Spontaneous Expulsion of Ingested Foreign Bodies: Case Series and Review of Literature

Foreign body ingestion is a commonly seen event in emergencies, usually in children, psychiatric patients, chronic alcoholics, drug abusers and the elderly patients with poor fitting dentures as well as the mentally challenged individuals. While ingestion of foreign bodies into Gastrointestinal Tract (GIT) may be accidental (especially in children), or experimental (anal insertion by adults), it may be purely intentional as in smugglers of illicit drugs, jewels and other valuables so as to evade detection by the security. About, 90% of ingested foreign bodies pass through the gastrointestinal tract without complications, 1020% necessitate endoscopic removal, while only 1% of them will finally need surgical intervention. In clinical practice we often face the dilemma of choosing the appropriate treatment modality. We present five cases treated in the emergency ward of B P Koirala Institute of Health Sciences, Dharan, Nepal, emphasizing in a "waiting and close observation" policy. Among these cases, all expelled the foreign body spontaneously in their stool without any complications.Birat Journal of Health Sciences 2016 1(1): 78-82

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Unusual foreign body in the upper digestive tract: case report

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20181885 ◽

2018 ◽

Vol 4 (3) ◽

pp. 850

Author(s):

Snigdha Elaprolu ◽

Gowri Sankar Marimuthu ◽

Raghul Sekar ◽

Sunil Kumar Saxena

Keyword(s):

Case Report ◽

Gastrointestinal Tract ◽

Foreign Body ◽

Digestive Tract ◽

Foreign Bodies ◽

Psychiatric Patients ◽

Unusual Foreign Body ◽

Upper Digestive Tract ◽

Entire Gastrointestinal Tract

Unusual foreign bodies in the digestive tract are common in psychiatric patients and children requiring screening of the entire gastrointestinal tract. We here report two cases of unusual ingested blunt foreign body in the upper digestive tract managed differently.

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Gastric perforation secondary to ingestion of a plastic bag

Annals of The Royal College of Surgeons of England ◽

10.1308/rcsann.2016.0036 ◽

2016 ◽

Vol 98 (2) ◽

pp. e29-e30 ◽

Cited By ~ 1

Author(s):

YM Goh ◽

IM Shapey ◽

K Riyad

Keyword(s):

Clinical Practice ◽

Gastrointestinal Tract ◽

Foreign Body ◽

Foreign Bodies ◽

Gastric Perforation ◽

Foreign Body Ingestion ◽

Pathophysiological Process ◽

Common Presentation ◽

Plastic Bag ◽

Pass Through

Foreign body ingestion is a common presentation in clinical practice, seen predominantly in children. Most foreign bodies pass through the gastrointestinal tract without any additional morbidity. We present a case of gastric perforation secondary to the ingestion of a small plastic bag. We discuss the likely pathophysiological process underlying perforation secondary to plastic bag ingestion, which is most commonly associated with the concealment of narcotics.

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The Enigma in Management of Complicated Foreign Body Ingestion Impacted Distal to Oesophagus: A Case Series and Literature Review

10.21203/rs.3.rs-80657/v1 ◽

2020 ◽

Author(s):

Raymond Zhun Ming Lim ◽

Addy Aun Wei Ang ◽

Jih Huei Tan ◽

Ee Peng Lee ◽

Jun Loong Chiew ◽

...

Keyword(s):

Gastrointestinal Tract ◽

Foreign Body ◽

Conservative Management ◽

Foreign Bodies ◽

Case Series ◽

Management Approach ◽

Luminal Diameter ◽

First Case ◽

Surgical Extraction ◽

Schizophrenic Patients

Abstract BackgroundIngestion of foreign bodies leading to impaction at the pharynx and oesophagus have been extensively described in English literatures. However, impactions at the gastrointestinal tract distal to the oesophagus are less commonly encountered due to the more capacious luminal diameter as it approaches the stomach. While intentional foreign body ingestions impacted distal to the oesophagus are often more complicated, literatures on the management of these distal oesophageal impactions are scarce. Case presentationWe present five cases of foreign body impaction at varying sites of gastrointestinal tract beyond the oesophagus, contrasting management approach comparing the role of endoscopy, open surgery and conservative management. Cases presented include patients aged 40 to 70 with intentional foreign bodies ingestion. The first case described a cerebral palsy patient with pica who had to undergo difficult evacuation under anaesthesia followed by colonoscopy; the second and third cases presented two different schizophrenic patients with two differing management approach. The second case was managed with multiple operations due to complications and died eventually, making the only mortality in our case series; whereas the third case was managed conservatively with acceptable outcome after multiple laparotomies prior. Fourth and fifth cases described two body packers who swallowed tobacco and two phones, respectively; the former was uneventfully managed conservatively, the latter, had to undergo surgical extraction. Individualized approach to these distal impactions of ingested foreign bodies are described with a review of available literatures which are tabulated and discussed in this case series. ConclusionEndoscopy, surgery, conservative management and sometimes a combination of approaches are utilised for the management of foreign bodies impacted distal to the oesophagus, especially in complex and recurrent cases. Decision, timing and approach of extraction must be individualised with consideration of risk weighed against the benefit of each intervention over the other.

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Hoarseness of Voice: Presentation of Neglected Denture Esophagus

International Journal of Prosthodontics and Restorative Dentistry ◽

10.5005/jp-journals-10019-1072 ◽

2013 ◽

Vol 3 (1) ◽

pp. 30-32

Author(s):

Sunil Kumar ◽

Devendra Bahadur Singh

Keyword(s):

Gastrointestinal Tract ◽

Foreign Body ◽

Foreign Bodies ◽

Adult Population ◽

Life Threatening ◽

Pass Through ◽

Esophageal Foreign Bodies

ABSTRACT Aspiration or ingestion of a foreign body is well-known in the pediatric as well as in the adult population. The majority of esophageal foreign bodies pass through the gastrointestinal tract without causing complications. However, large sharp foreign bodies like dentures and meat bones can get deeply embedded in the wall leading to life-threatening complications. We report a case of a neglected denture in a 55-year-old patient who presented with an unusual complaint as hoarseness of voice and was removed with the help of rigid esophagoscope. How to cite this article Kumar S, Singh DB. Hoarseness of Voice: Presentation of Neglected Denture Esophagus. Int J Prosthodont Restor Dent 2013;3(1):30-32.

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A RARE CASE OF INTESTINAL OBSTRUCTION CAUSED BY A FOREIGN BODY (HYDROGEL BALL) IN AN 11 MONTHS OLD CHILD

Russian Journal of Pediatric Surgery ◽

10.18821/1560-9510-2019-23-1-48-49 ◽

2019 ◽

Vol 23 (1) ◽

pp. 48-49

Author(s):

A. N. Smirnov ◽

M. A. Pronichev ◽

Nadezhda B. Kireeva ◽

N. M. Ganyushkin

Keyword(s):

Surgical Treatment ◽

Gastrointestinal Tract ◽

Foreign Body ◽

Intestinal Obstruction ◽

Clinical Picture ◽

Rare Case ◽

Foreign Bodies ◽

Clinical Observation ◽

Acute Intestinal Obstruction ◽

Pass Through

In children, foreign bodies of the gastrointestinal tract (GIT) are common, 80-90% of them pass through the GIT without any problem. However, in some cases the clinical picture of peritonitis, intestinal obstruction, bleeding develops, which requires surgical treatment. Described in the article the clinical observation of acute intestinal obstruction in an 11-month-old child, after he has swallowed a hydrogel ball, will be useful for practicing pediatric surgeons.

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Problem of Foreign Body in GI Tract

The Scientific World JOURNAL ◽

10.1100/2011/761796 ◽

2011 ◽

Vol 11 ◽

pp. 2147-2149

Author(s):

Yahya Daneshbod ◽

Abdolrasoul Talei ◽

Shahrzad Negahban ◽

Hossein Soleimanpour ◽

Azita Aledavoud ◽

...

Keyword(s):

Gastrointestinal Tract ◽

Foreign Body ◽

Foreign Bodies ◽

Daily Practice ◽

Gi Tract ◽

Major Operation ◽

Ingested Foreign Body ◽

Pass Through ◽

Gastrointestinal Neoplasm

Most foreign bodies pass through the gastrointestinal tract uneventful. We report of a case of inadvertently ingested foreign body, which by endoscopy simulated a polyp and on biopsy reported as cancer, so the patient underwent an unnecessary major operation. This report emphasizes the importance of resemblance of foreign bodies with gastrointestinal neoplasm, and endoscopists, surgeons and pathologists should consider this entity in their daily practice.

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Endoscopic Management of Foreign Bodies in the Gastrointestinal Tract: A Review of the Literature

Gastroenterology Research and Practice ◽

10.1155/2016/8520767 ◽

2016 ◽

Vol 2016 ◽

pp. 1-6 ◽

Cited By ~ 20

Author(s):

Mikhael Bekkerman ◽

Amit H. Sachdev ◽

Javier Andrade ◽

Yitzhak Twersky ◽

Shahzad Iqbal

Keyword(s):

Gastrointestinal Tract ◽

Foreign Body ◽

Foreign Bodies ◽

Clinical History ◽

Foreign Body Ingestion ◽

Endoscopic Management ◽

Geriatric Population ◽

Diagnostic Endoscopy ◽

Common Diagnosis ◽

Pass Through

Foreign body ingestion is a common diagnosis that presents in emergency departments throughout the world. Distinct foreign bodies predispose to particular locations of impaction in the gastrointestinal tract, commonly meat boluses in the esophagus above a preexisting esophageal stricture or ring in adults and coins in children. Several other groups are at high risk of foreign body impaction, mentally handicapped individuals or those with psychiatric illness, abusers of drugs or alcohol, and the geriatric population. Patients with foreign body ingestion typically present with odynophagia, dysphagia, sensation of having an object stuck, chest pain, and nausea/vomiting. The majority of foreign bodies pass through the digestive system spontaneously without causing any harm, symptoms, or necessitating any further intervention. A well-documented clinical history and thorough physical exam is critical in making the diagnosis, if additional modalities are needed, a CT scan and diagnostic endoscopy are generally the preferred modalities. Various tools can be used to remove foreign bodies, and endoscopic treatment is safe and effective if performed by a skilled endoscopist.

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Deodorant aerosol spray can in the rectum: a potential fire hazard during surgery

BMJ Case Reports ◽

10.1136/bcr-2020-241538 ◽

2021 ◽

Vol 14 (5) ◽

pp. e241538

Author(s):

Sivaraman Kumarasamy ◽

Lileswar Kaman ◽

Azhar Ansari ◽

Amarjyoti Hazarika

Keyword(s):

Foreign Body ◽

Surgical Procedures ◽

Foreign Bodies ◽

Fire Hazard ◽

Psychiatric Patients ◽

Young Male ◽

Energy Devices ◽

Aerosol Spray ◽

Rectal Foreign Bodies ◽

Fire And Explosion

Rectal foreign bodies are not uncommon and often pose a serious challenge to surgeons. In majority, the objects are inserted by self in children, psychiatric patients and for sexual gratification in adults. Various rectal foreign bodies have been reported. Deodorant aerosol spray can in the rectum has not been reported previously. Danger of aerosol dispenser can is the risk of fire and explosion. Especially during any surgical procedures to remove the foreign body using cautery or any energy devices. We report of a rare foreign body of deodorant aerosol spray can in the rectum in a young male patient, which was removed under general anaesthesia.

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Endoscopic management of foreign bodies in the upper gastrointestinal tract

International Surgery Journal ◽

10.18203/2349-2902.isj20174105 ◽

2017 ◽

Vol 4 (10) ◽

pp. 3277

Author(s):

Pramod Mirji ◽

Vikas Daddenavar ◽

Eshwar Kalburgi

Keyword(s):

Gastrointestinal Tract ◽

Foreign Body ◽

Foreign Bodies ◽

Flexible Endoscopy ◽

Definitive Treatment ◽

Endoscopic Management ◽

Food Bolus Impaction ◽

Bolus Impaction ◽

Age Range ◽

Upper Gastrointestinal

Background: Foreign body ingestion and food bolus impaction is a common clinical scenario and can present as an endoscopic emergency. Though majority of them pass spontaneously 10-20% require endoscopic intervention. Flexible endoscopy is recommended as therapeutic measure with minimal complications. The aim of our study is to present 2 years’ experience in dealing with foreign bodies in the upper gastrointestinal tract.Methods: Cases of foreign body (FB) ingestion admitted to department of general surgery from January 2015 to December 2016 were evaluated. The patients were reviewed with details on age, sex, type of FB, its location in gastrointestinal tract, treatment and outcome.Results: A total of 23 cases were studied. Age range was 2-75 years. Males were predominant (60.87%). Coins were found most commonly (52.17%). Esophagus was the commonest site of FB lodgment (65.22%). Upper esophagus being the most common (39.13%). Upper gastrointestinal flexible endoscopy was useful in retrieving FB in all the 23 cases. There were no complications throughout the study period.Conclusions: Flexible endoscopy should be used as definitive treatment and endoscopic treatment is safe and effective.

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Tracheo-bronchial foreign bodies: our experience at a tertiary care hospital

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20161848 ◽

2016 ◽

Author(s):

Shashidhar S. Suligavi ◽

Mallikarjun N. Patil ◽

S. S. Doddamani ◽

Chandrashekarayya S. Hiremath ◽

Afshan Fathima

Keyword(s):

Foreign Body ◽

Early Diagnosis ◽

Foreign Bodies ◽

Tertiary Care ◽

Case Series ◽

Team Work ◽

Care Hospital ◽

Retrospective Case ◽

Presenting Symptoms ◽

Case Series Study

Background:Tracheo- bronchial foreign bodies have always posed a challenge to the ENT surgeon as they present with varied symptomatology ranging from a simple cough and fever to more grave respiratory distress. It requires a strong suspicion, early diagnosis and timely intervention to reduce the overall morbidity and mortality .This study was undertaken to highlight our experiences in handling cases of tracheo- bronchial foreign bodies (FB) at our setup.Methods:It is a retrospective case series study conducted in S. Nijalingappa Medical College between January 2011 and January 2015. Results:Most commonly affected were children between 1year to 3years of age. Chronic cough and wheeze were the commonest presenting symptoms. Vegetative foreign body was found to be the commonest variety of foreign body. The mortality rate in our study was 4.7% (n=3).Conclusions:A good clinical acumen, team work, early diagnosis and timely intervention are all needed to reduce the overall mortality and morbidity associated with tracheo- bronchial foreign bodies.

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