scholarly journals Foreign Body in Duodenum Mimicking a Duplication Cyst on Imaging

2016 ◽  
Vol 7 (5) ◽  
pp. 35 ◽  
Author(s):  
Aditya Pratap Singh ◽  
Vinay Mathur ◽  
Ramesh Tanger ◽  
Arun Kumar Gupta ◽  
Ayush Kumar
Keyword(s):  
Foreign Body ◽  
Duplication Cyst ◽  
Differential Diagnoses ◽  
Age Group ◽  
Radiological Imaging ◽  
Paediatric Age

Paediatric age group is most vulnerable for the accidental foreign body (FB) ingestion which may go unnoticed. These patients present with symptoms or complications as a result of FB and may mimic other conditions on various investigations. We describe a 9-month old infant who ingested crystal gel ball and presented with vomiting for a month. On radiological imaging it was interpreted as duplication cyst of the duodenum. At operation, crystal gel ball was retrieved. Our case vindicates importance of keeping various possibilities in mind as differential diagnoses during evaluation and management of surgical ailments such as the duplication cyst of duodenum.

scholarly journals Upper Airway Obstruction among the Paediatric Population in the University of Port Harcourt Teaching Hospital: The Place of Tracheostomy in the Management

2020 ◽  
pp. 46-52
Author(s):  
M. U. Ibekwe ◽  
Paul Ni
Keyword(s):  
Foreign Body ◽  
Airway Obstruction ◽  
Teaching Hospital ◽  
Upper Airway ◽  
Foreign Body Aspiration ◽  
Upper Airway Obstruction ◽  
Age Group ◽  
Respiratory Difficulty ◽  
Port Harcourt ◽  
Paediatric Age

Background: The paediatric age group has very peculiar anatomic and physiologic airways therefore, obstruction which commonly occurs in this population, can pose serious challenges in this age group. Aim: To study the pattern and aetiology of acute upper airway obstruction in the paediatric age group in University of Port Harcourt teaching hospital and to determine the place of tracheostomy in the management. Patients and Methods: It is a descriptive hospital based study of all paediatric patients; aged 0-15 years with upper airway obstruction that presented to the ear, nose and throat department and the children emergency ward of university of Port Harcourt teaching hospital within the period of January 2014 to December 2019. Data on demographics, clinical presentations, causes and management were obtained using a Proforma. The diagnosis of upper airway obstruction is made in a child with any degree of respiratory difficulty with or without associated stridor or stertor arising from lesions above the thoracic inlet. Children with respiratory difficulty other than that from an upper airway obstruction were excluded from the study. Data obtained were analyzed with the IBM statistical package for social sciences SPSS version 20. Results were presented in simple descriptive forms with tables. Results: One hundred and sixty paediatric patients with upper air way obstruction with age ranging from 0-15 years were studied. The prevalence of upper airway obstruction was 1.87%. There were more males than females; male to female ratio was 1.2:1. Age group 4-7 years were the most affected, 43.75%. Foreign body aspiration was the commonest cause. Majority of the patients had tracheostomy done, 48.75%. Mortality was n=1(0.625%). Conclusion: Upper air way obstruction among the paediatric age group is still common with foreign body aspiration as a very important cause in our setting. The very young are the most affected and tracheostomy appears to still be the main option of securing airway in these cases in our environment.

scholarly journals A retrospective clinical study and management of ingested Indian currency coin found in the oesophagus among paediatric age group

2019 ◽  
Vol 5 (6) ◽  
pp. 1601
Author(s):  
Sudhakar Rao M. S. ◽  
Deepak Karade
Keyword(s):  
Foreign Body ◽  
Macintosh Laryngoscope ◽  
Plain Radiograph ◽  
Neck Surgery ◽  
Preschool Age ◽  
Age Group ◽  
Medical Sciences ◽  
Retrospective Clinical Study ◽  
Paediatric Age ◽  
Procedural Time

<p class="abstract"><strong>Background:</strong> Foreign body ingestion is a common event in children and carries significant morbidity and mortality. Indian currency coins are found to be the common ingested foreign bodies hence, to be treated accordingly.</p><p class="abstract"><strong>Methods:</strong> A 7 years retrospective review of 133 children diagnosed, admitted and managed for “ingested Indian currency coin” between January 2011 to December 2017 in the Department of Oto-rhino-laryngology and Head and Neck surgery, Vijayanagar Institute of Medical Sciences, Ballari, Karnataka, India. A plain radiograph of the relevant views of neck and chest were taken to identify the foreign body.  </p><p class="abstract"><strong>Results:</strong> There were 80 (60.2%) males and 53 (39.8%) females, ranging in age from 6 months to 15 years. Most of the patients 98 (73.7%) presented within 12 hours of the coin ingestion. 109 patients presented with one or more symptoms, common being vomiting 83 (62.4%). Coin was located mostly at the cricopharynx 111 (83.5%). Coin removal was possible using Macintosh laryngoscope and Magill’s forceps in 106 (79.7%) patients, and 27 (20.3%) patient’s required rigid oesophagoscope.</p><p class="abstract"><strong>Conclusions:</strong> Indian currency coin ingestion is commonly found in cricopharyngeal area of the oesophagus among preschool age group. The duration of retention of the foreign body, procedural time, hospital stay of the patient, diameter of the coin in both the genders have no impact on clinical outcome on retrieval of them.</p>

scholarly journals Peg pin in the duodenum of a four year old child: A Case report

2021 ◽  
Vol 48 (1) ◽  
pp. 39-42
Author(s):  
Ahmad B Kumo ◽  
Manko Muhammad ◽  
Habib Balarabe
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
The Body ◽  
Age Group ◽  
Endoscopic Removal ◽  
Foreign Objects ◽  
Paediatric Age

Ingestion of foreign body occurs commonly in the paediatric age group particularly between 6 months and 5 years of age.1 Most ingested foreign objects pass smoothly through the oesophagus, into the stomach and are expelled from the body without complications. However, 10% –20% will require endoscopic removal to avoid complications. We present the endoscopic removal of a peg pin in the duodenum of a four-year-old child.

scholarly journals INTESTINAL OBSTRUCTION IN PAEDIATRIC AGE GROUP DUE TO FOREIGN BODY INGESTION

2018 ◽  
Vol 7 (04) ◽  
pp. 548-549
Author(s):  
Pankaj Kumar Saunakiya ◽  
Satendra Rajput ◽  
Santosh Kumar Saroj ◽  
Santvir Singh ◽  
Rajkumar Verma
Keyword(s):  
Foreign Body ◽  
Intestinal Obstruction ◽  
Foreign Body Ingestion ◽  
Age Group ◽  
Paediatric Age

scholarly journals Multiple foreign body aspiration: a case report

2020 ◽  
Vol 16 (3) ◽  
pp. 325-328
Author(s):  
Aranjit Singh Randhawa ◽  
◽  
Norhafiza Mat Lazim ◽  
Khairul Bariah Noh ◽  
Irfan Mohamad ◽  
...  
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Tracheobronchial Tree ◽  
Foreign Body Aspiration ◽  
High Morbidity ◽  
Age Group ◽  
Delay In Diagnosis ◽  
Cardiopulmonary Complications ◽  
Paediatric Age ◽  
Group A

Foreign body in the tracheobronchial tree is an emergency commonly affecting the paediatric age group. A delay in diagnosis and removal may cause high morbidity and mortality. We report a case of a 1-year-6-month-old presenting with multiple peanuts aspirated into both lungs, ultimately resulting in death due to cardiopulmonary complications. The aim of the case report is to highlight the importance of thorough history-taking from parents, intraoperative suspicion of more than a single aspirated foreign body, and meticulous measurements taken to minimise extraction time.

scholarly journals A Cross Sectional Study on Imaging of Paediatric Intra-Abdominal Cystic Lesions

2021 ◽  
Vol 8 (03) ◽  
pp. 157-161
Author(s):  
Sreelaxmi Aitipamula ◽  
Veena Madireddy ◽  
Vijaya Kumari Mudunoor ◽  
Baranitharan S
Keyword(s):  
Cross Sectional Study ◽  
Duplication Cyst ◽  
Radiology Department ◽  
Imaging Features ◽  
Cystic Lesions ◽  
Age Group ◽  
Cross Sectional ◽  
Paediatric Age ◽  
Abdominal Lesions

BACKGROUND Abdominal cystic lesions are not so uncommon in the paediatric age group. Ultrasonography (USG) is the initial investigation of choice for detection of lesions. Computed tomography (CT) and magnetic resonance imaging (MRI) further compliment the findings of USG and help in the final diagnosis of various abdominal lesions in this age group. Because of the overlap in imaging features, histologic analysis is usually necessary to establish a diagnosis. The major role of the radiologist is to document the cystic nature of these abdominal masses and to determine the origin. Our aim was to study the incidence of cystic abdominal lesions in the paediatric age group and role of imaging in the diagnosis of various types of cystic lesions. METHODS This is a cross sectional study of 60 children who have been referred to radiology department with abdominal symptoms, over a period of 18 months (from April 2018 to September 2019) in Niloufer hospital, Hyderabad. Children suspected to have abdominal lesions have been referred to radiology department. USG is the initial investigation done and further CT / MRI has been done according to the findings on USG. Paediatric patients of age day 1 to 12 years, both male and female suspected to have abdominal cystic lesions either clinically or sonologically have been included in the study. Retroperitoneal lesions are excluded from study. RESULTS Out of the 60 patients studied, 44 patients were females and the rest were males. The most affected age group was between 0 - 1 year which constituted to 50 percent of the total cases studied. The most common pathologies are ovarian cyst and duplication cyst which constituted about 49 % of the cases. Statistical significance has been observed between the gender and incidence of cystic lesions. CONCLUSIONS Imaging plays a key role in the evaluation of various types of cystic lesions in the paediatric age group and arrive at a particular diagnosis based on specific imaging features. The radiologist must consider patient age, clinical parameters and imaging findings to formulate the likely diagnosis of cystic lesions. USG being cost effective, widely available and with no risk of radiation has been chosen as the first modality for investigation. KEYWORDS Cystic Lesions, USG, CT / MRI, Ovarian Cyst, Enteric Duplication Cyst

scholarly journals Small bowel perforation secondary to foreign body ingestion mimicking appendicitis: a case report

2021 ◽  
Vol 8 (9) ◽  
pp. 2807
Author(s):  
Bijit B. Medhi ◽  
P. D. Gupta ◽  
Fahad Tauheed ◽  
Vikram Singh Chauhan
Keyword(s):  
Foreign Body ◽  
Small Bowel ◽  
Bowel Perforation ◽  
Clinical Manifestations ◽  
Medical Procedure ◽  
Age Group ◽  
Foreign Object ◽  
Small Bowel Perforation ◽  
Pediatric Age Group ◽  
Paediatric Age

Admittance in the emergency room with complaints of acute abdominal pain is a common scenario. Patients who see the doctor due to foreign object ingestion present transitory symptomatology. In most cases, foreign object ingestion in adults is accidental, although it may be linked to physiological, anatomical, mechanical, social and psychiatric factors. The frequency of voluntarily ingested objects is higher among children and teenagers than in any other age group. Few people go to the doctor because of persistent clinical manifestations or secondary manifestations of previous complications. In most cases, the foreign body is found incidental to another medical procedure. Here we report a case of small bowel perforation due to ingestion of a sharp foreign body in a 2 years old child. We further elaborate that how, in paediatric age group these conditions are frequently misdiagnosed and usually present late to us. Hence, the increasing need and importance of a thorough pre-op workup, especially in the pediatric age group.

scholarly journals Massive epistaxis secondary to an impacted rhinolith in mentally disabled patient

2020 ◽  
Vol 6 (2) ◽  
pp. 391
Author(s):  
Nikma Fadlati Binti Umar ◽  
Ramiza Ramza Ramli
Keyword(s):  
Foreign Body ◽  
Middle Turbinate ◽  
Age Group ◽  
Disable Patient ◽  
Mentally Disabled ◽  
The Past ◽  
Paediatric Age ◽  
History Of ◽  
The Right ◽  
Multiple Episodes

<p class="abstract">Foreign body nose commonly seen in paediatric age group. In mentally disable patient this may occur and become asymptomatic for many years. We reported mentally disable patient presented with massive epistaxis and history of multiple episodes of foul-smelling discharge from his right nose for the past 20 years. After epistaxis resolved during nasal endoscopy noted impacted rhinolith foreign body in between the septum and the right middle turbinate. Rhinolith successful removed using bent tip of Jobson-Horne probe in otorhinolaryngology, head and neck clinic.</p>

scholarly journals Unilateral rhinorrhoea and button battery: a case report

2019 ◽  
Vol 7 (3) ◽  
pp. e000137
Author(s):  
Geng Ju Tuang ◽  
Nik Roslina Nik Hussin ◽  
Zainal Azmi Zainal Abidin
Keyword(s):  
Case Report ◽  
General Practitioner ◽  
Foreign Body ◽  
Nasal Discharge ◽  
Age Group ◽  
Septal Perforation ◽  
Button Battery ◽  
X Ray ◽  
Paediatric Age ◽  
Endoscopic Retrieval

Unilateral rhinorrhoea in the paediatric age group could be an alarming sign that warrants a clinician attention. These patients are routinely brought to see general practitioner as parents may not be aware of the urgency to intervene surgically. Herein we describe a case of a toddler who presented initially to a general practitioner with unilateral nasal discharge. He was subsequently referred to the otorhinolaryngology department for unresolved rhinitis. The child was examined, and the diagnosis of an embedded foreign body was made. X-ray of the paranasal sinus unveiled an embedded button battery. An emergency endoscopic retrieval of the button battery was performed under general anaesthesia. Unfortunately, the case was complicated with a huge septal perforation.

Sign in / Sign up

Export Citation Format

Share Document