scholarly journals Intestinal perforation by an ingested foreign body

2016 ◽  
Vol 49 (5) ◽  
pp. 295-299 ◽  
Author(s):  
Gabriel Cleve Nicolodi ◽  
Cesar Rodrigo Trippia ◽  
Maria Fernanda F. S. Caboclo ◽  
Francisco Gomes de Castro ◽  
Wagner Peitl Miller ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Foreign Body ◽  
Peritoneal Cavity ◽  
Intestinal Perforation ◽  
Foreign Bodies ◽  
Intestinal Wall ◽  
X Rays ◽  
Dental Prostheses ◽  
Mesenteric Fat ◽  
Ingested Foreign Body

Abstract Objective: To identify the computed tomography findings suggestive of intestinal perforation by an ingested foreign body. Materials and Methods: This was a retrospective study of four cases of surgically proven intestinal perforation by a foreign body, comparing the computed tomography findings with those described in the literature. Results: None of the patients reported having ingested a foreign body, all were over 60 years of age, three of the four patients used a dental prosthesis, and all of the foreign bodies were elongated and sharp. In all four patients, there were findings indicative of acute abdomen. None of the foreign bodies were identified on conventional X-rays. The computed tomography findings suggestive of perforation were thickening of the intestinal walls (in all four cases), increased density of mesenteric fat (in all four cases), identification of the foreign body passing through the intestinal wall (in three cases), and gas in the peritoneal cavity (in one case). Conclusion: In cases of foreign body ingestion, intestinal perforation is more common when the foreign body is elongated and sharp. Although patients typically do not report having ingested such foreign bodies, the scenario should be suspected in elderly individuals who use dental prostheses. A computed tomography scan can detect foreign bodies, locate perforations, and guide treatment. The findings that suggest perforation are thickening of the intestinal walls, increased mesenteric fat density, and, less frequently, gas in the peritoneal cavity, often restricted to the point of perforation.

scholarly journals Migration of a Swallowed Blunt Foreign Body to the Neck

2014 ◽  
Vol 2014 ◽  
pp. 1-2
Author(s):  
Kerem Ozturk ◽  
Goksel Turhal ◽  
Sercan Gode ◽  
Atilla Yavuzer
Keyword(s):  
Computed Tomography ◽  
Foreign Body ◽  
Primary Closure ◽  
Foreign Bodies ◽  
Barium Swallow ◽  
X Rays ◽  
Upper Aerodigestive Tract ◽  
Computed Tomography Scans ◽  
History Of ◽  
The Right

Ingestion of foreign bodies is a common problem in the otolaryngology practice. Reports of extraluminal migration of the foreign bodies from the upper aerodigestive tract are rare. Penetration and extraluminal migration of ingested foreign bodies may cause severe vascular and suppurative complications, even death. We report a 4-year-old girl who presented with a mass and partial extrusion of a foreign body in the neck. She had a history of ingesting the plastic top piece of a knitting needle approximately 1 year ago. She had been asymptomatic until the present time. The examination revealed a red, blunt, rectangular plastic foreign body half embedded in the skin of the right neck. Esophagography with barium swallow, cervical X-rays, and computed tomography scans were obtained. The foreign body was easily removed under general anesthesia. Primary closure and direct laryngoscopy was also performed. The patient recovered very well without any complications.

scholarly journals Ongoing Computed Tomography Appraisal of Intestinal Perforation Due to an Ingested Foreign Body

2019 ◽  
Vol 20 ◽  
pp. 635-639
Author(s):  
Giuseppe Cicero ◽  
Simona Caloggero ◽  
Marco Cavallaro ◽  
Luciano Frosina ◽  
Carmela Visalli ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Foreign Body ◽  
Intestinal Perforation ◽  
Ingested Foreign Body

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 A new and simple extraction technique for rectal foreign bodies: removing by cutting into small pieces

2014 ◽  
Vol 4 (1) ◽  
Author(s):  
Abbas Aras ◽  
Mehmet Karabulut ◽  
Osman Kones ◽  
Kaplan Baha Temizgonul ◽  
Halil Alis
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Simple Technique ◽  
Intestinal Wall ◽  
Fruit And Vegetables ◽  
Extraction Technique ◽  
Rectal Foreign Bodies ◽  
Simple Extraction

The purposes of insertion and types of foreign bodies in rectum show great variation. Rectal foreign bodies need to be removed without giving damage to intestinal wall and this should be done in the easiest possible way. We have reported a new and a simple technique. It is easy to apply and safe. A patient was admitted to our clinic with a rectal foreign body (radish) which was successfully removed by cutting it into small pieces. We conclude that different kinds of rectal foreign bodies, especially fruit and vegetables, can be removed by this technique.

The Diagnosis and Surgical Management of Intracardiac Quill Foreign Body in a Dog

2016 ◽  
Vol 52 (1) ◽  
pp. 73-76 ◽  
Author(s):  
Daniel Joseph Santiago Nucci ◽  
Julius Liptak
Keyword(s):  
Computed Tomography ◽  
Foreign Body ◽  
Right Ventricle ◽  
Surgical Management ◽  
Foreign Bodies ◽  
Cardiac Injury ◽  
Median Sternotomy ◽  
Good Prognosis ◽  
Bilateral Pneumothorax ◽  
The Right

A dog was referred to Alta Vista Animal Hospital with a porcupine quill penetrating the right ventricle. The presenting complaint was tachypnea and dyspnea secondary to bilateral pneumothorax. Computed tomography revealed bilateral pneumothorax without evidence of quills. A median sternotomy was performed and the quill was removed. The dog recovered uneventfully. Quill injuries are common in dogs; however, intracardiac quill migration is rare. Dogs without evidence of severe cardiac injury secondary to intracardiac foreign bodies may have a good prognosis.

scholarly journals Rectal Foreign Body of Eggplant Treated Successfully by Endoscopic Transanal Removal

2018 ◽  
Vol 12 (1) ◽  
pp. 189-193 ◽  
Author(s):  
Hiroo Sei ◽  
Toshihiko Tomita ◽  
Keisuke Nakai ◽  
Kumiko Nakamura ◽  
Akio Tamura ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Sexual Orientation ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Deep Part ◽  
Endoscopic Removal ◽  
Abdominal Computed Tomography ◽  
Endoscope Guidance ◽  
Gastrointestinal Endoscope ◽  
Emergency Measures

Transanal rectal foreign body implies that a foreign body has been inserted transanally due to sexual orientation or other reasons and cannot be removed. Such cases require emergency measures because foreign bodies often present difficulties in manual removal or endoscopic removal and may even require surgery when peritonitis due to gastrointestinal perforation occurs. We report a patient in our hospital who had a rectal foreign body inserted into the deep part of the proctosigmoid that could be removed endoscopically. A 66-year-old man visited our hospital because of an eggplant which had been inserted into his rectum by his friend and could not be removed. Since plain abdominal computed tomography showed a foreign body thought to be an eggplant in the proctosigmoid, the foreign body was captured and removed with a snare under lower gastrointestinal endoscope guidance.

scholarly journals An uncommon localisation of a vegetal foreign body in a dog: a case report

2017 ◽  
Vol 62 (No. 10) ◽  
pp. 579-582
Author(s):  
F. Del Signore ◽  
R. Terragni ◽  
A. Carloni ◽  
L. Stehlik ◽  
P. Proks ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Subcutaneous Tissue ◽  
Clinical Signs ◽  
The Body ◽  
Whole Body ◽  
Easy Access ◽  
Post Contrast ◽  
Grass Seed

The goal of this study was to describe the ultrasonographic and computed tomographic appearance of a penile foreign body in a dog for the first time. We describe an unusual penile localisation of a grass seed awn in an 11-year-old mixed-breed dog referred for a computed tomography study after a severe haemorrhage from the penis. A fistulous tract was observed after plain and post-contrast whole-body computed tomography acquisition; the foreign body was localised with ultrasound and removed under ultrasonographic guidance, with the complete healing of the penile lesion. Grass awns are common foreign bodies in dogs and cats and are commonly localised in the ear canal, subcutaneous tissue, interdigital space, eyelid, conjunctiva and nasal or oral cavity. These foreign bodies pose a threat due to their peculiar structure, which facilitates their easy access to the affected area and their transit through the body. Clinical signs are often non-specific, and imaging modalities such as ultrasonography and computed tomography are useful techniques for localisation. Our report demonstrates that the combination of computed tomography and ultrasound techniques was crucial for the exact localisation and mini-invasive retrieval of the grass seed.

Role of virtual bronchoscopy in children with a vegetable foreign body in the tracheobronchial tree

2014 ◽  
Vol 128 (12) ◽  
pp. 1078-1083 ◽  
Author(s):  
G Behera ◽  
N Tripathy ◽  
Y K Maru ◽  
R K Mundra ◽  
Y Gupta ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Foreign Body ◽  
Multidetector Computed Tomography ◽  
Diagnostic Tool ◽  
Foreign Bodies ◽  
Three Dimensional ◽  
Tracheobronchial Tree ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
Virtual Bronchoscopy

AbstractObjectives:Multidetector computed tomography virtual bronchoscopy is a non-invasive diagnostic tool which provides a three-dimensional view of the tracheobronchial airway. This study aimed to evaluate the usefulness of virtual bronchoscopy in cases of vegetable foreign body aspiration in children.Methods:The medical records of patients with a history of foreign body aspiration from August 2006 to August 2010 were reviewed. Data were collected regarding their clinical presentation and chest X-ray, virtual bronchoscopy and rigid bronchoscopy findings. Cases of metallic and other non-vegetable foreign bodies were excluded from the analysis. Patients with multidetector computed tomography virtual bronchoscopy showing features of vegetable foreign body were included in the analysis. For each patient, virtual bronchoscopy findings were reviewed and compared with those of rigid bronchoscopy.Results:A total of 60 patients; all children ranging from 1 month to 8 years of age, were included. The mean age at presentation was 2.01 years. Rigid bronchoscopy confirmed the results of multidetector computed tomography virtual bronchoscopy (i.e. presence of foreign body, site of lodgement, and size and shape) in 59 patients. In the remaining case, a vegetable foreign body identified by virtual bronchoscopy was revealed by rigid bronchoscopy to be a thick mucus plug. Thus, the positive predictive value of virtual bronchoscopy was 98.3 per cent.Conclusion:Multidetector computed tomography virtual bronchoscopy is a sensitive and specific diagnostic tool for identifying radiolucent vegetable foreign bodies in the tracheobronchial tree. It can also provide a useful pre-operative road map for rigid bronchoscopy. Patients suspected of having an airway foreign body or chronic unexplained respiratory symptoms should undergo multidetector computed tomography virtual bronchoscopy to rule out a vegetable foreign body in the tracheobronchial tree and avoid general anaesthesia and invasive rigid bronchoscopy.

scholarly journals Spectrum of imaging findings in trans-gastric migration of accidently ingested metallic foreign bodies

2019 ◽  
Vol 6 (3) ◽  
pp. 726
Author(s):  
Arshed Hussain Parry ◽  
Mohammad Saleem Dar ◽  
Abdul Haseeb Wani ◽  
Tariq Ahmad Gojwari ◽  
Irfan Robbani
Keyword(s):  
Computed Tomography ◽  
Gastrointestinal Tract ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Vascular Complications ◽  
Greater Omentum ◽  
Imaging Findings ◽  
Accidental Ingestion ◽  
History Of ◽  
Upper Gastrointestinal

Background: An accidently ingested foreign body may get lodged within the lumen of gastrointestinal tract, pass uneventfully with feces or may migrate extraluminally into the surrounding tissues in which case it may lead to suppurative or vascular complications. The aim of the endeavor was to study the spectrum of imaging findings in patients with accidental ingestion of foreign bodies with trans-gastric migration of metallic foreign bodies.Methods: Total 33 patients with history of accidental ingestion of foreign bodies were subjected to preliminary radiograph of neck, chest and abdomen followed by upper gastrointestinal endoscopy. Failure to retrieve/ localize foreign body endoscopically from upper gastrointestinal tract with check radiograph reiterating the presence of foreign body in upper abdomen were subjected to computed tomography of abdomen.Results: A total of 33 patients comprising of 27 females and 6 males with mean age of 23.76 years with history of foreign body ingestion were studied. Ingested foreign bodies were lodged in pharynx (n=7), esophagus (n=3), stomach (n=13) or duodenum (n=3).  In 7 patients in whom endoscopy failed to locate and/or retrieve foreign body, computed tomography confirmed the presence of trans-gastrically migrated foreign body in the surrounding structures. The location of migrated foreign bodies was in lesser sac (n = 2), greater omentum (n = 3), lesser omentum (n = 1) and transmural (n = 1). Two patients had evidence of collection formation around the migrated foreign bodies.Conclusions: Sharp or pointed metallic foreign bodies may migrate trans-luminally with various implications. Though radiography is the preliminary workhorse for the confirmation of ingested foreign bodies, computed tomography owing to its volumetric data acquisition helps in exact localization of migrated foreign bodies and should precede any therapeutic intervention for retrieval of migrated foreign bodies.

scholarly journals Removal of Foreign Body (Glass of Mirror) in Esophagus with Direct Laryngoscope

2015 ◽  
Vol 4 (1) ◽  
Author(s):  
Fachzi Fitri ◽  
Deni Amri
Keyword(s):  
Foreign Body ◽  
Physical Examination ◽  
Mental Disorder ◽  
Foreign Bodies ◽  
Radiological Finding ◽  
Esophageal Foreign Body ◽  
Direct Laryngoscope ◽  
Choice Of Treatment ◽  
Foreign Body Extraction ◽  
Ingested Foreign Body

AbstractLiterature contains fewer reports discussing the use of direct laryngoscope in esophageal foreign body extraction. Foreign bodies in esophagus was diagnosed based on anamnesis, physical examination, radiological finding. The choice of treatment influenced by many factors, such as the patient’s age and clinical condition, the size and shape of the ingested foreign body, the anatomic location and the skills of the physician. A case of impacted glass of mirror in esophagus and mental disorder in a 38 years old male was reported, which had been perfomed direct laryngoscope and an extraction with Magill forcep.Keywords: Foreign body, glass of mirror, direct laryngoscope, Magill forcepAbstrakSedikit sekali kepustakaan yang membahas mengenai penggunaan laringoskopi langsung pada pengangkatan benda asing esofagus. Benda asing esofagus didiagnosis berdasarkan anamnesis, pemeriksaan fisik, radiologi. Pilihan penatalaksanaan dipengaruhi oleh usia pasien dan kondisi klinis, ukuran dan bentuk benda asing, lokasi anatomi dan kemampuan dokter.Dilaporkan satu kasus kaca cermin di esofagus pada laki-laki usia 38 tahun dengan gangguan mental, yang telah dilakukan laringoskopi langsung dan ekstraksi dengan forsep Magill.Kata kunci: Benda asing, kaca cermin, laringoskopi langsung, Forsep Magill

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