scholarly journals Obstructive Pneumonia With Bronchial Foreign Body: A Case Report

2021 ◽  
Author(s):  
Hitomi Tanaka ◽  
Takatoshi Anno ◽  
Haruka Takenouchi ◽  
Hideaki Kaneto ◽  
Toru Oga ◽  
...  
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Laboratory Data ◽  
Vital Signs ◽  
Fish Bone ◽  
Case Presentation ◽  
Bronchial Foreign Body ◽  
Old Japanese ◽  
History Of ◽  
Normal Chest

Abstract Background: Bronchial foreign bodies are relatively uncommon in adults. There are a variety of symptoms induced by airway foreign bodies, although the typical symptoms of some bronchial foreign bodies are cough, wheezing, chest pain, hemoptysis and fever up. Case presentation: An 80-year-old Japanese man was referred to our hospital with symptom of 7-month history of cough and pneumonia. His chest radiograph showed a slight increase in opacity. His vital signs and his laboratory data were almost normal. Chest computed tomography revealed obstructive pneumonia and a bronchial foreign body. We performed bronchoscopy and detected a fish bone as an intrabronchial foreign body and finally removed it from the bronchi.Conclusions:It is very important to carefully perform medical consultation about the current and past medical history. People in some countries and regions such as Japan have a habit of eating fish. It is necessary to more carefully consider the possibility of some bronchial foreign body such as a fish bone, when we observe symptoms of persistent cough.

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 Denture Impaction Causing an Upper Esophageal Diverticulum

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Shireen Samargandy ◽  
Hani Marzouki ◽  
Talal Al-Khatib ◽  
Mazin Merdad
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
The Elderly ◽  
Barium Swallow ◽  
Diagnostic Challenge ◽  
Case Presentation ◽  
History Of ◽  
Endoscopic Diverticulotomy ◽  
Tomography Scan ◽  
Rule Out

Background. Dentures are a common cause of inadvertent foreign body ingestion particularly in the elderly. Due to their radiolucent nature, they often present a diagnostic challenge to care providing physicians. Case Presentation. A 66-year-old female presented to our otolaryngology clinic with a 2-year history of dysphagia. Her physical examination was unremarkable. Computed tomography scan of the neck and barium swallow suggested Zenker diverticulum. She was planned for endoscopic diverticulotomy; however, during surgery, a foreign body was incidentally found and retrieved, which was a partial lower denture. The diverticulum resolved thereafter, and the patient's symptoms abated. Conclusion. The authors recommend evaluating the esophagus endoscopically first in cases of upper esophageal diverticular formation, even when planning an open repair approach, to rule out any concealed foreign bodies.

scholarly journals A Case of Whistle as Foreign Body in Trachea

2021 ◽  
Vol 6 (1) ◽  
pp. 1281-1286
Author(s):  
Puspa Zuleika
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Pediatric Patients ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
Foreign Object ◽  
Case Presentation ◽  
Foreign Body Extraction ◽  
Tracheobronchial Foreign Body ◽  
History Of

Background. Most of foreign body aspiration cases are found in children under the age of fifteen. Pediatric patients often presents with non-food foreign body aspiration, such as toys. The most common clinical manifestation are history of choking following foreign object insertion into the mouth (85%), paroxysmal cough (59%), wheezing (57%) and airway obstruction (5%). Case presentation. Main principle of airway foreign body extraction is to do it immediately in the most optimal condition with slightest possible trauma. Rigid bronchoscopy is a suitable choice for tracheal foreign body extraction. We reported a case of seven years old male with tracheal foreign body presented with history of whistle ingestion five hours prior to admission. This patient was discharged from hospital after third days of rigid bronchoscopy procedure. Conclusion. History of foreign body aspiration in children should be suspected as a tracheobronchial foreign body. Rigid bronchoscopy is preferred to extract foreign bodies present in the trachea. The prognosis for tracheobronchial foreign body aspiration is good if the foreign body is treated early and without complications.

scholarly journals Migration of Ingested Fish Bone from Upper Aerodigestive Tract to the Skin of the Neck

2015 ◽  
Vol 23 (2) ◽  
pp. 81-83
Author(s):  
Mukulika Saha ◽  
Amit Chakrabarti ◽  
Amit Bikram Maity ◽  
Satadal Mandal
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Muscular Contraction ◽  
Fish Bone ◽  
Surrounding Tissue ◽  
Upper Aerodigestive Tract ◽  
Intact Skin ◽  
Hollow Viscus ◽  
Unusual Event ◽  
History Of

IntroductionIngested foreign bodies commonly get impacted in the upper aero digestive tract, but only a few of these foreign bodies have perforated the oesophagus and an even smaller number of these have migrated extraluminally. Case reportA 43 year old male patient presented with history of accidental ingestion of fish bone (F.B) 3 weeks back. On examination a sharp pointed swelling was seen over right side of neck and on palpation a pointed object was felt beneath the intact skin. Digital X-ray, ultrasonography of the neck and CT scan neck showed a linear obliquely placed foreign body on right side of neck at the level of thyroid gland. The foreign body was easily removed by an incision over the skin and was confirmed to be a fish bone. DiscussionHorizontally oriented foreign bodies are more likely to penetrate the lumen of a hollow viscus. The muscular contraction of the neck might account for this unusual event to some extent, one possible factor being that the presence of the foreign body in the soft tissue might have led to inflammation and oedema, which made the texture of the surrounding tissue loose and lax ; a sort of gel-sol interconversion. 

scholarly journals Successfully Treated Intra-Abdominal Abscess Caused by Fish Bone With Perforation of Ascending Colon: A Case Report

2015 ◽  
Vol 100 (3) ◽  
pp. 428-430 ◽  
Author(s):  
Mami Yamamoto ◽  
Kentaroh Yamamoto ◽  
Takamitsu Sasaki ◽  
Daisuke Fukumori ◽  
Fumio Yamamoto ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Foreign Body ◽  
Laboratory Data ◽  
Fish Bone ◽  
Abdominal Abscess ◽  
Ascending Colon ◽  
Hospital Visit ◽  
History Of ◽  
Upper Abdominal ◽  
The Right

Ingestion of a foreign body is not uncommon, but rarely results in perforation of the gastrointestinal tract. The most common sites of perforation are reportedly the narrowest parts of the bowel, and perforation of the right side of the colon is rare. We report herein the case of a 69-year-old man who presented with an 8-week history of right upper abdominal pain. Laboratory data revealed inflammation at the first hospital visit. Computed tomography revealed a hypodense lesion containing a hyperdense foreign body in the abdomen. Intra-abdominal abscess caused by foreign body perforation was diagnosed. After administering antibiotics for 2 weeks, surgery was performed. Symptoms had resulted from perforation of the ascending colon by a fish bone.

scholarly journals Esophageal Foreign Body Causing Direct Aortic Injury

2003 ◽  
Vol 17 (2) ◽  
pp. 115-117 ◽  
Author(s):  
ECS Lam ◽  
JA Brown ◽  
JS Whittaker
Keyword(s):  
Foreign Body ◽  
Esophageal Perforation ◽  
Foreign Bodies ◽  
Aortic Injury ◽  
Fish Bone ◽  
Aortoesophageal Fistula ◽  
Esophageal Foreign Body ◽  
Arterial Bleeding ◽  
History Of ◽  
Tomography Scan

Foreign bodies in the esophagus are uncommon causes of esophageal perforation. Many nonperforating cases are successfully managed by flexible gastroscopy. However, complicated foreign bodies such as those that result in esophageal perforation and vascular injury are best managed surgically. Gastroscopy remains the primary method of diagnosis. A case of a 59-year-old woman who developed retrosternal and intrascapular pain, odynophagia and hematemesis after eating fish is reported. Flexible gastroscopy showed arterial bleeding from the midthoracic esophagus. Computed tomography scan localized a 3 cm fish bone perforating the esophagus with surrounding hematoma. An aortogram did not reveal an actively bleeding aortoesophageal fistula. The fish bone was surgically removed and the patient recovered with no postoperative complications. This case illustrates the importance of early consideration for surgical intervention when confronted with a brisk arterial bleed from the esophagus with suggestive history of foreign body ingestion.

scholarly journals CLINICAL PROFILE OF PAEDIATRIC PHARYNGO-OESOPHAGEAL FOREIGN BODIES IN A TERTIARY HEALTH INSTITUTION, NORTH WEST NIGERIA.

2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Aliyu D ◽  
Iseh KR ◽  
Abdullahi M ◽  
Amutta SB
Keyword(s):  
Foreign Body ◽  
Health Education ◽  
Foreign Bodies ◽  
Public Health Education ◽  
Fish Bone ◽  
North West ◽  
Care Givers ◽  
History Of ◽  
Rigid Oesophagoscopy ◽  
Xylocaine Spray

Background: Pharyngo-oesophageal foreign bodies (PFB) in children are frequent clinical entity requiring an urgent radiological and endoscopic surgical intervention to avert life threatened complications seen in otorhinolaryngology practice. Objective: The objective of this study is to describe the pattern of pharyngooesophageal foreign bodies’ impaction, management challenges and the need for health education to care givers. Method: A retrospective review of all cases of paediatric patients with suspected or confirmed history of PFB from January 2007 to December 2011. The information retrieved included the biodata, types of foreign body, clinical and radiological findings, treatment and outcome.Results were analysed by simple statistical table. Results: Sixty seven patients diagnosed with Pharyngo-oesophageal Foreign Body, forty three (64%) were males while 24(36%) were females with M: F ratio = 1.8:1 and Mean age of 4.9 years (age range 6months to 13years.).Coins 36(54%) were the commonest PFB. Only 13(19%) presented to hospital within 24hours of ingestion. Common presenting symptom were Vomiting 70%, and dysphagia in 73%. Fifty four (81%) had positive history of FB ingestion and 13(19%) of the patient PFB were detected radiologically. Sixty three (94%) had rigid oesophagoscopy and removal under general anaesthesia while 4(6%) fish bone FB in the tonsils were extracted in the out-patient clinic after xylocaine spray. Post operative complications were noticed in 13(19%). Conclusion: Coin is the commonest pharyngoesophageal foreign body in children. Only 19% of these patient presented to hospital within 24hours therefore public health education to parents and care givers is recommended.

scholarly journals Migrated fish bone into the neck: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Vasanthika Sanjeewanie Thuduvage
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Asian Population ◽  
Fish Bone ◽  
Diagnosis Delay ◽  
Lateral Neck ◽  
Case Presentation ◽  
Persistent Symptoms ◽  
History Of ◽  
Nose And Throat

Abstract Background Impaction of foreign body is a common condition presented to ear, nose, and throat department among Asian population. The commonest foreign body seen among this population has been documented as fish bone. Fish bone can migrate to lateral neck space or related organs around the neck and chest. By presenting this case report, we aim to emphasize the importance of taking proper history and make clinicians aware of the possibility of a fish bone migrating into different spaces. This will help to prevent diagnosis delay leading to complications due to migrated fish bone. Case presentation A 50-year-old female Sinhalese patient presented to ear, nose, and throat department with right-sided neck pain for 2 days, who had a history of suspected fish bone impaction a few days ago that subsided without any investigations or treatments. She did not have any symptoms related to throat, and neck examination showed mild swelling and tenderness. Computer tomography revealed a migrated fish bone into the lateral neck close to carotid artery, and the fish bone was removed by neck exploration under general anesthesia without any complications. Conclusion In conclusion, migrated fish bone should be suspected if patient is having persistent symptoms mainly in the neck without having difficulty swallowing and who gives a history of fish bone impaction and having negative laryngoscopic examination. Proper history taking is very important in the assessment of these patients to prevent misdiagnosis of the condition. Clinicians should aware that migrated fish bones are not uncommon and that early suspicion can prevent later diagnosis and complications.

scholarly journals Foreign body (copper wire) in urinary bladder and urethra: an unusual case presentation

2021 ◽  
Vol 8 (11) ◽  
pp. 3498
Author(s):  
Nipun Bansal ◽  
Anuj Mahajan ◽  
Manjunath Shetty ◽  
Prashanth Adiga ◽  
Kishan Raj ◽  
...  
Keyword(s):  
Foreign Body ◽  
Urinary Bladder ◽  
Male Patient ◽  
Severe Pain ◽  
Unusual Case ◽  
Foreign Bodies ◽  
Copper Wire ◽  
Young Male ◽  
Case Presentation ◽  
History Of

Foreign bodies are rarely reported in the urinary bladder and urethra; though it is a topic of curiosity amongst the urologists and surgeon. In majority of the cases, the foreign body is removed via the transurethral approach. A 19-year-old young male patient was brought to our Institution with history of insertion of a wire through urethra during act of masturbation in the middle of night. Patient was having severe pain in penis along with burning micturition. Patient was taken up in emergency for retrieval of the foreign body (wire) transurethrally (cystoscopic approach). Scope was inserted through urethra and the foreign body retrieved was found to be “copper wire”.

Foreign Body Aspiration: Potential Cause of Coughing and Wheezing

1988 ◽  
Vol 10 (2) ◽  
pp. 59-63
Author(s):  
H. James Holroyd
Keyword(s):  
Foreign Body ◽  
Respiratory Symptoms ◽  
Foreign Bodies ◽  
Pediatric Population ◽  
Congenital Defects ◽  
Natural Tendency ◽  
History Of ◽  
Possible Cause ◽  
Cardiopulmonary System ◽  
Infants And Young Children

As many as half of routine ill-patient visits in pediatrics practice involve respiratory symptoms. It is not surprising that we see so much coughing and wheezing when we consider that children are still developing immunologically and are, therefore, more susceptible to infection. In early life, most of these infectious diseases occur in the respiratory and gastrointestinal tracts. In addition, the gradual exposure of the constitutionally allergic child to environmental allergens pre-disposes to the development of respiratory symptoms. Childhood is also a time for congenital defects of the cardiopulmonary system to become apparent. A sometimes overlooked cause of respiratory symptoms in infants and young children—and one that can become rapidly and severely complicated if misdiagnosed—is the aspiration of foreign bodies. Aspiration or ingestion of foreign bodies remains a significant cause of morbidity and mortality in the pediatric population. Children between 8 months and 4 years of age are at highest risk. Not all cases of aspiration are of the acute, obstructive variety, and pediatricians should consider a foreign body as a possible cause of coughing and wheezing even when no definite history of aspiration is obtained. Children of course are curious and their natural tendency is to reach out and explore new objects. Bringing objects to their mouths to taste and to test textures is common.

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