scholarly journals A rare lethal complication of larynxopharynx injuries by a foreign body

2020 ◽  
Vol 101 (4) ◽  
pp. 570-573
Author(s):  
A V Fedin ◽  
V S Poyarkova ◽  
L A Aschina ◽  
N A Shkurova
Keyword(s):  
Cause Of Death ◽  
Foreign Bodies ◽  
Clinical Observation ◽  
Scientific Literature ◽  
Pulmonary Thromboembolism ◽  
Rare Complication ◽  
External Jugular Vein ◽  
X Ray ◽  
Sharp Edges ◽  
The Right

A lethal complication of laryngopharynx injuries by foreign bodies is a rare phenomenon. Among foreign bodies are ingested together with food, fishbones are the most common. They can injure the mucous membrane of the larynx and pharynx due to the sharp edges, thereby causing inflammation, resulting in edema occurs, hyperemia and increased pain. Besides, foreign bodies can provoke complications such as bleeding, cervical phlegmon, subcutaneous emphysema, esophageal perforation, sepsis and others, which can lead to the death of patients. However, due to timely diagnosis, according to the scientific literature, such cases are extremely rare. Because the visualization of foreign bodies in the area of the larynx is difficult (especially when localized in the pyriform sinuses), laryngoscopy is used for diagnosis. Moreover, in some cases, X-ray examination and computed tomography are indicated. The paper presents a clinical observation of a 57-year-old patient M., whose cause of death was a rare complication of laryngopharynx injuries with a fishbone. When the patient was admitted to the department, the basic clinical diagnosis was established: laryngopharyngeal injury complicated by right parapharyngeal abscess. The patient underwent antibacterial, infusion, anti-inflammatory and antihypertensive therapy. At 20 hours after hospital admission, the patient had an abrupt loss of consciousness and cardiac arrest, then death. Based on the clinical picture, it was concluded that pulmonary thromboembolism was the probable cause of death. The autopsy revealed injury of the right external jugular vein, as a result of which develop thrombophlebitis, and then pulmonary artery thromboembolism, which caused the patient's death. No similar clinical descriptions were found in the available scientific literature.

Case report of extensive foreign body of esophagus with spread to laryngopharynx and larynx

2021 ◽  
Vol 20 (4) ◽  
pp. 79-82
Author(s):  
B. B. Uraskulova ◽  
◽  
A. O. Gyusan ◽  
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Clinical Observation ◽  
Irregular Shape ◽  
Air Bubbles ◽  
X Ray ◽  
Excessive Salivation ◽  
Difficulty Breathing ◽  
Short Time

Foreign bodies of the respiratory tract and esophagus remain one of the pressing problems in medicine, which is associated with the possibility of developing complications that can end in death. We present our clinical observation that demonstrates the long-term presence of a large foreign body fixed in the area of the pharyngeal narrowing of the esophagus and extending into the larynx and the vestibule of the larynx. Patient T., 57 years old, went to the emergency department of the Karachay-Cherkessia Republican Clinical Hospital with complaints of severe sore throat, inability to swallow, excessive salivation, increased body temperature to 37,5 °C, difficulty breathing, mixed shortness of breath, which persist for 3 days. The examination revealed: the epiglottis is mobile, the mucous membrane of the larynx is hyperemic, edematous, with an abundance of saliva, at the level of the vestibular part of the larynx, in the area of the arytenoid cartilage and aryepiglottic folds, an irregular shape was visualized, with smooth edges, a thin, hard whitish plate. Computed tomography of the cervical spine: in the esophagus, at the level of C4-C5 vertebrae, a foreign body with a metallic density of +2900 hU units, elongated, irregular shape, measuring 2.2 by 3.3 cm, with perifocal air bubbles is determined. A preliminary diagnosis was made: Foreign body of the esophagus, laryngopharynx with a spread to the vestibule of the larynx. 3 days after the retention of the foreign body under intubation anesthesia, it is captured using forceps with serrated cups and removed during direct laryngoscopy. There were no complications during the manipulation. The combination of X-ray and endoscopic examinations with the help of innovative medical and diagnostic equipment made it possible to establish a diagnosis in a short time, choose the most effective treatment tactics and remove a foreign body through natural pathways.

scholarly journals Misplacement of Tracheostomy Tube in the Right Main Bronchus: a Rare Complication

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Armin Amirian ◽  
Reza Shahriarirad ◽  
Bizhan Ziaian ◽  
Parviz Mardani ◽  
Amirhossein Erfani
Keyword(s):  
Squamous Cell Carcinoma ◽  
Tracheostomy Tube ◽  
Pressure Effect ◽  
Main Bronchus ◽  
Rare Complication ◽  
Fiberoptic Bronchoscopy ◽  
X Ray ◽  
Metastatic Squamous Cell Carcinoma ◽  
Chest X Ray ◽  
The Right

A 38-year-old woman known case of metastatic squamous cell carcinoma of the cervical esophagus due to increasing dyspnea and stridor attributed to the pressure effect of the primary mass was scheduled for tracheostomy, which ended up in the right main bronchus. This rare complication occurred using a tracheostomy tube number 7.5 via a vertical tracheotomy over 4th and 5th tracheal rings. The misplacement was confirmed by chest X-ray and fiberoptic bronchoscopy, and the tracheostomy tube was successfully repositioned in a nonoperative approach.

scholarly journals A rare complication of ventriculoperitoneal shunt: Pleural effusion without intrathoracic ventriculoperitoneal shunt catheter

2020 ◽  
Vol 11 ◽  
pp. 291
Author(s):  
Said Hilmani ◽  
Tarek Mesbahi ◽  
Abderrahman Bouaggad ◽  
Abdelhakim Lakhdar
Keyword(s):  
Pleural Effusion ◽  
Ventriculoperitoneal Shunt ◽  
Rare Complication ◽  
Peritoneal Catheter ◽  
X Ray ◽  
Thoracic Drainage ◽  
Repeat Chest ◽  
Chest X Ray ◽  
The Right ◽  
Catheter Replacement

Background: Symptomatic pleural effusion following ventriculoperitoneal shunt (VPS) insertion is very rare and poorly understood in the literature in contrary to other mechanical complications. Case Description: We report a case of 15 month-year-old girl who had VP shunt for congenital hydrocephalus. Twelve months after surgery, she was diagnosed with massive hydrothorax. Chest X-ray and thoracoabdominal CT scan confirmed the right pleurisy and showed the tip of the peritoneal catheter in the general peritoneal cavity. We made thoracic drainage of the transudative pleural effusion. When we released the chest tube, 24 h after, the girl showed a respiratory distress again and the effusion resumed at the X-ray control. Her symptoms abated after the realization of a ventriculoatrial shunt “VAS.” Repeat chest X-ray confirmed the resolution of the hydrothorax. Conclusion: Despite the not yet well-understood mechanism of this rare and important VPS complication, management is simple based on X-ray confirmation, thoracentesis with biological analysis, and catheter replacement, especially in atrium “VAS.”

scholarly journals Management of a metal foreign body entering the thyroid via the esophagus: a case report

2020 ◽  
Vol 48 (5) ◽  
pp. 030006052092537
Author(s):  
Songxiang Wang ◽  
Chaoyang Xu
Keyword(s):  
Foreign Body ◽  
Thyroid Gland ◽  
Foreign Bodies ◽  
Preoperative Assessment ◽  
Fish Bone ◽  
X Ray ◽  
Pain Reporting ◽  
The Right ◽  
Metal Foreign Body ◽  
Tomography Scan

The entry of a metallic foreign body into the thyroid gland via the esophagus is a rare occurrence, with no previously reported cases. We present a 42-year-old woman who was admitted to hospital with right-sided neck pain, reporting that she had inadvertently swallowed a fish bone. She underwent laryngoscopy, which showed no fish bone in the throat, and no obvious bleeding in the bilateral tonsils and pear-shaped fossa. X-ray examination showed a needle-shaped foreign body in the neck, and a computed tomography scan of her neck showed a 0.1-cm diameter, 2.0-cm long foreign body in the right thyroid. She underwent emergency surgery and a needle of the corresponding size was found in the thyroid gland. This case demonstrates the importance of adequate preoperative assessment and an appropriate surgical approach for thyroid metallic foreign bodies.

scholarly journals Retrieval of Intravascular Fractured Fragment of Tunnelled Double Lumen Catheter in Hemodialysis Patient

2019 ◽  
Vol 7 (1) ◽  
pp. 124-126 ◽  
Author(s):  
I Nyoman Semadi ◽  
Heru Sutanto Koerniawan ◽  
Hendry Irawan
Keyword(s):  
Internal Jugular Vein ◽  
Distal Part ◽  
Foreign Bodies ◽  
Hemodialysis Patient ◽  
Jugular Vein ◽  
Rare Complication ◽  
Double Lumen ◽  
Double Lumen Catheter ◽  
Lumen Catheter ◽  
The Right

BACKGROUND: Intravascular fractured fragment of double lumen catheter with embolisation is a serious and rare complication. Another serious complication includes infection, thrombosis, arrhythmias, and pulmonary embolism. We report a successful surgical venous cut-down technique in the retrieval of an intravascular fractured fragment of tunnelled double lumen catheter in a hemodialysis patient. CASE REPORT: A 51-year-old female underwent hemodialysis through a tunnelled double lumen catheter and had her arterio-venous graft matured. During retrieval of tunnelled double lumen catheter procedure, the distal part of the catheter was fractured and slipped into the internal jugular vein. Chest radiograph revealed intravascular double lumen catheter extending from the distal part of the right internal jugular vein to right atrium. The procedure of foreign body retrieval was done the next day under general anaesthesia and C-Arm guidance using right internal jugular venous cut-down approach. A right-angle clamp was used to retrieve the fragment without any post-procedure complications. CONCLUSION: Intravascular fractured fragment of double lumen catheter is a dangerous situation as are all the intravascular foreign bodies. The choices of the technique for retrieval of the fractured fragment are varied. It depends on the type and site of a fractured fragment as well as the surgeon experiences.

scholarly journals Is vitamin K2 a treatment choice for atypical femoral fractures in patients with secondary osteoporosis?

2021 ◽  
Vol 49 (4) ◽  
pp. 030006052110016
Author(s):  
Bingzhang Wang ◽  
Jiahao Tang ◽  
Sheji Weng ◽  
Liang Chen ◽  
Zongyi Wu ◽  
...  
Keyword(s):  
Rare Complication ◽  
Femoral Fractures ◽  
Femoral Shaft ◽  
Left Thigh ◽  
Secondary Osteoporosis ◽  
Future Research ◽  
X Ray ◽  
Beneficial Effects ◽  
Patient Reported ◽  
The Right

An atypical femoral fracture (AFF) is a rare complication associated with excessive inhibition of osteoclast expression during treatment of osteoporosis. We herein describe a patient who had been treated with alendronate for more than 10 years and subsequently developed an AFF that healed after treatment with vitamin K2 (VK2). We also discuss the potential beneficial effects of VK2 on the healing of AFFs. A 48-year-old Asian man with secondary osteoporosis was treated with alendronate for more than 10 years. The patient underwent surgical treatment for a complete AFF of the right femur. Six months postoperatively, he complained of pain in his left thigh. X-ray examination revealed an incomplete AFF of the left femoral shaft. He was then treated with VK2. After 4 months of VK2 treatment, the patient reported that the pain in his left thigh had decreased, and follow-up X-ray examination demonstrated healing of the left AFF line. This case report indicates that VK2 may be a potential direction for pharmacological treatment of AFFs in future research.

Features of the extraction of foreign bodies from the lower urinary tract

2021 ◽  
Vol 11 (3) ◽  
pp. 213-218
Author(s):  
Gocha Sh. Shanava ◽  
Michail S. Mosoyan ◽  
Arthur M. Grabsky ◽  
Karen G. Arzumanyan
Keyword(s):  
Urinary Tract ◽  
Open Surgery ◽  
Lower Urinary Tract ◽  
Foreign Bodies ◽  
Scientific Literature ◽  
Insufficient Information ◽  
Foreign Objects ◽  
Endoscopic Extraction ◽  
Sharp Edges ◽  
Lower Urinary

BACKGROUND:Foreign bodies introduced by patients into the bladder and urethra are relatively rare in clinical practice. As a result, there is insufficient information in the scientific literature regarding methods of extracting foreign bodies from the urinary tract. AIM:determination of the optimal methods for extracting foreign bodies from the urethra and bladder. MATERIALS AND METHODS:Foreign bodies of the lower urinary tract were removed in 21 patients: 15 (71.4%) men and 6 (28.6%) women. Foreign bodies were found in the urethra in 7 (33.3%) patients and in the bladder in 14 (66.7%) patients. Removal of foreign bodies from the urethra and bladder was performed endoscopically or during open surgery. RESULTS:Removal of stabbing, cutting and glass objects from the urinary tract in 9 patients was performed during open surgery. Foreign bodies with even smooth edges were removed in 12 patients under urethrocystoscopic control. At the same time, in two patients, coagulated suppositories were first fragmented in the bladder cavity, and then removed in parts. Cystolithotripsy was performed in one patient with a suppository inlaid with calculus before fragmentation. CONCLUSIONS:Foreign bodies with sharp edges or made of glass are safer to be removed from the lower urinary tract during open surgery. Foreign bodies with a smooth and even surface are optimally removed endoscopically. Long and bulky foreign objects that can be fragmented in the bladder cavity are best removed in parts. When foreign bodies are encrusted with large calculi, cystolithotripsy should be performed before their endoscopic extraction.

scholarly journals Catheter fragment retrieved from an arterial branch of the right middle cerebral artery

2019 ◽  
Vol 10 ◽  
pp. 129 ◽  
Author(s):  
Javier Goland ◽  
Ezequiel Yasuda ◽  
Martín Monteverde ◽  
Silvia Garbugino
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Foreign Bodies ◽  
Rare Complication ◽  
Foreign Objects ◽  
Intravascular Foreign Body ◽  
The Right ◽  
Cerebrovascular System ◽  
Artery Branch ◽  
Arterial Branch

Background: Cerebral emboli is a rare complication of endovascular procedures and foreign bodies in the cerebrovascular system can lead to stroke. When an intravascular foreign body is identified, endovascular retrieval should be attempted due to its high success rate and minimal morbidity. Case Description: A 59-year-old male patient underwent cine-coronario-graphy through a trans-radial approach because of angina. During the study, a 6Fr catheter fragment ruptured, detached and migrated to a right middle cerebral artery branch. We recovered it with a coronary balloon. Conclusion: A coronary angioplasty balloon is an option for retrieving foreign objects or device fragments that have migrated into cerebral vasculature.

scholarly journals Double nail in Hypopharynx- A rare presentation

2016 ◽  
Vol 24 (2) ◽  
pp. 106-109
Author(s):  
Pranabashish Banerjee ◽  
Rajesh Kumar Kundu ◽  
Dhrupad Ray ◽  
Gautam Das
Keyword(s):  
Foreign Bodies ◽  
Delayed Presentation ◽  
Vertebral Level ◽  
Rare Presentation ◽  
X Ray ◽  
Lateral Pharyngotomy ◽  
Soft Tissue Neck ◽  
Mucosal Oedema ◽  
The Right ◽  
Difficult Situations

Introduction An extremely rare case of a pair of nails impacted in the right pyriform sinus, presenting 72 hours after the incident, is reported. Case Report X-ray soft tissue neck revealed the presence of a pair of nails in the neck at C4-C5 vertebral level. The foreign bodies could not be seen on hypopharyngoscopy due to severe mucosal oedema. Lateral pharyngotomy was done to remove the nails with C-arm guidance. Discussion Retained foreign bodies in the aerodigestive tract are known to produce complications. Delayed presentation makes the management difficult. C-arm guidance during surgical exploration is helpful to locate a radiopaue foreign body in difficult situations.

scholarly journals A clinical case of bronchoscopic detection and removal of a foreign body from the upper lobar bronchus on the right mimicking lung cancer

2020 ◽  
Vol 98 (8) ◽  
pp. 58-62
Author(s):  
L. V. Telegina ◽  
S. S. Pirogov ◽  
T. I.-A. Tazabaev ◽  
V. E. Khoronenko ◽  
A. S. Vodoleev ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Foreign Body ◽  
Clinical Case ◽  
Foreign Bodies ◽  
Clinical Manifestations ◽  
Cigarette Filter ◽  
X Ray ◽  
Lobar Bronchus ◽  
Long Time ◽  
The Right

Foreign bodies in the respiratory tract are rare in adults. Clinical manifestations include hemoptysis among other signs which requires the examination to detect tuberculosis and lung cancer. The article describes a clinical case that demonstrates the possibilities of endoscopic diagnostics and treatment in the patient with an X-ray negative foreign body (a cigarette filter) that has been in the lumen of the upper lobar bronchus of the right lung for a long time which caused inflammation in the blocked lobe and mimicking endoscopically central lung cancer.

Sign in / Sign up

Export Citation Format

Share Document