scholarly journals A Rare and Unusual Cause of Recurrent Hemoptysis: Alive Intratracheal Leech Infestation

2021 ◽  
Author(s):  
Ebrahim Nadi ◽  
Marzieh Naderishahab
Keyword(s):  
Foreign Body ◽  
Respiratory Distress ◽  
Foreign Bodies ◽  
Fiberoptic Bronchoscopy ◽  
Massive Hemoptysis ◽  
Vocal Cords ◽  
Current Case ◽  
Foreign Objects ◽  
Body Sensation ◽  
Bodies Of Water

Hemoptysis is defined as blood expectoration from below the vocal cords. Foreign bodies inhaled or consumed can be the cause of hemoptysis. Among alive foreign objects, leech infestation happens via drinking infested bodies of water. Leech infestation in the airway might be the cause of serious complications naming dysphonia, stridor, hemoptysis, choking, respiratory distress, and foreign body sensation. Although intratracheal leech infestation has been rarely reported, in the current case, a 79-year farmer presented recurrent non massive hemoptysis. Via fiberoptic bronchoscopy, a live leech was found in the trachea of the patient and with the use of lidocaine the leech was removed. In order to avoid such incidences, governments play an important role in building and repairing infrastructures regarding sanitary water and meanwhile educating and informing their population about sanitary water consumption.

scholarly journals Endobronchial Foreign Body Presenting as Exacerbation of Asthma

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
James E. Tsang ◽  
June Sun ◽  
Gaik C. Ooi ◽  
Kenneth W. Tsang
Keyword(s):  
Foreign Body ◽  
Respiratory Distress ◽  
Foreign Bodies ◽  
Main Bronchus ◽  
Fiberoptic Bronchoscopy ◽  
Clinical History ◽  
Medical Personnel ◽  
History Of ◽  
Normal Chest ◽  
Low Dose Computed Tomography

Airway foreign bodies are a leading cause of death among children and require urgent recognition by medical personnel. While most cases are diagnosed readily from a clinical history of acute respiratory distress, some cases remain more indolent and present later. We report the case of a 7-year-old boy who aspirated a “LEGO” toy and presented with a week history of increasing respiratory distress compatible with known asthma. Despite a normal chest X-ray, a low-dose computed tomography showed the presence of a foreign body in the left main bronchus, which was subsequently removed by fiberoptic bronchoscopy. Our case serves to reemphasize the importance of considering airway foreign bodies as a cause of respiratory distress, especially in young children.

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

2019 ◽  
Vol 10 (1) ◽  
Author(s):  
Alessandra D’Amico ◽  
Teresa Perillo ◽  
Lorenzo Ugga ◽  
Renato Cuocolo ◽  
Arturo Brunetti
Keyword(s):  
Differential Diagnosis ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Correct Identification ◽  
Pathophysiological Mechanism ◽  
Local Inflammatory Response ◽  
Inflammatory Reactions ◽  
Foreign Objects ◽  
Pictorial Review ◽  
Review Reports

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.

scholarly journals Oesophagal foreign Bodies Ingestion: Experience of 109 Cases

2020 ◽  
Vol 11 (4) ◽  
pp. 7410-7416
Author(s):  
Firas Shaker Mahmoud Al-Faham ◽  
Samer Makki Mohamed Al-Hakkak ◽  
Laith Fathi F. Sharba
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Middle Part ◽  
Food Refusal ◽  
Surgical Department ◽  
Magill Forceps ◽  
Pediatric Age Group ◽  
Body Sensation ◽  
Medical City ◽  
Foreign Body Impaction

Esophageal foreign bodies ingestion is a worldwide surgical issue in pediatric age group while less likely in adults. We estimate endoscopic, clinical and therapeutic sides of this situation in the surgical department in Al-Hussein Teaching Hospital, Karbala city, Iraq and in Al-Sader Medical City, Najaf city, Iraq. The study made to revise our experience for all patients admitted to our hospitals with a diagnosis of oesophagal foreign bodies and their treatments and outcome. The medical registrations resolved concerning demographic information, symptoms presented, investigation and treatments. We revised 109 (61 males and 48 females) patients ranged from 4 months to 65 years with (median age of 2 years). Coins most repeatedly ingested objects (27.5%), miscellaneous metal objects (17.4%), batteries (13.8%) and food (9.2%). The clinical features we encountered vomiting (27.5%), dysphagia (22.9%), asymptomatic (15.6%), drooling and food refusal (12.8 %) and foreign body sensation (8.3%). Usually X-ray screen finding the foreign body in 89(81%) patients. Magill forceps and rigid oesophagoscope performed within six hours from admission under general anaesthesia and from 12-48 from time of ingestion. Foreign body Impaction in the hypopharynx and the upper part of the oesophagus (68.8%) middle part (23%) and the lower part (8.2 %).100(91.7%) patients recovered completely without any complications,9 (18.3%) patient get bleeding, mucosal ulceration and infection which treated successfully.

scholarly journals Posterior segment intraocular foreign body with secondary retinal detachment in a phakic eye: a case report

2020 ◽  
Vol 8 (5) ◽  
pp. 375-378
Author(s):  
Dr. Amit C Porwal ◽  
◽  
Dr. Hardik Jain ◽  
Dr. Pratik Mahajan ◽  
◽  
...  
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Retinal Detachment ◽  
Visual Loss ◽  
Foreign Bodies ◽  
Vitreoretinal Surgery ◽  
Crystalline Lens ◽  
Posterior Segment ◽  
Intraocular Foreign Body ◽  
Current Case

Intraocular foreign bodies (IOFBs) are an important cause of visual loss. The current case describesa case of retained intraocular foreign body with secondary retinal detachment in a phakic eye in a38-year-old man. The foreign body was safely removed through the sclerotomy port withouttouching the crystalline lens. The current case report wanted to show the anatomic and visualoutcomes of vitreoretinal surgery in such cases.

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

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.

Bronchial foreign body: a disease that should not be ignored

2020 ◽  
Author(s):  
Ling Gong ◽  
Yi Huang ◽  
Guichuan Huang ◽  
Daishun Liu ◽  
Xiaoping Tang
Keyword(s):  
Foreign Body ◽  
Lung Disease ◽  
Foreign Bodies ◽  
Left Lung ◽  
Clinical Signs ◽  
Surgical Techniques ◽  
Clinical Manifestations ◽  
Fiberoptic Bronchoscopy ◽  
Bronchial Stenosis ◽  
Bronchial Foreign Body

Abstract Objects: This study aimed to analyze the clinical manifestations, sources, and treatment methods used in patients with a bronchial foreign body. Methods: We analyzed the basic characteristics, clinical signs, CT imaging presentations, pathological manifestations, pathological biopsy results, fiberoptic bronchoscopic surgical techniques, and interventional therapeutic approaches in seven patients with a bronchial foreign body. Results: Among the seven patients with a bronchial foreign body, there were three males and four females. Of the patients, five patients were over 50 years old. Duration of time since onset varied, ranging between six hours and 30 days. One patient had finger pulse oxygen saturation below 90%. Foreign body was the cause of presentation in all seven cases. Computed tomographic scans were normal in one patient, one patient showed a left lung disease, and five patients showed a right lung disease. The presence of the foreign body could be seen in only one patient. Pathological biopsies identified a chili peel in one case, a duck bone in one case, a tooth in one case, and peanuts in three cases. In the seventh patient, a pen cap was found without a pathological biopsy. Using fiberoptic bronchoscopy, the foreign bodies were found and removed in all patients. We also performed bronchial stenosis in three patient, bronchial stenosis with granulation tissue formation in two patients. Conclusion: Neglected foreign bodies in the bronchi could cause various complications and seriously affect the patient's health.

Foreign Bodies in the Air and Food Passages

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.

Foreign Bodies in the Larynx and Tracheobronchial Tree in Children

1980 ◽  
Vol 89 (5) ◽  
pp. 434-436 ◽  
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.

scholarly journals Topical Anesthetic Misuse in Patients Admitted to Sabzevar Eye Clinic in Iran

2016 ◽  
Vol 33 (4) ◽  
pp. 287-294 ◽  
Author(s):  
Ebrahim Shirzadeh ◽  
Nematullah Shomoossi ◽  
Hasan Abdolahzadeh
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Foreign Body Sensation ◽  
Eye Drops ◽  
Ocular Pain ◽  
Topical Anesthetic ◽  
Cross Sectional ◽  
Common Location ◽  
Body Sensation ◽  
Eye Clinic

Abstract Topical anesthetic eye drops are used extensively for ophthalmic examinations but self-treatment and non-technical removal of foreign bodies using tetracaine drops can be hazardous. The present study intended to determine the inadmissible uses of anesthetic tetracaine eye drops, manner of drug obtaining and likelihood of the ocular complications in the patients. This cross-sectional study was conducted on 162 patients with ocular pain and foreign body sensation, red eye or lid edema admitted to the Eye clinic in Sabzevar, Iran. Variables included age, sex, chief compliant, job, site of foreign bodies, diagnosis of problem, use of tetracaine drops, drug provision, times patients referred to the eye clinic, and kinds of treatment. The most common chief complaint for admission to the Eye clinic was lacrimation (55.6%), followed by ocular pain, and foreign body sensation (35.8%). Some patients (30.9%) (mostly welders) inadmissibly used topical tetracaine eye drops; 21.6% of cases obtained tetracaine eye drops from drugstores without doctor’s prescription, and only 3.7% provided drugs by prescription. Corneal site (81.5%) was the most common location of foreign body; metallic foreign body (63%) was the most common. One patient was admitted in hospital for management. Topical inadmissible tetracaine (0.5%) is commonly used by welders, who obtain it from drugstores without prescriptions due to its simple usage and short acting pain relief. Supervision is required over drugstores for denying it if demanded without a prescription. Enhancing clients’ awareness is also suggested.

scholarly journals Unsuspected Cause of Respiratory Distress: Unrecognized Esophageal Foreign Body

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Naima Baddouh ◽  
Lahcen Arjdal ◽  
Abdelaziz Raji ◽  
Mounir Bourrous
Keyword(s):  
Foreign Body ◽  
Respiratory Distress ◽  
Foreign Bodies ◽  
Thoracic Esophagus ◽  
Upper Respiratory Tract ◽  
Esophageal Foreign Body ◽  
Presenting Symptoms ◽  
History Of ◽  
Chest X Ray ◽  
Upper Thoracic

Summary. Foreign bodies in esophagus are avoidable accidents that occur most often in children younger than 3 years. The most common presenting symptoms are dysphagia, drooling, and vomiting. Revelation by respiratory distress is a rare and unusual condition. Objective. We describe and discuss the case of an esophageal foreign body, in which the patient presented with respiratory distress. Case report. A two-year-old child was admitted to the emergency department for acute respiratory distress. He had no history of choking episodes or dysphagia. Nevertheless, he was brought by his parents several times for a persistent cough and wheezing that was treated as asthma for a month. Pulmonary examination had revealed polypnea, suprasternal recession, scattered snoring, and diffuse wheeze. As part of his assessment, a chest X-ray was demanded. It had shown, as unexpected, a nonmetallic foreign body in the upper thoracic esophagus. A clothing button was removed by hypopharyngoscopy under sedation without any incident. Subsequent follow-up had not shown any complications related to this episode. Conclusion. Large esophageal foreign bodies can impinge on the trachea causing upper respiratory tract signs. We alert clinicians on variation in the presentation of foreign body ingestion, and we emphasize the importance of an early diagnosis and management.

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