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

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.

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

Journal of the American Animal Hospital Association ◽

10.5326/0460056 ◽

2010 ◽

Vol 46 (1) ◽

pp. 56-60 ◽

Cited By ~ 4

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.

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Novel use of overtube for rectal foreign body to “clean” out the colon: Extraction of large Tide-To-Go pen

Discussion of Clinical Cases ◽

10.5430/dcc.v7n3p20 ◽

2021 ◽

Vol 7 (3) ◽

pp. 20

Author(s):

Paul Shao ◽

Winston Yen ◽

Jasleen K. Grewal ◽

Ryan Perumpail ◽

Felix Leung

Keyword(s):

Foreign Body ◽

Minimally Invasive ◽

Foreign Bodies ◽

The Novel ◽

Size And Shape ◽

Foreign Objects

The rate of colorectal foreign bodies is increasing. Endoscopists must be creative in order to remove the foreign objects safely in the most minimally invasive manner as these objects could vary greatly in size and shape. We present a case of the novel use of an esophageal overtube to aid in the removal of a difficult-to-remove Tide-To-Go cap.

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Foreign Bodies in the Air and Food Passages

Pediatrics in Review ◽

10.1542/pir.10.1.25 ◽

1988 ◽

Vol 10 (1) ◽

pp. 25-31

Author(s):

Margaret A. Kenna ◽

Charles D. Bluestone

Keyword(s):

Foreign Body ◽

Death Rate ◽

Foreign Bodies ◽

Foreign Body Aspiration ◽

Early 20Th Century ◽

Primary Method ◽

Foreign Body Removal ◽

Foreign Objects ◽

Bronchial Foreign Body ◽

Anesthesia Equipment

Foreign bodies of the aerodigestive tract have been recognized for centurles. Before the early 20th century, foreign body aspiration or ingestion often meant prolonged illness and death.1 Prior to the advent of modern endoscopy, bronchotomy was the primary method of laryngotracheo-bronchial foreign body removal, and blunt metallic hooks, wire nooses, esophageal forceps, and pieces of linen attached to a piece of whalebone were used to extract foreign bodies from the esophagus.2 Not surprisingly, Weist, in 1882 (as cited by Clerf2), reported a 27.4% death rate for patients undergoing bronchotomy v a 23.2% mortality for those who were not treated. In 1911, LeRoche (as cited by Clerf2) reported the use of a rigid esophagoscope for removal of sharp foreign objects. It was Chevalier Jackson, however, who developed and refined aerodigestive endoscopy. By 1936, he was able to report a decrease in mortality from foreign bodies from 24% to 2% and a 98% success rate for bronchoscopic removal.1 Although there have been marked changes in anesthesia, equipment, and endoscopic teaching since Jackson's time, his remarkable record of success has not been significantly improved upon. The mortality for all recent series is now well below 1%, mainly due to improved anesthesia, instrumentation, and medical therapy of the suppurative complications.

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

Case Reports in Orthopedics ◽

10.1155/2020/8898016 ◽

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.

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Foreign Bodies in the Larynx and Tracheobronchial Tree in Children

Annals of Otology Rhinology & Laryngology ◽

10.1177/000348948008900512 ◽

1980 ◽

Vol 89 (5) ◽

pp. 434-436 ◽

Cited By ~ 103

Author(s):

Bruce F. Rothmann ◽

Clifford R. Boeckman

Keyword(s):

Foreign Body ◽

Foreign Bodies ◽

Tracheobronchial Tree ◽

Female Ratio ◽

Foreign Objects ◽

Left Bronchus ◽

Male Female Ratio ◽

Opaque Object ◽

The Right ◽

Trachea And Bronchi

In a study of 225 patients with foreign bodies in the larynx, trachea and bronchi, 77 % were 36 months of age or less. The male-female ratio was 2:1. Food or food derivatives were the causative agent in 70% of the cases, with 38% due to a portion of nut. The foreign body involved the right and left bronchus with equal frequency. A choking episode followed by an audible wheeze (55 %) was the most common presenting complaint. Obstructive emphysema was demonstrated in 60 % and was best demonstrated by inspiration-expiration chest roentgenograms or fluoroscopy. A radio-opaque object was seen in 13 %. Two hundred ten foreign objects (93 %) were removed by endoscopy. Four patients required pulmonary resection for bronchiectasis and in three patients bronchotomy was performed. Five patients expelled the foreign body spontaneously, two patients were transferred to another hospital, and one foreign body was not recovered. There was no mortality.

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Detection of foreign objects in milk using an ultrasonic system

Indonesian Journal of Electrical Engineering and Computer Science ◽

10.11591/ijeecs.v15.i3.pp1241-1249 ◽

2019 ◽

Vol 15 (3) ◽

pp. 1241

Author(s):

Mohd Taufiq Mohd Khairi ◽

Sallehuddin Ibrahim ◽

Mohd Amri Md Yunus ◽

Ahmad Ridhwan Wahap

Keyword(s):

Foreign Body ◽

Foreign Bodies ◽

Low Cost ◽

Correlation Coefficients ◽

Food Product ◽

Propagation Path ◽

Foreign Objects ◽

Ultrasonic Sensing ◽

Milk Contamination ◽

Wide Range

This paper presents the utilization of an ultrasonic sensing system to detect foreign objects in milk. The advantage of an ultrasonic system is that it is low cost and it can detect a wide range of materials. A foreign body is any contaminated object found in food. Because of the scale of multifarious food processing levels and distribution, the utilization of the food product are sometimes difficult to control, which will inevitably lead to some complaints by consumers. Milk is widely consumed in the world as it is considered as a healthy drink due to it is high nutrients levels. However, from time to time cases of milk contamination are reported. In this paper. the relationship between the foreign bodies in terms of their dimensions and the resultant amplitude are presented. Mathematical modelling were carried out based on two ultrasonic parameters i.e. acoustic impedance and wave amplitude utilizing several types of foreign bodies with different dimensions. Three types of foreign bodies which are steel, rubber and air were investigated to determine the voltage amplitude detected by the ultrasonic receiver when the foreign bodies obstructed the ultrasonic wave propagation path. The diameters of foreign bodies were in the range from 4 mm to 11 mm. The results showed good correlations between the receiver voltage and the size of foreign bodies with correlation coefficients greater than 0.95. Each foreign body also demonstrated different voltage amplitudes when several sizes of the foreign bodies were tested which showed the ability of the system to distinguish the size of each foreign body.

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Foreign bodies in the oesophagus on the example of patients of the Department of Paediatric Otolaryngology at the Medical University of Warsaw

New Medicine ◽

10.25121/newmed.2018.22.4.119 ◽

2018 ◽

Vol 22 (4) ◽

Author(s):

Małgorzata Badełek-Izdebska ◽

Lidia Zawadzka-Głos

Keyword(s):

Foreign Body ◽

Foreign Bodies ◽

Clinical Symptoms ◽

Interventional Treatment ◽

X Ray ◽

Foreign Objects ◽

Imaging Results ◽

Rigid Esophagoscopy ◽

Therapeutic Procedures ◽

Medical University

Introduction. Foreign bodies in the oesophagus are one of the more frequent non-infectious reasons for a child’s visit to the hospital emergency room. Most often, children swallow items accidentally while having fun, learning about the world with the help of their senses, as well as when eating meals. It is coins, plastic or metal fragments of objects that are usually swallowed. Also, hard pieces of food may stick to the oesophagus. Aim. The aim of the study was to analyse clinical symptoms as well as diagnostic and therapeutic procedures in patients with suspicion of the presence of a foreign body in the oesophagus. Material and methods. The authors analysed clinical data of 49 patients hospitalized in the Department of Paediatric Otolaryngology at the Medical University of Warsaw due to the suspicion or presence of a foreign body in the oesophagus. What was also analysed, was the diagnostic and therapeutic process during which the initial diagnosis was confirmed or excluded. Results. The authors analysed the symptoms with which patients came to the hospital, the diagnostic and therapeutic procedures used and the results of treatment. Attention was paid to diagnostic difficulties that may be encountered by a physician in the Admission Room, and then an otolaryngologist qualifying the patient for interventional treatment or deciding on conservative procedures. Possible complications that may occur during ezophagoscopy are described. Conclusions. Foreign bodies in the oesophagus are a common problem in the paediatric population. The most common foreign objects are coins, metal or plastic items or food. The most dangerous foreign objects are disc batteries and sharp, large objects. Diagnostic imaging includes chest and neck X-ray, and in the case of non-contrasting bodies – X-ray with barium or a cotton ball soaked in contrast. The presence of clinical symptoms and/or imaging results suggesting the presence of a foreign body in the oesophagus is an indication for oesophageal endoscopy under general anaesthesia. Both rigid esophagoscopy and the use of a flexible fiberscope are burdened with a certain degree of risk, of which the parents should be informed before those are performer.

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

Annals of Otology Rhinology & Laryngology ◽

10.1177/000348948309200421 ◽

1983 ◽

Vol 92 (4) ◽

pp. 396-397 ◽

Cited By ~ 4

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.

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Imaging foreign bodies in head and neck trauma: a pictorial review

Insights into Imaging ◽

10.1186/s13244-021-00969-9 ◽

2021 ◽

Vol 12 (1) ◽

Author(s):

Jan Oliver Voss ◽

Christoph Maier ◽

Jonas Wüster ◽

Benedicta Beck-Broichsitter ◽

Tobias Ebker ◽

...

Keyword(s):

Wound Healing ◽

Foreign Body ◽

Head And Neck ◽

Health Issues ◽

Injury Patterns ◽

Impaired Wound Healing ◽

Foreign Objects ◽

Pictorial Review ◽

Open Injuries ◽

Selection Of

AbstractOpen injuries bear the risk of foreign body contamination. Commonly encountered materials include gravel debris, glass fragments, wooden splinters or metal particles. While foreign body incorporation is obvious in some injury patterns, other injuries may not display hints of being contaminated with foreign body materials. Foreign objects that have not been detected and removed bear the risk of leading to severe wound infections and chronic wound healing disorders. Besides these severe health issues, medicolegal consequences should be considered. While an accurate clinical examination is the first step for the detection of foreign body materials, choosing the appropriate radiological imaging is decisive for the detection or non-detection of the foreign material. Especially in cases of impaired wound healing over time, the existence of an undetected foreign object needs to be considered.Here, we would like to give a practical radiological guide for the assessment of foreign objects in head and neck injuries by a special selection of patients with different injury patterns and various foreign body materials with regard to the present literature.

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Removal of foreign bodies from the proventriculus in a young golden eagle (Aquila chrysaetos)

Acta Veterinaria Hungarica ◽

10.1556/004.2021.00035 ◽

2021 ◽

Author(s):

Lucia Kottferová ◽

Ladislav Molnár ◽

Peter Major ◽

Juraj Toporčák ◽

Lýdia Mesárčová ◽

...

Keyword(s):

Case Report ◽

Foreign Body ◽

Clinical Case ◽

Foreign Bodies ◽

Surgical Removal ◽

Golden Eagle ◽

Aquila Chrysaetos ◽

Foreign Body Removal ◽

Foreign Objects

Abstract This paper presents a clinical case report of a golden eagle (Aquila chrysaetos) with foreign bodies (stones) in its proventriculus. The case deals with the identification, management and removal of foreign objects identified in the gastrointestinal tract. A surgical removal by proventriculotomy under general anaesthesia was attempted. The surgery and the recovery were uneventful, and the follow-up after six months revealed no complications. To the best of our knowledge, there are no other reports of successful foreign body removal by proventriculotomy in the golden eagle.

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