Extremity Trauma: Foreign Bodies and Vascular Injury

2015 ◽  
Author(s):  
David A. Meguerdichian ◽  
John Eicken
Keyword(s):  
Foreign Body ◽  
Vascular Injury ◽  
Foreign Bodies ◽  
Significant Proportion ◽  
Ankle Brachial Index ◽  
Penetrating Trauma ◽  
Trauma Patients ◽  
Peripheral Vasculature ◽  
Extremity Trauma ◽  
Upper And Lower Extremities

It is important for physicians to be mindful of the possibility of a foreign body in the context of extremity trauma. Patients with foreign bodies may not suspect their presence, and a significant proportion of foreign bodies are missed by the initial treating physician. Trauma injuries to the peripheral vasculature can be divided into blunt and penetrating trauma, and can also be classified as occlusive or nonocclusive injuries. This review details the assessment and stabilization, diagnosis, treatment and disposition, and outcomes for patients with foreign body and vascular injuries. Figures show beside ultrasonography using a linear ray probe that demonstrates a foreign body wood splinter in soft tissue, the major arteries of the upper and lower extremities, and measurement of the ankle-brachial index in an injured limb with suspected vascular injury. Tables list supplies needed to perform bedside ultrasound-guided foreign body removal, steps to remove a foreign body under ultrasound guidance, hard and soft signs of arterial injuries, and high-risk orthopedic injuries and their commonly associated vascular injury. This review contains 4 figures, 4 tables, and 51 references.

Minimal sequelae of a missed large bamboo intraorbital foreign body traversing the orbit and infratemporal fossa: a case report

2019 ◽  
Author(s):  
Wei Wu ◽  
Hua Jiang ◽  
Mao-Xiao Yan
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Infratemporal Fossa ◽  
Emergency Operation ◽  
Trauma Patients ◽  
Case Presentation ◽  
Eye Trauma ◽  
Adjacent Structures ◽  
Life Threatening ◽  
External Wound

Abstract Background: Any ocular trauma involving the orbit may involve the adjacent structures and resulting in both sight-threatening and life-threatening injuries. Here we present a unique case of a missed large hollow bamboo in orbit traversing the orbit and infratemporal fossa with minimal sequelae. Case presentation: The patient is a 31-year-old farmer suffered an injury to his right eye. Although the external wound existed, the intraorbital foreign body was mis-diagnosed by the initial physician. After being admitted to our emergency room, the patient was underwent CT scan. Due to the large and hollow object, an intraorbital foreign body traversing the orbit and infratemporal fossa was detected easily. Emergency operation was performed immediately and the object was removed totally without any complication. Conclusion: The physician during the initial evaluation of eye trauma patients should take the history and physical examination extraordinarily carefully, and a CT or MRI scan may be recommended to prevent missing such foreign bodies in orbit. Once the diagnosis of such orbital foreign body is established, the object should be removed in time. Keywords: Bamboo; intraorbital foreign body; computed tomography; minimal sequelae.

Unrecognized Intracerebral Glass Particle Mimicking Cavernoma: Case Report

Neurosurgery ◽  
2006 ◽  
Vol 58 (1) ◽  
pp. E203-E203 ◽  
Author(s):  
Servet Inci ◽  
Ebru Karakoc ◽  
Serap Saygi ◽  
Tuncalp Ozgen
Keyword(s):  
Foreign Body ◽  
Head Injury ◽  
Foreign Bodies ◽  
Glass Particle ◽  
Trauma Patients ◽  
Intracranial Foreign Body ◽  
History Of ◽  
A Minor ◽  
New Onset

Abstract OBJECTIVE AND IMPORTANCE: Although the presence of a foreign body in the cranium after a head injury is a well-known entity, cases of retained intracranial foreign bodies causing a delayed onset of neurological symptoms are rare. To our knowledge, an unrecognized intracerebral glass particle mimicking a cavernoma has not been previously reported in the literature. CLINICAL PRESENTATION: We report a unique case regarding an intracranial foreign body. A 39-year-old patient presented with new-onset epilepsy. The patient had no history of trauma. According to the magnetic resonance imaging findings and the patient's clinical course, the responsible lesion was considered to be a temporal cavernoma. INTERVENTION: During the operation, surprisingly, a glass particle was found within the temporal lobe. The glass had penetrated the cranium during a minor head injury and had remained undetected for 33 years. The patient was seizure-free without medication during 3 years of follow-up. CONCLUSION: Intracranial small foreign bodies can be difficult to diagnose, especially in patients with no history or a vague history of head trauma. Patients with long-standing retained foreign bodies may remain clinically well until complications arise. Intracranial foreign bodies may mimic other pathologies clinically and radiologically.

scholarly journals Multiple Foreign Bodies in a 5-Year Old: Non-Accidental Trauma

2020 ◽  
Vol 17 (3) ◽  
Author(s):  
Mulewa Mulenga ◽  
Patricia Shinondo ◽  
Bruce Chikasa Bvulani
Keyword(s):  
Pattern Recognition ◽  
Foreign Body ◽  
Image Guidance ◽  
Foreign Bodies ◽  
Significant Proportion ◽  
Accidental Trauma ◽  
Need For Treatment ◽  
Surgical Services ◽  
Non Accidental Trauma ◽  
Staged Operations

Foreign bodies, a significant proportion of which are a result of non-accidental trauma, are common but under-reported. Pediatric foreign body injuries can be inconsequential, severe or even fatal, and cause long-lasting morbidity and the need for treatment and hospitalization. Evaluation of injury or death requires elements of detection, pattern recognition, interpretation and comparison, all based on clinical, radiological and forensic experience with normal and abnormal findings. We report an unusual and strange case of non-accidental trauma in a young child who presented to our surgical services with 44 sewing needles and wires in his body. The patient had specific characteristics or risks for abuse. His injuries were evaluated, recognized, documented and reported. He was treated for peritonitis and malnutrition and the foreign bodies removed using staged operations under image guidance. Patient’s recovery was uneventful. Keywords: Multiple foreign bodies, Trauma

scholarly journals An Unusual Pediatric Case of Allen Key Penetrating Trauma in Maxillofacial Region

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Feride Fatma Görgülü ◽  
Orhan Görgülü ◽  
Ayşe Selcan Koç ◽  
Fatma Yasemin Öksüzler
Keyword(s):  
Foreign Body ◽  
Ct Scan ◽  
Maxillary Sinus ◽  
Paranasal Sinus ◽  
Foreign Bodies ◽  
Penetrating Trauma ◽  
Endoscopic Examination ◽  
Maxillofacial Region ◽  
Pediatric Case ◽  
X Ray

Paranasal sinus (PNS) foreign bodies are not common. They are usually due to penetrating trauma and iatrogenic events. On imaging, radiopaque foreign bodies can easily be detected by X-ray views of PNS. CT scan may be necessary to evaluate the exact location of foreign body in some cases. Foreign body in the PNS should be removed as early as possible. Approach and technique of its removal depend upon its size, shape, and location. Nasal endoscopic examination can be helpful for these cases. We present a pediatric girl case of penetrating FB injury inserted into the maxillary sinus towards nasopharynx in a suddenly braking car.

scholarly journals Bullous Keratopathy Secondary to Anterior Chamber Angle Foreign Body

2019 ◽  
Vol 7 (24) ◽  
pp. 4311-4315
Author(s):  
Pham Ngoc Dong ◽  
Nguyen Thi Nga Duong ◽  
Le Xuan Cung ◽  
Duong Nguyen Viet Huong ◽  
Nguyen Dinh Ngan ◽  
...  
Keyword(s):  
Foreign Body ◽  
Anterior Chamber ◽  
Foreign Bodies ◽  
Corneal Edema ◽  
Endothelial Damage ◽  
Careful Examination ◽  
Bullous Keratopathy ◽  
Trauma Patients ◽  
Iridocorneal Angle ◽  
Serious Injury

BACKGROUND: Penetrating ocular trauma with intraocular foreign body is a serious injury often resulting in loss of vision. Anterior chamber foreign bodies account for a considerable portion of all cases of all intraocular foreign bodies (up to 15%); however, they can be missed due to inconspicuous location. CASE REPORT: We report two cases of retained intraocular foreign bodies in the iridocorneal angle that was missed at the first ophthalmic examination. They were only discovered when complications occurred, such as corneal edema and increased intraocular pressure. In the case whereby the foreign body was taken out early, corneal damages were reversible. However, in the case whereby the foreign body was taken out late, endothelial damage was irreversible and endothelial transplantation was needed. CONCLUSION: Regarding trauma patients, a careful examination should be performed to discover foreign bodies in the iridocorneal angle. If local peripheral corneal edema occurred, attention should be paid to the trauma history and to timely discovery of the foreign body. This will prevent any irreversible corneal damages.

A Large Bullet in the Bladder

Swiss Surgery ◽  
2001 ◽  
Vol 7 (3) ◽  
pp. 139-140 ◽  
Author(s):  
Halkic ◽  
Wisard ◽  
Abdelmoumene ◽  
Vuilleumier
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Gross Hematuria ◽  
Suprapubic Cystostomy ◽  
Laparoscopic Port ◽  
Urethral Trauma ◽  
Bullet Injury

All manner of foreign bodies have been extracted from the bladder. Introduction into the bladder may be through self-insertion, iatrogenic means or migration from adjacent organs. Extraction should be tailored according to the nature of the foreign body and should minimise bladder and urethral trauma. We report a case of a bullet injury to the bladder, which finally presented as a gross hematuria after remaining asymptomatic for four years. We present here an alternative to suprapubic cystostomy with a large bladder foreign body treated via a combined transurethral unroofing followed by removal using a grasper passed through a suprapubic laparoscopic port.

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

How we do it: impacted oesophageal foreign body removal using a dilatation balloon

2021 ◽  
pp. 1-3
Author(s):  
P D Chakravarty ◽  
T Kunanandam ◽  
G Walker
Keyword(s):  
Foreign Body ◽  
Granulation Tissue ◽  
Foreign Bodies ◽  
Fluoroscopic Guidance ◽  
Tertiary Referral ◽  
Foreign Body Removal ◽  
Novel Technique ◽  
Common Presentation ◽  
Reproducible Technique ◽  
Rigid Oesophagoscopy

Abstract Background Ingested foreign bodies are a common presentation to paediatric ENT services. Depending on the site, these are usually managed with flexible or rigid oesophagoscopy and retrieval. This paper presents a novel technique for removing a hollow foreign body that could not be removed using conventional means. Method and results After rigid and flexible approaches failed, a guidewire was passed through the foreign body under fluoroscopic guidance and a dilatation balloon passed through the lumen of the object. Inflating the balloon allowed dilatation of the inflamed mucosa above and below the object, facilitating straightforward removal under traction. Conclusion This is a novel and reproducible technique that uses equipment readily available in tertiary referral centres. Employed in this context, the technique enabled removal of an impacted object surrounded by granulation tissue, and would be appropriate for other objects with a lumen.

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.

Sign in / Sign up

Export Citation Format

Share Document