Metal Foreign Bodies Have Been in the Lungs for Five Years: a Case Report

Abstract Background: Metallic foreign body migration into the pulmonary artery after limb trauma is extremely rare. If not treated in time, the patient may die. The metallic foreign body was implanted from the thigh into the pulmonary artery and remained for 5 years. It has never been reported in limb trauma.Case Presentation: The patient was a 51-year-old male who had a small metal foreign body embedded in the middle and lower left thigh due to trauma. The foreign body was not found during emergency debridement operation. During the operation, a full-body X-ray was used to reveal a high-density shadow in the left upper lung. The 3D-CT of the chest immediately confirmed that the high-density shadow was a small iron foreign body, and the iron fragment foreign body was present in the pulmonary artery branch, but no abnormal symptoms were observed. He was hospitalized for observation for 3 days without obvious discomfort and refused to open his chest. The patient then decided to leave the hospital voluntarily.Conclusion: Surgical removal of all foreign bodies traveling to the pulmonary artery is not necessary, and the most appropriate treatment plan should be made considering the location of the foreign body, the patient's wishes and the general condition.

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Penetrating Craniocerebral Injury by the Hook of a School Desk

Pediatric Neurosurgery ◽

10.1159/000512863 ◽

2021 ◽

Vol 56 (2) ◽

pp. 152-156

Author(s):

Yahya Guvenc ◽

Mustafa Sakar ◽

Seymur Niftaliyev ◽

Abdulmammad Guliyev ◽

Ismail Simsek ◽

...

Keyword(s):

Foreign Body ◽

High Frequency ◽

Causes Of Death ◽

Foreign Bodies ◽

Pediatric Patients ◽

Epileptic Seizures ◽

Neurological Deficits ◽

Surgical Removal ◽

Case Presentation ◽

Cranial Injury

Introduction: Although penetrating cranial injuries are rare in pediatric patients, these injuries can lead to morbidity and mortality. Removal of a gigantic foreign body from the cranium requires proper management as it has high risk of further brain damage and seizures. Case Presentation: We report the case of a patient with cranial injury caused by hitting the head to the hook of a school desk. Due to the extreme nature of the injury, the following additional steps were necessary: taking help from a local firefighter team to cut the desk, surgical removal of the foreign body, and cranioplasty after 6 months. Following this, he was discharged without neurological deficits. Discussion/Conclusion: Neurotrauma is one of the major causes of death in children. The damage and effect of the injuring foreign body depends on its size, shape, velocity, trajectory, and entry point. It should be kept in mind that any high-frequency processes applied on the extracranial parts of conductive objects, such as metal bars, may trigger seizures. Preoperative extracranial intervention for huge penetrating foreign bodies should be performed under anticonvulsant administration and intubation to decrease the risk of epileptic seizures and its complications.

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A Child Presenting with a Bullet in the Middle Ear: Case Report

Clinical Medicine Insights Case Reports ◽

10.4137/ccrep.s8214 ◽

2012 ◽

Vol 5 ◽

pp. CCRep.S8214

Author(s):

Patorn Piromchai ◽

Somchai Srirompotong ◽

Piyawadee Lertchanaruengrith ◽

Robert Mills

Keyword(s):

Foreign Body ◽

Middle Ear ◽

External Auditory Canal ◽

Foreign Bodies ◽

Community Hospital ◽

Metallic Foreign Body ◽

Ear Canal ◽

Case Presentation ◽

Adults And Children ◽

Otoscopic Examination

Introduction Foreign bodies in the external auditory canal are common in both adults and children. Removal of the foreign body requires skill, but is usually successfully performed in the emergency department. We report a case of a child with a bullet in ear canal which was pushed into the middle ear during an attempt to remove it. Case Presentation A 6-year-old Thai boy went to the community hospital with his parents, who reported that their child had pushed a bullet into his ear. Otoscopic examination revealed a metallic foreign body in his external auditory canal. The first attempt to remove the foreign body failed and the child was referred to an otolaryngologist. We found that the tympanic membrane was ruptured, with granulation tissue in the middle ear and the bullet was located in the hypotympanum. The foreign body was removed via a post-auricular approach. Conclusion Removal of a foreign body from external auditory canal is an essential skill for physicians. Careful removal can prevent further trauma and complications. When the first attempt fails, referral to an otolaryngologist is recommended.

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Materials and techniques for percutaneous retrieval of intravascular foreign bodies

The Journal of Vascular Access ◽

10.1177/1129729818785051 ◽

2018 ◽

Vol 20 (1) ◽

pp. 87-94 ◽

Cited By ~ 3

Author(s):

Umberto G Rossi ◽

Gian Andrea Rollandi ◽

Anna Maria Ierardi ◽

Alessandro Valdata ◽

Francesco Pinna ◽

...

Keyword(s):

Foreign Body ◽

Foreign Bodies ◽

Case Reports ◽

Surgical Removal ◽

First Line ◽

Percutaneous Approach ◽

Percutaneous Retrieval ◽

The Past ◽

Intravascular Foreign Body ◽

Common Intervention

The presence of an intravascular foreign body represents a well-known risk of serious complications. While in the past surgical removal of intravascular foreign body was the most common intervention, nowadays a percutaneous approach in the retrieval of an intravascular foreign body is widely accepted as the first-line technique. In the literature, many case reports describe different techniques and materials. This article summarizes and illustrates the main materials and techniques currently applied for percutaneous retrieval of intravascular foreign body, providing a simplified tool with different interventional possibilities, adaptable to different clinical situations.

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Denture Impaction Causing an Upper Esophageal Diverticulum

Case Reports in Gastrointestinal Medicine ◽

10.1155/2019/9621383 ◽

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.

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Blade of Grass as an Unusual Cause of Recurrent Facial Cutaneous Sinus Tract: A Clinical Case

Case Reports in Dentistry ◽

10.1155/2016/4639693 ◽

2016 ◽

Vol 2016 ◽

pp. 1-5

Author(s):

Resmije Ademi-Abdyli ◽

Feriall Perjuci ◽

Teuta Bicaj ◽

Yll Abdyli

Keyword(s):

Foreign Body ◽

Surgical Procedures ◽

Foreign Bodies ◽

Plain Radiograph ◽

Sinus Tract ◽

Surgical Removal ◽

Facial Soft Tissue ◽

Careful Clinical Examination ◽

Orofacial Region ◽

Cutaneous Sinus

The presence of an embedded foreign body in the oral and maxillofacial region is not unusual, but the impaction of a foreign body with vegetative nature is rare. Prompt diagnosis and surgical removal of these foreign bodies will minimize their associated complications. This case report presents a patient with recurrent submandibular abscess and persistent facial cutaneous sinus tract caused by a retained blade of grass inside the facial soft tissue. The fact that the plain radiograph misdiagnosed the presence of a foreign body meant that the pathology persisted for about three months, and the patient underwent hospitalization, surgical procedures, and antibiotic regimens; however all of these failed until the foreign body was detected and removed.Conclusion. To avoid misdiagnosis of foreign body presence in the orofacial region, notably suspected foreign bodies with low radiopacity, the clinician must perform careful clinical examination and use the ultrasonography. Also, in the uncertain cases where the pathology persists, despite having undertaken surgical procedures and antibiotic regimens, the clinician should pay more attention to the patient’s history which may suggest the presence of the foreign body.

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Obstructive Pneumonia With Bronchial Foreign Body: A Case Report

10.21203/rs.3.rs-331826/v1 ◽

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.

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A Case of Whistle as Foreign Body in Trachea

BioScientia Medicina ◽

10.32539/bsm.v6i1.434 ◽

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.

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Push Enteroscopy Guided Removal of a Sharp Foreign Body from the Midjejunum in a Child

Journal of Digestive Endoscopy ◽

10.1055/s-0040-1713489 ◽

2020 ◽

Vol 11 (02) ◽

pp. 170-172

Author(s):

Sridhar Sundaram ◽

Suprabhat Giri ◽

Biswaranjan Patra ◽

Harish Darak ◽

Shobna Bhatia

Keyword(s):

Small Intestine ◽

Foreign Body ◽

Foreign Bodies ◽

Pediatric Population ◽

Push Enteroscopy ◽

Foreign Body Removal ◽

Case Presentation ◽

Resource Limited ◽

Small Intestinal ◽

Sharp Foreign Body

Abstract Background The majority of foreign bodies entering the small intestine are passed spontaneously. However, in case of a sharp object, its removal is an urgency due to a higher risk of intestinal perforation, and endoscopic intervention is an appropriate management strategy as surgery is associated with greater morbidity. Although enteroscopy is the standard practice for the removal of a foreign body in the small intestine, gastroduodenoscopy may be used for small intestinal foreign body removal. Case Presentation We describe here the case of a 21-month-old child in whom a 5-cm, sharp-pointed nail in the midjejunum was removed successfully by a gastroduodenoscopy. This case highlights the difficulties in the removal of a sharp foreign body in a pediatric patient and the use of push enteroscopy. Conclusion Gastroduodenoscopy can be used for the removal of a foreign body in the small intestine in pediatric population in a resource-limited setup by performing push enteroscopy.

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Surgical Removal of Hearing Aid Earmold Impression Material in the Middle Ear

Ear Nose & Throat Journal ◽

10.1177/01455613211009129 ◽

2021 ◽

pp. 014556132110091

Author(s):

Hwabin Kim ◽

Sanghoon Kim ◽

Hye-Jin Park ◽

Sung-Won Choi

Keyword(s):

Foreign Body ◽

Middle Ear ◽

Inflammatory Reaction ◽

Hearing Aids ◽

Rare Case ◽

Foreign Bodies ◽

Surgical Removal ◽

Impression Material ◽

Tympanic Membrane Perforations ◽

Fitting Hearing Aids

When fitting hearing aids, patients are required to make an earmold impression material for device fixation. It usually causes no problems, although in rare cases, the earmold passes through the middle ear through tympanic membrane perforations. 1 – 3 Foreign bodies may cause a delayed inflammatory reaction and deterioration of aeration, especially in the Eustachian tube. Herein, we report a rare case of earmold impression material as a foreign body in the middle ear that required surgical removal.

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Eustachian Tube Foreign Body with Endoscopic-Assisted Surgical Removal

Case Reports in Otolaryngology ◽

10.1155/2019/5236429 ◽

2019 ◽

Vol 2019 ◽

pp. 1-4

Author(s):

Phillip R. Purnell ◽

Adam Bender-Heine ◽

Habib Zalzal ◽

Abdul R. Tarabishy ◽

Adam Cassis

Keyword(s):

Foreign Body ◽

Ct Scan ◽

Surgical Management ◽

Eustachian Tube ◽

Middle Ear ◽

Rare Case ◽

Foreign Bodies ◽

Surgical Removal ◽

Machine Shop ◽

Endoscopic Assistance

Objectives. Foreign bodies of the external and middle ear are not uncommon; however, foreign bodies in the eustachian tube are rare. Here we describe the presentation, imaging, and endoscopic-assisted surgical management of a case of eustachian tube foreign body. Methods. A 34-year-old male was seen for evaluation of foreign body of the left eustachian tube while working with metal at a machine shop. Imaging and surgical management are highlighted and review of available literature regarding foreign bodies of the eustachian tube is presented. Results. A CT scan revealed a foreign body present approximately 1 cm into the bony eustachian tube. The patient underwent middle ear exploration which required endoscopic assistance to adequately visualize the foreign body. The foreign body was unable to be removed and required the creation of a bony tunnel lateral to the eustachian tube for visualization and access to the foreign body. Conclusions. This report presents a rare case of eustachian tube foreign body. Use of the endoscope during the surgical removal greatly enhanced the ease and safety of removal. This report also highlights the importance of ear protection with any machining and welding work.

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