A Hazardous Foreign Body Perforating the Cervical Esophagus With Extra-Esophageal Impact

2021 ◽  
Author(s):  
Mehmet Furkan Sahin ◽  
Muhammet Ali Beyoglu ◽  
Alkin Yazicioglu ◽  
Erdal Yekeler
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Foreign Body ◽  
Soft Tissue ◽  
Foreign Bodies ◽  
Rare Condition ◽  
Fatal Complication ◽  
Cervical Incision ◽  
Surgery Education ◽  
Esophageal Foreign Bodies

Abstract BackgroundEsophageal perforation due to foreign body is a fatal complication when not diagnosed on time and not managed properly. Although admissions to the emergency department after foreign body ingestion are frequently observed, perforating the esophagus after ingestion of sharp-edged objects and being observed in the soft tissue in the extraesophageal area is a very rare condition. MethodsThe patient, who admitted to the emergency department with dysphgia after swallowing a sharp-pointed foreign body, was retrospectively analyzed. ResultsWe present our patient who developed esophageal perforation as a result of accidentally swallowing a sharp-edged glass object which we diagnosed immediately, approached with a lateral cervical incision within 24 hours and removed from the location very close to the carotid artery in the extraesophageal area. ConclusionsPerforating esophageal foreign bodies are urgent problems that require early diagnosis and intervention. Delayed surgery can lead to fatal consequences. Trial RegistirationThis case report was retrospectively registered by Institutional Thoracic Surgery Education and Research Committe. (Number:2020-12-15/01, Date: 18/12/2020)

scholarly journals Rectal foreign body: a case report

2017 ◽  
Vol 4 (3) ◽  
pp. 1119
Author(s):  
Robin George Cheereth ◽  
George Abraham Ninan
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Foreign Body ◽  
Computerized Tomography ◽  
Anal Incontinence ◽  
Foreign Bodies ◽  
Primary Repair ◽  
Abdominal Radiographs ◽  
Early Decision ◽  
Emergent Laparotomy

Colorectal foreign bodies are infrequently encounteredand present a dilemma for management. The diagnosis may be confirmedby plain abdominal radiographs and rectal examination, butabdominal computerized tomography with 3-D reconstruction can be decisive in thefurther management and must be advised without reconsideration. Transanal removal is only possible for very low-lying objects, while patients with high-lying foreign bodiesusually require anoperative intervention. An early decision of laparotomy should only be madeafter subjecting the patient to suitable investigations to determineexactly the localization of the object, in order toavoid any inadvertent damage to the adjoining vasculatureas well as anal incontinence. We report the case of a youngadult male who presented in the emergency department with a Hand Held Bidet Shower inserted per rectum. Transanal removal was unsuccessful and Emergent laparotomy with colotomy and primary repair was necessary for safe removal of the same.

scholarly journals Successful Transanal Removal of a Rectal Foreign Body by Abdominal Compression under Endoscopic and X-Ray Fluoroscopic Observation: A Case Report

2016 ◽  
Vol 10 (3) ◽  
pp. 646-652 ◽  
Author(s):  
Hironobu Mikami ◽  
Norihisa Ishimura ◽  
Akihiko Oka ◽  
Ichiro Moriyama ◽  
Takafumi Yuki ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Case Report ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Abdominal Compression ◽  
X Ray ◽  
Large Size ◽  
Rectal Foreign Bodies ◽  
Abdominal Examination

We occasionally encounter patients with various types of rectal foreign bodies. When too large to grasp, transanal removal can be difficult. Here, we report a case of successful manual transanal removal of an 18 × 4 × 4 cm silicon rod without complications. A 50-year-old male came to the emergency department of our hospital 12 h after transanal insertion of a whole silicon rod. An abdominal examination showed no evidence of peritonitis, while X-ray and computed tomography findings revealed a large foreign body in the rectum, without any sign of perforation. Initially, we attempted removal using an endoscopy procedure with conventional endoscopic instruments, including a snare and grasp forceps, though we failed because of the large size. Next, we manually compressed the foreign body from the abdominal wall under endoscopic and X-ray fluoroscopic observation, and successfully removed it in a transanal manner without complications. Endoscopic and X-ray fluoroscopic assistance were helpful to guide the direction and angle of abdominal compression in this case.

Technical Intricacies Involved in Surgical Retrieval of a Long Standing Foreign Body in Hand- A Case Report

2022 ◽  
Vol 3 (1) ◽  
pp. 01-02
Author(s):  
Narendra S M
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Soft Tissue ◽  
Foreign Bodies ◽  
Initial Examination ◽  
Long Time

Foreign Bodies (F.B) are not uncommon in hand as it is involved in Day to day activities. Prompt removal during the initial examination is the norm, but sometimes foreign bodies (F.B) may be missed and they remain within the soft tissue for a long time either revealing itself at a later date as a sinus, swelling or an abscess. We present a case of retained FB in the dorsum of hand and the technique involved in retrieval of such a long standing FB.

scholarly journals Chronic retained esophageal foreign body: a case report

2021 ◽  
Vol 8 (2) ◽  
pp. 383
Author(s):  
Gurpreet Singh Chhabra ◽  
Anumeet Singh Grover ◽  
Gagandeep Kaur
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Respiratory Symptoms ◽  
Foreign Bodies ◽  
Gastrointestinal Symptoms ◽  
Esophageal Foreign Body ◽  
High Incidence ◽  
History Of ◽  
Foreign Body Impaction ◽  
Esophageal Foreign Bodies

Chronic esophageal foreign bodies (CEFB) are associated with a high incidence of morbidity and mortality in adults. However, the presentation, management and outcome of chronic esophageal foreign bodies in children are not well described. Seventy-six percent of patients presented with a primary complaint of respiratory symptoms, with respiratory distress being the most common followed by asthmatic symptoms and cough. Twenty-two percent of patients had primarily gastrointestinal symptoms including nausea, vomiting and dysphagia. We present a case report of 2year 6month old male with 3 months history of cough and vomiting later diagnosed to be a case of upper esophageal foreign body impaction.

scholarly journals Rectal Foreign Body Removal in the Emergency Department: A Case Report

2020 ◽  
Vol 4 (3) ◽  
pp. 450-453
Author(s):  
Samuel Nesemann ◽  
Kimberly Hubbard ◽  
Mehdi Siddiqui ◽  
William Fernandez
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Surgical Intervention ◽  
Clinical Suspicion ◽  
Emergency Physicians ◽  
Review Of The Literature ◽  
Foreign Body Removal ◽  
Rectal Foreign Bodies

Introduction: Rectal foreign bodies (RFB) pose a challenge to emergency physicians. Patients are not often forthcoming, which can lead to delays to intervention. Thus, RFBs require a heightened clinical suspicion. In the emergency department (ED), extraction may require creative methods to prevent need for surgical intervention. Case Report: The authors present a case of a successful extraction of a RFB in the ED and review of the literature. Conclusion: Retained RFBs are an unusually problematic reason for an ED visit. Thus, it is important for emergency physicians to be comfortable managing such cases appropriately.

Case Report: When all claims that it is necrotizing fasciitis but Point of care ultrasound (POCUS) proves the opposite!

POCUS Journal ◽  
2018 ◽  
Vol 3 (1) ◽  
pp. 13-14
Author(s):  
Hadiel Kaiyasah, MD, MRCS (Glasgow), ABHS-GS ◽  
Maryam Al Ali, MBBS
Keyword(s):  
Emergency Department ◽  
Critical Care ◽  
Case Report ◽  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Soft Tissue Infection ◽  
Critical Care Unit ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Soft Tissue Infections

Soft tissue ultrasound (ST-USS) has been shown to be of utmost importance in assessing patients with soft tissue infections in the emergency department or critical care unit. It aids in guiding the management of soft tissue infection based on the sonographic findings.

CLINICAL AND PARACLINICAL CHARACTERISTICS AND RESULTS FROM TREATMENT OF FOREIGN BODIES INGESTION

2016 ◽  
pp. 63-69
Author(s):  
Hoang Cuong Vo ◽  
Thanh Dang ◽  
Phuong Nam Tran ◽  
Thanh Thai Le
Keyword(s):  
Foreign Body ◽  
Clinical Characteristics ◽  
Foreign Bodies ◽  
University Hospital ◽  
Age Group ◽  
Central Hospital ◽  
Results Of Treatment ◽  
Rigid Esophagoscopy ◽  
Flexible Esophagoscopy ◽  
Esophageal Foreign Bodies

Background: Foreign bodies ingestion is a emergency in otology, knowledge of people about foreign bodies ingestion is not enough. Objective: To study the clinical characteristics, paraclinical characteristics and results of treatment from foreign bodies ingestion in Hue Central Hospital and Hue University Hospital. Methods and patiens: A cross descriptive and prospective study over the period from 6/2014 to 5/2016, total are 137 patients come to be diagnosised and treatmented. Results: the average age is 35 years old. Gender: male (51.8%) and women (48.2%). Adults (84.7%) having more than children (15.3%). Age group from 16-30 years is highest (32.8%). There are 95.7% of organic foreign bodies, 4.3% are inorganic foreign bodies. There are 90.5% of patients on diagnosis and treatment in stages less inflammation, arthritis 8.0% in the period and 1.5% in the period complications. Foreign body in the throat problems (73.7%), esophageal foreign bodies (26.3%). Pick up directly foreign bodies 54%, indirectly by the mirror 11.7% and endoscopy 8%, rigid esophagoscopy is 17.5%, flexible esophagoscopy is 7.3%, cervicotomy is 1.5%. Conclusion: Practing direction with in the oropharynx foreign body, using the larynx mirror or endoscopy with in the laryngopharynx for the esophagus foreign bodies, rigid esophagoscopy is better. Key words: Foreign bodies ingestion

Use of Ophthalmic Sonography to Evaluate for Intraocular Foreign Body in Both Outpatient and Emergency Department/Urgent Care Patients

2021 ◽  
pp. 875647932110332
Author(s):  
Patrick J. Fish
Keyword(s):  
Emergency Department ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Outpatient Setting ◽  
Intraocular Foreign Body ◽  
Urgent Care ◽  
Posterior Chamber ◽  
Emergency Department Setting ◽  
Before And After ◽  
Glass Metal

Intraocular foreign bodies (IOFB) present differently depending on the type of material (wood, glass, metal) for the IOFB, extent of the injury, and location of the injury. IOFB and the injury can cause a perforation or penetration of the globe which can require more extensive treatment including surgery. Proper evaluation of the IOFB and injury can help to determine extent of the injury, the prognosis of the vision, and health of the eye before and after treatment but may be difficult for the physician depending on the view of the posterior chamber being compromised by media or simply by patient sensitivity. The extent of the injury may also prevent proper evaluation due to swelling, lacerations on the lids, or pain. Proper ophthalmic sonography can provide a quick evaluation of the globe for any IOFB in both the outpatient setting as well as emergency department setting. Evaluation via sonography may allow the physician to accurately diagnose and properly treat the patient to help restore and prevent further loss of vision.

Foreign body: denture in oesophagus: a case report

2019 ◽  
Vol 11 (5) ◽  
pp. 226-227
Author(s):  
Nitin Arora ◽  
Daljeet Kaur ◽  
Urvashi Mishra ◽  
Radhika Bhateja ◽  
Nikhil Arora
Keyword(s):  
Case Report ◽  
Early Intervention ◽  
Foreign Body ◽  
Early Detection ◽  
Early Treatment ◽  
Foreign Bodies ◽  
Recurrent Laryngeal Nerve Injury ◽  
Laryngeal Nerve ◽  
Upper Gi ◽  
Laryngeal Nerve Injury

identally swallowed dentures are one of the most common foreign bodies of upper digestive tract in elderly people and it can lead to severe complications. Complications ranging from oesophageal rupture, mediastinitis, haemetemesis, and recurrent laryngeal nerve injury has been reported. Therefore, an early detection and an early intervention are important. We are reporting a case of accidentally swallowed denture. After the diagnosis of an impacted denture was made, upper GI Oesophagoscopy was done and it was removed in emergency OT. This case highlights the importance of an early treatment in order to avoid complications.

scholarly journals Esophageal Foreign Bodies: Report of Three Unusual Cases with Interesting Scenario

2014 ◽  
Vol 6 (3) ◽  
pp. 106-108
Author(s):  
JC Passey ◽  
Shilpi Dabas ◽  
Nikhil Arora ◽  
Kirti Jain
Keyword(s):  
Case Report ◽  
Foreign Bodies ◽  
Previous Literature ◽  
Rigid Endoscopy ◽  
Esophageal Foreign Bodies

ABSTRACT We are reporting three cases of unusual foreign bodies of the esophagus along with the unusual scenario in which they were ingested. The objective of the case report is to add to the list of foreign bodies in the previous literature with increasing awareness of otolaryngologists about them and emphasizing the role of rigid endoscopy for safe removal of foreign bodies from the esophagus. How to cite this article Arora N, Jain K, Passey JC, MalhotraV, Dabas S. Esophageal Foreign Bodies: Report of Three Unusual Cases with Interesting Scenario. Int J Otorhinolaryngol Clin 2014;6(3):106-108.

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