Self-extrusion of a foreign body from the upper digestive tract to the skin

2004 ◽  
Vol 118 (3) ◽  
pp. 242-243 ◽  
Author(s):  
Alvin Kah Leong Tan ◽  
Peter Kuo Sun Lu
Keyword(s):  
Foreign Body ◽  
Digestive Tract ◽  
Unusual Case ◽  
Foreign Bodies ◽  
Upper Digestive Tract ◽  
Safe Management ◽  
Spontaneous Expulsion ◽  
Life Threatening ◽  
Ingested Foreign Body

Migrated ingested foreign bodies from the upper digestive tract have the potential to cause life-threatening complications. Cases of spontaneous expulsion to the skin of the neck are very rare. We present an unusual case of an ingested foreign body that migrated out of the upper digestive tract and self-extruded via the skin of the neck. An approach to the safe management of such seemingly innocuous foreign bodies is discussed. This report highlights the message that unfound ingested foreign bodies should be treated seriously due to the possibility of migration and resulting complications.

scholarly journals Extraluminal Migration of Foreign Body: A Report of Two Cases

2013 ◽  
Vol 4 (2) ◽  
pp. 98-101 ◽  
Author(s):  
K Ramachandran ◽  
GM Divya ◽  
A Shahul Hameed ◽  
KV Vinayak
Keyword(s):  
Foreign Body ◽  
Digestive Tract ◽  
Foreign Bodies ◽  
Vascular Complications ◽  
Neck Exploration ◽  
Upper Digestive Tract ◽  
Life Threatening ◽  
Ingested Foreign Body ◽  
Head Neck

ABSTRACT Ingested foreign body is one of the most frequently encountered emergencies in otolaryngology practice. Many of these foreign bodies get lodged in the upper digestive tract and can be removed endoscopically. Few of these foreign bodies can perforate the upper digestive tract and an even smaller number of these can migrate extraluminally. Although, a migrating foreign body can remain quiescent, they can cause life-threatening suppurative or vascular complications; hence, location and removal is essential. Here we report two cases of extraluminal migration of foreign body which was removed by neck exploration. How to cite this article Divya GM, Hameed AS, Ramachandran K, Vinayak KV. Extraluminal Migration of Foreign Body: A Report of Two Cases. Int J Head Neck Surg 2013;4(2):98-101.

scholarly journals Unusual foreign body in the upper digestive tract: case report

2018 ◽  
Vol 4 (3) ◽  
pp. 850
Author(s):  
Snigdha Elaprolu ◽  
Gowri Sankar Marimuthu ◽  
Raghul Sekar ◽  
Sunil Kumar Saxena
Keyword(s):  
Case Report ◽  
Gastrointestinal Tract ◽  
Foreign Body ◽  
Digestive Tract ◽  
Foreign Bodies ◽  
Psychiatric Patients ◽  
Unusual Foreign Body ◽  
Upper Digestive Tract ◽  
Entire Gastrointestinal Tract

<p class="abstract">Unusual foreign bodies in the digestive tract are common in psychiatric patients and children requiring screening of the entire gastrointestinal tract. We here report two cases of unusual ingested blunt foreign body in the upper digestive tract managed differently.</p>

scholarly journals Endoscopic Image-guided treatment of Upper Gastrointestinal foreign body and nursing care of complications

2021 ◽  
Vol 37 (6-WIT) ◽  
Author(s):  
Na Liu
Keyword(s):  
Foreign Body ◽  
Success Rate ◽  
Digestive Tract ◽  
Nursing Care ◽  
Foreign Bodies ◽  
Nursing Intervention ◽  
Image Guided ◽  
Upper Digestive Tract ◽  
Endoscopic Image ◽  
Upper Gastrointestinal

Objective: This study used phased array imaging algorithm to explore the epidemiological characteristics of endoscopic treatment of upper gastrointestinal foreign bodies to provide a basis for nursing intervention. Methods: We collected data on the age, sex, cause, type of foreign body, success rate of removal, retention location, time and complications of patients with foreign bodies in the upper gastrointestinal tract who were treated in the emergency department of the Digestive Endoscopy Center in our hospital. The study was conducted from January 2018 to December 2020 and we also performed statistical analysis. Results: The high incidence of foreign bodies in the upper digestive tract was in 45 years old to 74 years old patients. The foreign body types were mostly food balls and sharp foreign bodies, accounting for 37.0% and 44.2%, respectively. The cause was misuse and the most accounted for 52.1%, followed by oesophageal pathological stenosis which accounted for 45.5%. The oesophagus in the retention site accounted for up to 80.0%, and the success rate of foreign body extraction was 96.4%. The complications of patients with foreign body retention within twenty four our retention were mainly esophageal scratches and traumatic esophagitis, accounting for 48.5%. 39.6%. Conclusion: There are high risks in the treatment of foreign bodies in the upper digestive tract. Targeted, prospective, and streamlined nursing interventions can provide patients with fast and professional medical care services and minimize patient pain. doi: https://doi.org/10.12669/pjms.37.6-WIT.4858 How to cite this:Liu N. Endoscopic Image-guided treatment of Upper Gastrointestinal foreign body and nursing care of complications. Pak J Med Sci. 2021;37(6):1636-1640. doi: https://doi.org/10.12669/pjms.37.6-WIT.4858 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals A Rare Case of a Foreign Body Migration from the Upper Digestive Tract to the Subcutaneous Neck

2002 ◽  
Vol 81 (10) ◽  
pp. 730-732 ◽  
Author(s):  
Kenny Peter Pang ◽  
Yoke Teen Pang
Keyword(s):  
Foreign Body ◽  
Digestive Tract ◽  
Rare Case ◽  
Foreign Bodies ◽  
Soft Tissues ◽  
Fish Bone ◽  
Fish Bones ◽  
Upper Digestive Tract ◽  
Foreign Body Migration ◽  
Base Of The Tongue

Ingested foreign bodies are not unusual in Singapore. The most common of these objects are fish bones, which typically become lodged in the tonsils or in the base of the tongue. We report a rare case of an ingested fish bone that migrated from the upper digestive tract and into the soft tissues of the neck just below the skin.

scholarly journals Office Removal of a Subglottic Bread Clip

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
David E. Rosow ◽  
Si Chen
Keyword(s):  
Foreign Body ◽  
Unusual Case ◽  
Foreign Bodies ◽  
Upper Airway ◽  
Tracheobronchial Tree ◽  
Life Threatening ◽  
Successful Removal ◽  
Lidocaine Spray ◽  
Threatening Situation ◽  
Unusual Case Report

Objective. The presence of an upper airway foreign body is an emergent, potentially life-threatening situation that requires careful but rapid evaluation and management. Organic or nonorganic material may typically be found in the pyriform sinuses or tongue base or may be aspirated directly into the tracheobronchial tree. We present here an unusual case report of a patient who accidentally ingested a plastic bread clip that was lodged in his subglottis for 15 months and report successful removal in the office under local anesthesia.Methods. Mucosal anesthesia was achieved with inhaled 4% lidocaine spray. Flexible laryngoscopic removal of the foreign body was then successfully accomplished.Results. The patient’s symptoms resolved completely following removal, with no sequelae.Conclusions. Office removal of airway foreign bodies is feasible and can be safely done with adequate topical anesthesia, but great caution and emergency planning must be exercised.

scholarly journals Upper gastro intestinal foreign bodies in pediatrics patients

2015 ◽  
Vol 05 (04) ◽  
pp. 040-044
Author(s):  
Venkatesh M. Annigeri ◽  
Bahubali D. Gadgade ◽  
Rashmi V. Annigeri ◽  
Anil B. Halgeri
Keyword(s):  
Foreign Body ◽  
Digestive Tract ◽  
Foreign Bodies ◽  
Major Complication ◽  
Esophageal Disease ◽  
Age Group ◽  
Magill Forceps ◽  
Upper Digestive Tract ◽  
Flexible Esophagoscopy ◽  
A Prospective Study

Abstract Aim: Analyzeexperience with presentation, diagnosis and management of accidental ingested upper digestive tract foreign bodies in children. Materials: A prospective study of 60 pediatric patients from July 2009 to July 2014 with history of accidental ingested upper gastro intestinal foreign bodies. All patients were studied for age, gender, complaints, duration, site of impaction, type and complications. Radiological investigations were taken according to the case. Direct laryngoscopy and Magill forceps or flexible esophagoscopy has been used for retrieval of foreign bodies. Result: Sixty cases were analyzed age between 6 months to 13 years. Male 42 and female 18. Age group 6 months to 6 years constitutes 85%. Thirty six (60%) patients arrived to hospital within 24 hours. Difficultly in swallowing (70%) was the most frequent symptom. Most foreign bodies were coin in the upper esophagus (70%). Preexisting esophageal disease was present in 20%. Out of 60 patients twenty four (40%) FB retrieved using Magill forceps and rest with Flexible esophagoscopy (60%). Foreign bodies were successfully removed without major complication in all cases. Mucosal erosions were seen in four patients after extraction. All patients except 4 were discharged within 24 hours after the procedure. Conclusion: Children between 6 month to 6 years is the commonest age group affected. Magill forceps with the aid of a direct laryngoscope is a safe and effective method for proximal esophageal foreign body removal. But flexible esophagoscopy remains the safest method of upper digestive tract foreign body extraction.

scholarly journals Diagnostics and treatment of foreign bodies in the gastrointestinal tract in children. A literature review

2020 ◽  
Vol 24 (3) ◽  
pp. 198-204
Author(s):  
H. A. Akilov ◽  
Donier R. Asadullaev
Keyword(s):  
Gastrointestinal Tract ◽  
Foreign Body ◽  
Literature Review ◽  
Digestive Tract ◽  
Foreign Bodies ◽  
Surgical Intervention ◽  
Treatment Modalities ◽  
Clinical Scenarios ◽  
Life Threatening ◽  
Delay In Treatment

Foreign bodies in the gastrointestinal tract in children is one of the most challenging clinical scenarios which pediatric surgeons and gastroenterologists face. Previously published materials demonstrate that 80% of foreign bodies pass spontaneously through the gastrointestinal digestive tract without any harm to the child’s health, while 20% require endoscopic and/or surgical intervention, since delay in treatment can cause serious life-threatening complications. The present review discusses prevalence of foreign body ingestion in children. It also describes in detail controversial aspects of current diagnostic and treatment modalities.

scholarly journals Foreign bodies in adult upper digestive tract: a series of 30 cases

2018 ◽  
Vol 4 (2) ◽  
pp. 575
Author(s):  
Nirmal Kumar Jayaraman ◽  
Vikram V. J. ◽  
Kalaiselvi M. ◽  
Sudha M.
Keyword(s):  
Foreign Body ◽  
General Anaesthesia ◽  
Digestive Tract ◽  
Foreign Bodies ◽  
Flexible Endoscopy ◽  
Oesophageal Perforation ◽  
Rigid Endoscopy ◽  
Upper Digestive Tract ◽  
Madras Medical College ◽  
Sharp Foreign Body

<p class="abstract"><strong>Background:</strong> Rigid endoscopy under general anaesthesia has traditionally been used by otolaryngologist for diagnosis and management of variety of disorders affecting the upper digestive tract including the removal of foreign body. Smooth foreign bodies does not pose much threat but may cause airway obstruction. Sharp foreign bodies, if not removed the earliest may penetrate oesophageal wall and cause complications.</p><p class="abstract"><strong>Methods:</strong> A Retrospective analysis was done for patients who underwent rigid oesophaghoscopy under general anaesthesia for 30 patients of foreign body ingestion at Upgraded Institute of Otorhinolaryngology, Madras Medical College, Chennai, between November 2016 – November 2017. The records of age, sex, co-morbidities, X-ray finding, complications were recorded.  </p><p class="abstract"><strong>Results:</strong> Majority of adults in this group belonged to 40-50 years age. The most common foreign body impacted was chicken bone totalling 16. 2 patients of denture ingestion were referred for flexible endoscopy after failed attempt, 1 developed oesophageal perforation.</p><p><strong>Conclusions:</strong> Rigid endoscopy is the gold standard for removal of sharp foreign body as the sharp ends can be clasped and brought in to the endoscope there by preventing damage to the mucosa. Foreign body with multiple sharp ends which cannot be negotiated into rigid endoscope, should be pushed into the stomach and attempted removal by cutting sharp ends of foreign body or by gastrostomy, as pulling such foreign body will lead to full length tear of oesophagus leading to morbidity and mortality. </p>

scholarly journals Migrating foreign body of oesophagus: an enigmatic presentation

2019 ◽  
Vol 5 (2) ◽  
pp. 507
Author(s):  
Amit Sood ◽  
Vikas Gupta ◽  
Suresh T. Philip ◽  
Uma Patnaik ◽  
Gunjan Dwivedi ◽  
...  
Keyword(s):  
Foreign Body ◽  
Digestive Tract ◽  
Foreign Bodies ◽  
Metallic Foreign Body ◽  
Rare Occurrence ◽  
Surgical Exploration ◽  
Transcervical Approach ◽  
Life Threatening ◽  
Medical Emergencies ◽  
Gain Access

<p class="abstract">Ingested foreign bodies are medical emergencies that test the clinical acumen and skill of the otolaryngologist. The foreign body may be intra-luminal, intra-mural (penetrating the wall) or extra-luminal. The migration of an ingested foreign bodies extraluminally from the upper aero-digestive tract is a rare occurrence which may be difficult to diagnose and treat. Time is of essence in detection and management of these cases so that life threatening complications can be prevented. We present a case of a 51 years old female patient with a metallic foreign body in the oesophagus which migrated extraluminally. Surgical Exploration via transcervical approach was done to gain access for removal of the foreign body.</p>

scholarly journals Unusual case of a graphite foreign body in the anterior chamber

2011 ◽  
Vol 1 (3) ◽  
pp. 73 ◽  
Author(s):  
Anika Amritanand ◽  
Sheeja S. John ◽  
Swetha S. Philip ◽  
Deepa John ◽  
Sarada David
Keyword(s):  
Foreign Body ◽  
Anterior Chamber ◽  
Inflammatory Reaction ◽  
Unusual Case ◽  
Foreign Bodies ◽  
Progressive Damage ◽  
Severe Inflammatory Reaction ◽  
Pencil Lead

Retained intraocular graphite foreign bodies are uncommon. Although they are generally inert, they have been reported to cause severe inflammatory reaction and progressive damage to intraocular structures. We report a case of a six-year-old girl with a retained intraocular graphite pencil lead foreign body in the anterior chamber of the eye and discuss the various considerations in the management of such cases.

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