scholarly journals A Ferromagnetic Foreign Body at the Lateral Aspect of the Mandibular Ramus in a Medically Compromised Patient

2016 ◽  
Vol 10 (1) ◽  
pp. 390-394
Author(s):  
K Yamamoto ◽  
Y Nakayama ◽  
I Yamamoto ◽  
Y Matsusue ◽  
H Shimotsuji ◽  
...  

A case of a ferromagnetic foreign body in a medically compromised patient was reported. The patient was a 45-year-old male who consulted our department complaining of a foreign body accidentally impacted in the right cheek. X-ray examination revealed a foreign body at the lateral aspect of the right mandibular ramus. The removal of the foreign body was scheduled, but the patient did not return for the procedure. After 8 years he revisited our department for the removal of the foreign body, because it had been found to be ferromagnetic and a barrier to MRI examination. X-ray examination confirmed the foreign body was located at the same site as 8 years prior. Although the patient was suffering from liver cirrhosis with thrombocytopenia and leukopenia, the foreign body was successfully removed under general anesthesia. The foreign body was 12 × 5 × 1 mm, weighed 0.48 g, and was ferromagnetic. The patient’s postoperative course was uneventful. X-ray examination confirmed the removal of the foreign body. Since the surgery, the patient has been in generally stable condition with no complications. This case was a rare example of a foreign body that needed to be removed for medical examination.

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Mohammad Ashkan Moslehi ◽  
Mohammad Hadi Imanieh ◽  
Ali Adib

Foreign body aspiration (FBA) is a common incidence in young children. Leeches are rarely reported as FBA at any age. This study describes a 15-year-old female who presented with hemoptysis, hematemesis, coughs, melena, and anemia seven months prior to admission. Chest X-ray showed a round hyperdensity in the right lower lobe. A chest computed tomography (CT) demonstrated an area of consolidation and surrounding ground glass opacities in the right lower lobe. Hematological investigations revealed anemia. Finally, bronchoscopy was performed and a 5 cm leech was found within the rightB7-8bronchus and removed by forceps and a Dormia basket.


2018 ◽  
Vol 4 (2) ◽  
pp. 45
Author(s):  
Isnu Pradjoko ◽  
Chandra Jaya

Background: Aspiration of a tracheobronchial foreign body is a serious and fatal event. Progress in terms of prevention, first aid, and endoscopic technology, caused a decline of almost 20% of deaths from foreign body aspiration that occurred in the United States. Statistically, the percentage of foreign body aspirations based on their respective location is: 5% hypopharynx, 12% larynx-trachea, and 83% bronchus. Most cases of foreign body aspiration occur in children aged <15 years old; about 75% of foreign body aspirations occur in children aged 1-3 years. The female-to-male ratio is 1.4:1. Case: A 11-year-old boy swallowed needles while playing flashlight about 2 hours before coming to Pulmonary Emergency Room of Dr. Soetomo General Hospital. Discussion: Chest X-ray examination found a shadow of metal density projected in the right lung. Fiber optic bronchoscopy (FOB) was performed for diagnostic and therapeutic indication to see the presence of a foreign body in the airway and remove the foreign body, but failed. When the needle was extracted, the patient coughed that the needle bounces to the supramaxilla area. FOB with nasal cavity approach successfully extracted the corpus alienum. Conclusion: Corpus alienum of airway sometimes is difficult to extract. FOB with nasal cavity approach can be done to manage corpus alienum in the upper airway that moved from lower airway when FOB was performed.


2017 ◽  
Vol 2 (3) ◽  
pp. 194
Author(s):  
Yasuaki Mekaru ◽  
Ueda Gousei ◽  
Higa Tsutomu ◽  
Kouchi Masato ◽  
Tatetsu Masaharu ◽  
...  

Objective: Ameloblastic fibroma is an uncommon type of mixed odontogenic tumor. It is caused by the growth of the odontogenic epithelium and mesenchymal tissue and can have adverse effects on the formation of dental structures. It usually arises in the mandible, but cases involving the mandibular ramus are rare.Methods: Here, we report a case of ameloblastic fibroma in the right mandibular ramus involving a 15-year-old male patient. According to panoramic X-ray examinations, the tumor shrank spontaneously in the 3 years before surgery (from approximately 80mm×55mmto 50mm×25mm).Results: A histological evaluation revealed the proliferation of odontogenic epithelial tissue and mesenchymal elements. The Ki-67 index of the lesion was 0%.Conclusion: Cases of ameloblastic fibroma involving patients aged ≥ 22 years old are very likely to recur and undergo malignant changes.


2021 ◽  
Vol 14 (2) ◽  
pp. e240335
Author(s):  
Yuki Takigawa ◽  
Daisuke Mizuno ◽  
Norichika Iga ◽  
Nobukazu Fujimoto

A 46-year-old woman presented with a right pneumothorax at a regular medical examination during menstruation. The pneumothorax resolved without intervention; however, 6 months later, she was referred to our hospital due to chest pain and dyspnoea. A chest X-ray showed grade III pneumothorax and surgery was performed. During surgery, the patient was found to have pleural adhesions around the right upper lung, pores in the diaphragm and a blueberry spot in the pericardium. The margins of the upper lobe and diaphragm were covered with a polyglycolic acid sheet at the operation. Eight days after surgery, she was referred to our hospital again due to massive haemothorax. The reoperation suggested that the aforementioned blueberry spot in the pericardium was the source of bleeding. The spot was resected and shown to be oestrogen and progesterone receptor-positive, providing evidence of heterotopic endometriosis.


2020 ◽  
Vol 48 (6) ◽  
pp. 030006052092537
Author(s):  
Yin-Ming Huang ◽  
Shan-Wei Yang ◽  
Chun-Yu Chen ◽  
Chine-Jen Hsu ◽  
Wei-Ning Chang

Osteomyelitis from a retained foreign body should be included in the differential diagnosis of any osteolytic lesion of the foot. We report here a case of a 59-year-old man who presented with swelling over the dorsolateral aspect of the right foot. Plain x-ray showed an osteolytic lesion that mimicked a pseudotumor. Magnetic resonance imaging (MRI) showed multilocular fluid collection over the right cuboid with a hypointense lesion over the plantar fascia. The patient underwent surgery and a rubber fragment (1 cm × 0.8 cm) was removed from his foot that had been present for two years following a stabbing injury. The patient fully recovered without complication or disability.


2020 ◽  
Vol 48 (5) ◽  
pp. 030006052092537
Author(s):  
Songxiang Wang ◽  
Chaoyang Xu

The entry of a metallic foreign body into the thyroid gland via the esophagus is a rare occurrence, with no previously reported cases. We present a 42-year-old woman who was admitted to hospital with right-sided neck pain, reporting that she had inadvertently swallowed a fish bone. She underwent laryngoscopy, which showed no fish bone in the throat, and no obvious bleeding in the bilateral tonsils and pear-shaped fossa. X-ray examination showed a needle-shaped foreign body in the neck, and a computed tomography scan of her neck showed a 0.1-cm diameter, 2.0-cm long foreign body in the right thyroid. She underwent emergency surgery and a needle of the corresponding size was found in the thyroid gland. This case demonstrates the importance of adequate preoperative assessment and an appropriate surgical approach for thyroid metallic foreign bodies.


2011 ◽  
Vol 47 (6) ◽  
pp. e150-e155 ◽  
Author(s):  
William R. Crumley ◽  
Amy J. Rankin ◽  
Michael W. Dryden

An 8 wk old Scottish terrier was evaluated for a 2×2 cm mass located directly adjacent to the lateral canthus of the right eye. Examination revealed a well-developed Cuterebra larva at the lateral aspect of the orbital cavity, anchored at the lateral canthus. The larva was manually removed under general anesthesia, and the eyelid margin was repaired. Systemic and topical antibiotics along with systemic anti-inflammatory treatment were instituted. The lesion healed completely, revealing a normal functional right eye 10 days after removal of the Cuterebra larva. Careful manual removal of the larva is recommended along with correction of any resultant conformational defects. The remaining cavity can be left to heal; however, antibiotic therapy is recommended.


Reflection ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. 58-60
Author(s):  
Y.A. Lesnikova ◽  
◽  
D.V. Starikovskiy ◽  

The article presents a clinical case of May 2020. An 11-year old girl turned to the admission department of the regional children’s hospital with a suspected eyelid abscess. The day before she was seen by an ophthalmologist, parents refused from suggested abscess opening. According to anamnesis data, the girl got a strike in the upper eyelid of the right eye with a pen from herself at home. The girl and her parents could not tell exactly what was the pen like and was it whole after the strike or not. Initially an upper eyelid abscess of the right eye was diagnosed. During examination an eyelid wound, exotropia and limited adduction on the affected side, pronounced diplopia were found. Previously, the child was healthy.Anti-inflammatory, antibacterial therapy was prescribed. According to orbital computer tomography, tissue swelling, and gas accumulation were found in the right orbit. After three days of antibacterial therapy exotropia and diplopia have decreased. Limitation of the right eye adduction persisted. Wound revision with metal probe was performed which revealed a foreign body deep in the orbit. The foreign body had a limited approach, its exact location and dimensions were unknown. The girl underwent MRI of the orbits. A foreign body in the right orbit which was a ballpoint pen cap located between the medial wall of the orbit and medial rectus muscle was. An operation was performed. Eyelid wound was enlarged, and a foreign body was removed which was a cap and corpus fragments of a ballpoint pen. During the following rehabilitation period, diplopia and exophoria have completely disappeared, eyeball mobility was restored, and the girl was discharged after recovery. Diagnostics was difficult due to lack of anamnesis data; search of the foreign body was also difficult because plastic is an found X-ray negative material. Key words: orbital trauma; foreign body.


Author(s):  
Yiğit Şahin ◽  
Tülay Çardaközü ◽  
Hüseyin Fatih Sezer

Objective: Bronchoscopy is the gold standard in the diagnosis and treatment of tracheobronchial foreign body aspiration (TBFBA) in children. Rigid bronchoscopy (RB) under general anesthesia is generally preferred in children. In this article, our anesthesia experiences during rigid bronchoscopy performed for tracheobronchial foreign body aspiration and removal of foreign bodies in children are shared. Methods: The medical records of all patients aged between 0-18 years who underwent RB under general anesthesia due to suspicion of TBFBA between January 1, 2014 and December 31, 2018 were retrospectively analyzed. Results: TBFBA was more common in boys and organic foreign body aspiration was significantly higher in patients between 13-36 months of age. Patients most frequently presented with cough and wheezing. Most of them were operated between 8 am and 4 pm. TFBs were localized in the right and left main bronchi at a similar rate. Anesthesia induction was usually achieved with iv. propofol, total intravenous anesthesia and sevoflurane inhalation was administered for maintenance of anesthesia. Except for proximally located TBFBs, intermediate-or short-acting muscle relaxants were applied to most of the cases depending on the duration of the procedure. Three patients were intubated postoperatively and transferred to intensive care unit. Respiratory distress responded to medical treatment in 25 patients. No cardiac arrest or death occurred during the procedure. Conclusion: RB and anesthesia procedure for TBYCA requires experience. There is no clear recommendation about premedication, the use of muscle relaxants should be evaluated according to the localization of TBYC. In anesthesia management, intravenous or inhalation anesthetics can be used.


2020 ◽  
Vol 98 (8) ◽  
pp. 58-62
Author(s):  
L. V. Telegina ◽  
S. S. Pirogov ◽  
T. I.-A. Tazabaev ◽  
V. E. Khoronenko ◽  
A. S. Vodoleev ◽  
...  

Foreign bodies in the respiratory tract are rare in adults. Clinical manifestations include hemoptysis among other signs which requires the examination to detect tuberculosis and lung cancer. The article describes a clinical case that demonstrates the possibilities of endoscopic diagnostics and treatment in the patient with an X-ray negative foreign body (a cigarette filter) that has been in the lumen of the upper lobar bronchus of the right lung for a long time which caused inflammation in the blocked lobe and mimicking endoscopically central lung cancer.


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