breakage of suture needles is a rare but potentially dangerous event. Case presentation In this report, we present one case of lost suture needle during the procedure of flap operation at local dental clinic and its successful removal under local/general anesthesia administration via CBCT with a help of two reference needles to localize the 6-0 nylon needle and consulting with the clinician. Conclusion CT scanning taken while mouth-closing may not be accurate with regard to real location measurement performed while mouth-opening. If so, other up-to-date radiographic devices and methods to retrieve a needle are recommended.

scholarly journals An 18-year-old girl with retrosternal burning discomfort: a bitter pill to swallow

2021 ◽  
Vol 8 (1) ◽  
pp. e000767
Author(s):  
Mahmoud Gouda ◽  
Ayman Elkholi ◽  
Thomas H Tranah ◽  
Debbie L Shawcross
Keyword(s):  
Literature Review ◽  
Foreign Bodies ◽  
Electronic Devices ◽  
Morbidity And Mortality ◽  
Case Presentation ◽  
Caustic Injury ◽  
Increased Risk ◽  
Oesophageal Injury

Caustic injury secondary to impaction of ingested batteries is a potentially severe cause of oesophageal injury with an increasing incidence that reflects consumer trends and the utilisation of compact electronic devices. Delays to recognition and management are associated with increased risk of complications, morbidity and mortality. In this manuscript, we describe a case presentation and literature review of a patient presenting with upper oesophageal odynophagia after the deliberate ingestion of multiple foreign bodies.

Incidental Tracheal Diverticulum Discovered 30 Years After Tracheo-esophageal Fistula Repair

2015 ◽  
Vol 22 (1) ◽  
pp. 73-75
Author(s):  
Brian Mitzman ◽  
Jonathan Caronia ◽  
Bushra Mina ◽  
Christos Stavropoulos
Keyword(s):  
Esophageal Fistula ◽  
Fistula Repair ◽  
Tracheal Diverticulum

scholarly journals Eosinophilic Gastroenteritis with a Relapsing and Remitting Course with Presence of Autoimmune Antibodies

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Chathuranga Lakmal Fonseka ◽  
Sunali Nanayakkara ◽  
S. D. A. L. Singhapura ◽  
H. M. M. Herath ◽  
C. K. Bodinayake
Keyword(s):  
Autoimmune Disease ◽  
Ascitic Fluid ◽  
Peripheral Blood ◽  
Elimination Diet ◽  
Eosinophilic Gastroenteritis ◽  
Normal Diet ◽  
Parasitic Disease ◽  
Case Presentation ◽  
Autoimmune Antibodies ◽  
Uncommon Disease

Background. Eosinophilic gastroenteritis (EGE) is an uncommon disease characterized by eosinophilic infiltration of the digestive tract, which occurs due to an uncertain aetiology. Although autoimmune diseases can later present as EGE, it is unusual for EGE to have positive autoimmune antibodies without the presence of an overt autoimmune disease. Case presentation. We report a 38-year-old previously healthy man who presented with abdominal discomfort and loose stools with pleural and peritoneal effusions progressing over several weeks. His investigations revealed severe eosinophilia in peripheral blood and ascitic fluid, and a laparoscopic full-thickness biopsy from the ileum demonstrated infiltration of eosinophils in all three layers of the intestine. There were no clinical features or investigations suggestive of parasitic disease, other diseases associated with eosinophilia, or autoimmune disease. Further investigations showed a highly positive ANA, positive p-ANCA, but did not meet the criteria to diagnose a specific autoimmune disease. The eosinophilia responded to an elimination diet with gradual resolution of eosinophilia and effusions, and once it reappeared after introduction of a normal diet. Conclusion. EGE presenting as peripheral blood and ascitic fluid eosinophilia with the presence of pleural and/or peritoneal effusions is uncommon. Eosinophilic gastroenteritis can be associated with autoantibody positivity without any evidence of overt autoimmune disease manifestations. Elimination diet can be used as a potential option to prevent recurrences of EGE.

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.

scholarly journals Metal Foreign Bodies Have Been in the Lungs for Five Years: a Case Report

2021 ◽  
Author(s):  
Yuan Li ◽  
Zhong Li ◽  
Jun-Cai Liu
Keyword(s):  
Foreign Body ◽  
Pulmonary Artery ◽  
Foreign Bodies ◽  
Treatment Plan ◽  
High Density ◽  
Surgical Removal ◽  
Metallic Foreign Body ◽  
Case Presentation ◽  
Appropriate Treatment ◽  
Limb Trauma

Abstract Background: Metallic foreign body migration into the pulmonary artery after limb trauma is extremely rare. If not treated in time, the patient may die. The metallic foreign body was implanted from the thigh into the pulmonary artery and remained for 5 years. It has never been reported in limb trauma.Case Presentation: The patient was a 51-year-old male who had a small metal foreign body embedded in the middle and lower left thigh due to trauma. The foreign body was not found during emergency debridement operation. During the operation, a full-body X-ray was used to reveal a high-density shadow in the left upper lung. The 3D-CT of the chest immediately confirmed that the high-density shadow was a small iron foreign body, and the iron fragment foreign body was present in the pulmonary artery branch, but no abnormal symptoms were observed. He was hospitalized for observation for 3 days without obvious discomfort and refused to open his chest. The patient then decided to leave the hospital voluntarily.Conclusion: Surgical removal of all foreign bodies traveling to the pulmonary artery is not necessary, and the most appropriate treatment plan should be made considering the location of the foreign body, the patient's wishes and the general condition.

scholarly journals The significance of early rehabilitation of a severely polytraumatized child: Case report

2002 ◽  
Vol 55 (9-10) ◽  
pp. 427-430
Author(s):  
Milena Kovac ◽  
Dragoslav Serpak ◽  
Jovanka Vucinic ◽  
Daliborka Borovcanin ◽  
Tatjana Krstic
Keyword(s):  
Drug Therapy ◽  
Physical Therapy ◽  
Severe Trauma ◽  
Normal Diet ◽  
Early Rehabilitation ◽  
Oral Feeding ◽  
Case Presentation ◽  
Tissue Edema ◽  
Accident Victim ◽  
The Right

Case presentation This is a case presentation of an eight-year-old boy, a traffic accident victim with severe polytrauma. The boy was admitted to hospital with lacerations and contusion injuries of the left basal frontal and left temporal brain region, moderate brain tissue edema and fracture of the left clavicle which were diagnosed by CT (computer tomography). The boy was in coma (Glasgow Coma Scale - 5). Oral feeding and catheter removal were established after one month. Three months later his state of consciousness improved, he could carry out simple orders, started vocalization and visited ambulance by wheel chair. Speech and independent walking were achieved 4 months after the accident. Physical therapy Physical therapy included: neural-stimulation by Vojta and sclerodermal massage from seventh day. Later on, speech and work therapy were applied. Drug therapy Drug therapy included: muscle relaxants and tranquilizers while orthopedic treatment meant plastic immobilization. Control CT revealed chronic subdural hemathoma in the right frontal-parietal region. The boy could walk, talk, have normal diet, and controlled sphincters four months after severe trauma. Now, he is functional and on the level of moderate mental retardation. Early rehabilitation was extremely important in his recovery.

scholarly journals Obstructive Pneumonia With Bronchial Foreign Body: A Case Report

2021 ◽  
Author(s):  
Hitomi Tanaka ◽  
Takatoshi Anno ◽  
Haruka Takenouchi ◽  
Hideaki Kaneto ◽  
Toru Oga ◽  
...  
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Laboratory Data ◽  
Vital Signs ◽  
Fish Bone ◽  
Case Presentation ◽  
Bronchial Foreign Body ◽  
Old Japanese ◽  
History Of ◽  
Normal Chest

Abstract Background: Bronchial foreign bodies are relatively uncommon in adults. There are a variety of symptoms induced by airway foreign bodies, although the typical symptoms of some bronchial foreign bodies are cough, wheezing, chest pain, hemoptysis and fever up. Case presentation: An 80-year-old Japanese man was referred to our hospital with symptom of 7-month history of cough and pneumonia. His chest radiograph showed a slight increase in opacity. His vital signs and his laboratory data were almost normal. Chest computed tomography revealed obstructive pneumonia and a bronchial foreign body. We performed bronchoscopy and detected a fish bone as an intrabronchial foreign body and finally removed it from the bronchi.Conclusions:It is very important to carefully perform medical consultation about the current and past medical history. People in some countries and regions such as Japan have a habit of eating fish. It is necessary to more carefully consider the possibility of some bronchial foreign body such as a fish bone, when we observe symptoms of persistent cough.

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