scholarly journals Drug ampoules in rectum: Lucky co-incidental finding in emergency department of eastern Nepal

2017 ◽  
Vol 13 (3) ◽  
pp. 185-187
Author(s):  
Saroj Giri ◽  
R Gupta ◽  
R Bhandari ◽  
S Chaudhuri
Keyword(s):  
Emergency Department ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Incidental Finding

Background: Rectal foreign body is uncommon in emergency usually presenting after failure to remove the object manually or with other complications.Case: Twenty two years male in emergency department presented with rectal  leeding following a manual attempt to remove drug ampoules from rectum.Conclusion: In an unexplained rectal bleed, foreign bodies could be a pitfall.Health Renaissance 2015;13(3): 185-187

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.

scholarly journals A Rare Incidental Finding of a Foreign Body in the Nasopharynx during Adenotonsillectomy

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Waleed M. Alshehri ◽  
Bandar Al-Qahtani
Keyword(s):  
Health Care ◽  
Foreign Body ◽  
Unusual Case ◽  
Foreign Bodies ◽  
Incidental Finding ◽  
Aerodigestive Tract ◽  
Health Care Practitioners

Diverse foreign bodies may become lodged in the aerodigestive tract, and the discovery of such foreign bodies is an expected scenario for health-care practitioners. The foreign body insertion may be accidental or deliberate, and the object may be organic or inorganic. Most accidental foreign body aspirations occur in children, and some such cases are potential threats that go unnoticed. Very few cases of foreign bodies in the nasopharynx have been reported. Herein, we describe an unusual case in which a foreign body in a child’s nasopharynx went unnoticed for 1 year and was detected intraoperatively.

scholarly journals Unusual case of mobile phone simulation SIM card’s outer case ingestion: wedged at laryngeal surface of epiglottis

2019 ◽  
Vol 5 (2) ◽  
pp. 514
Author(s):  
Rachna Dhingra ◽  
Jai Lal Davessar ◽  
Shruti Sharma ◽  
Kanwalpreet Kaur
Keyword(s):  
Emergency Department ◽  
Foreign Body ◽  
Mobile Phone ◽  
Unusual Case ◽  
Foreign Bodies ◽  
Pediatric Population ◽  
Title Page ◽  
Common Occurrence ◽  
Accidental Ingestion ◽  
Emergency Department Attendance

<div class="page" title="Page 2"><div class="layoutArea"><div class="column"><p class="abstract">Accidental ingestion of foreign bodies in the pediatric population is usually small pieces from toys or other household objects and subsequent emergency department attendance is a common occurrence. Here we describe an unusual case of accidental swallowing where the foreign body is outer case of mobile phone simulation (SIM) card.</p></div></div></div>

Airway Foreign Bodies

2020 ◽  
pp. 155-160
Author(s):  
C. Anthoney Lim ◽  
Rachel Whitney ◽  
Jeremy M. Rose
Keyword(s):  
Emergency Department ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Operative Management ◽  
Treatment Modalities ◽  
Foreign Body Removal ◽  
Life Threatening ◽  
Airway Foreign Body ◽  
Emergent Airway Management ◽  
Physical Findings

The presentation of an airway foreign body can range from benign to truly life-threatening. Respiratory tract obstruction from an airway or esophageal foreign body is relatively rare but remains a leading cause of morbidity and mortality among children. This chapter discusses the evaluation and management for inhaled and aspirated foreign bodies in the upper aerodigestive and lower respiratory tracts. Using anatomical areas as a systematic approach, common presentations, physical findings, and diagnostic workup including imaging options are reviewed. Treatment modalities including emergent airway management and foreign body removal are discussed, with a focus on procedures that can be performed in an emergency department setting and indications for operative management.

scholarly journals Management of Foreign Bodies in Throat: An Emergency Department's Perspective

2002 ◽  
Vol 9 (3) ◽  
pp. 126-130 ◽  
Author(s):  
Hs Chiu ◽  
Ch Chung
Keyword(s):  
Emergency Department ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Cost Effective ◽  
Endoscopic Examination ◽  
Chief Complaint ◽  
Emergency Physicians ◽  
Retrieval Method ◽  
Fish Bones ◽  
Short Period

Objectives To review the share of emergency physicians and surgeons in the removal of foreign bodies in throat, and to revisit the concept of home observation and elective endoscopic examination for this group of patients. Design Retrospective study for a five month period. Setting Public general hospital with emergency and surgical departments. Population All patients attending the emergency department from 1st January 1999 to 31st May 1999 with a diagnosis or chief complaint of foreign body in throat or foreign body ingestion. Main outcome measures Success rate of foreign body retrieval, method of removal, specialty and patient outcome. Results 79.8% of the foreign bodies were fish bones. Eighty-nine percent foreign bodies was removed by direct laryngoscopy in the emergency department, 6.7% by emergency physicians in the endoscopy unit as outpatients and 4.3% by surgeons after admission. Conclusion In the absence of frank clinical or radiological sign, a short period of home observation before proceeding to elective oesophagogastro-duodenoscopy (OGD) assessment may be helpful as well as cost-effective. This policy screens out some unnecessary instrumentation, without increasing the rate of complications. As emergency physicians remove the majority of foreign bodies, their expanded involvement on an ambulatory basis is both reasonable and feasible.

Ingested foreign bodies – a contemporary management approach

1995 ◽  
Vol 109 (10) ◽  
pp. 965-970 ◽  
Author(s):  
Michael Chi Fai Tong ◽  
John Kong Sang Woo ◽  
Cheuk Lun Sham ◽  
Charles Andrew Van Hasselt
Keyword(s):  
Emergency Department ◽  
Foreign Body ◽  
Prospective Study ◽  
Foreign Bodies ◽  
Management Approach ◽  
Modern Equipment ◽  
Accident And Emergency ◽  
Accident And Emergency Department ◽  
Contemporary Management ◽  
A Prospective Study

AbstractA prospective study of all foreign body complaints presenting through our Accident and Emergency Department was conducted in a population where the condition is endemic. All patients were managed by otolaryngologists. Six hundred and eight patients were attended to yielding 179 foreign bodies. Making use of modern equipment and a practical approach, the requirement for examination under general anaesthesia was 6.3 per cent. In this series there was a complication rate of 0.5 per cent.

scholarly journals Rectal foreign body: a case report

2017 ◽  
Vol 4 (3) ◽  
pp. 1119
Author(s):  
Robin George Cheereth ◽  
George Abraham Ninan
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Foreign Body ◽  
Computerized Tomography ◽  
Anal Incontinence ◽  
Foreign Bodies ◽  
Primary Repair ◽  
Abdominal Radiographs ◽  
Early Decision ◽  
Emergent Laparotomy

Colorectal foreign bodies are infrequently encounteredand present a dilemma for management. The diagnosis may be confirmedby plain abdominal radiographs and rectal examination, butabdominal computerized tomography with 3-D reconstruction can be decisive in thefurther management and must be advised without reconsideration. Transanal removal is only possible for very low-lying objects, while patients with high-lying foreign bodiesusually require anoperative intervention. An early decision of laparotomy should only be madeafter subjecting the patient to suitable investigations to determineexactly the localization of the object, in order toavoid any inadvertent damage to the adjoining vasculatureas well as anal incontinence. We report the case of a youngadult male who presented in the emergency department with a Hand Held Bidet Shower inserted per rectum. Transanal removal was unsuccessful and Emergent laparotomy with colotomy and primary repair was necessary for safe removal of the same.

scholarly journals Successful Transanal Removal of a Rectal Foreign Body by Abdominal Compression under Endoscopic and X-Ray Fluoroscopic Observation: A Case Report

2016 ◽  
Vol 10 (3) ◽  
pp. 646-652 ◽  
Author(s):  
Hironobu Mikami ◽  
Norihisa Ishimura ◽  
Akihiko Oka ◽  
Ichiro Moriyama ◽  
Takafumi Yuki ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Case Report ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Abdominal Compression ◽  
X Ray ◽  
Large Size ◽  
Rectal Foreign Bodies ◽  
Abdominal Examination

We occasionally encounter patients with various types of rectal foreign bodies. When too large to grasp, transanal removal can be difficult. Here, we report a case of successful manual transanal removal of an 18 × 4 × 4 cm silicon rod without complications. A 50-year-old male came to the emergency department of our hospital 12 h after transanal insertion of a whole silicon rod. An abdominal examination showed no evidence of peritonitis, while X-ray and computed tomography findings revealed a large foreign body in the rectum, without any sign of perforation. Initially, we attempted removal using an endoscopy procedure with conventional endoscopic instruments, including a snare and grasp forceps, though we failed because of the large size. Next, we manually compressed the foreign body from the abdominal wall under endoscopic and X-ray fluoroscopic observation, and successfully removed it in a transanal manner without complications. Endoscopic and X-ray fluoroscopic assistance were helpful to guide the direction and angle of abdominal compression in this case.

scholarly journals Svetimkūnis storojoje žarnoje: atvejo pristatymas ir literatūros apžvalga

2009 ◽  
Vol 7 (1-2) ◽  
pp. 0-0
Author(s):  
Bronius Buckus ◽  
Gintaras Varanauskas ◽  
Juozas Stanaitis ◽  
Algimantas Stašinskas
Keyword(s):  
Emergency Department ◽  
Foreign Body ◽  
Literature Review ◽  
Current Literature ◽  
Foreign Bodies ◽  
Distal Colon ◽  
Foreign Body Removal ◽  
Uncommon Presentation ◽  
Vilnius University ◽  
Transanal Extraction

Bronius Buckus, Gintaras Varanauskas, Juozas Stanaitis, Algimantas StašinskasVilniaus universiteto Gastroenterologijos, nefrourologijos ir chirurgijos klinikos Bendrosios chirurgijos centras; Vilniaus greitosios pagalbos universitetinė ligoninė,Šiltnamių g. 29, LT-04130 VilniusEl paštas: [email protected] Svetimkūniai storojoje žarnoje nėra tokie reti, kaip kartais yra manoma. Į distalinę storojo žarnyno dalį patenkančių svetimkūnių įvairovė yra begalinė, kaip ir jiems pašalinti naudojamų metodų skaičius, aprašomas literatūroje.Šio straipsnio tikslas – aprašyti retą svetimkūnio storojoje žarnoje klinikinį atvejį ir pateikti literatūros apžvalgą.Aprašomas klinikinis avejis, kai 29 metų ligonis į tiesiąją žarną įsipurškė „Makroflex“ montažinių poliuretano putų, kurios stingdamos geba išsiplėsti iki dviejų kartų. Vyriškis atvyko į gydymo įstaigą praėjus trims valandoms po įvykio, tačiau pašalinti svetimkūnio priėmimo skyriuje nepavyko. Įvertinus anamnezę, kliniką ir tyrimų duomenis, bendrosios nejautros metu ligoniui buvo atliktas laparotominis pjūvis ir svetimkūnis pašalintas transanaliai. Operacijos metu išplėsta storoji žarna buvo nepažeista ir gyvybinga, todėl kolotomija nebuvo indikuotina. Ligonis sparčiai sveiko ir šeštąją dieną buvo išrašytas iš gydymo įstaigos. Straipsnio pabaigoje pateikiama literatūros ir svetimkūnių iš storosios žarnos šalinimo būdų apžvalga. Reikšminiai žodžiai: storoji žarna, svetimkūnis, gydymas Colorectal foreign bodies: a case report and current literature review Bronius Buckus, Gintaras Varanauskas, Juozas Stanaitis, Algimantas StašinskasVilnius University, General Surgery Center of Clinic of Gastroenterology, Nephrourology and Surgery, Vilnius University Emergency Hospital,Šiltnamių str. 29, LT-04130 Vilnius, LithuaniaE-mail: [email protected] Rectal foreign bodies are not an uncommon presentation in the emergency department. The variety of foreign bodies inserted to the distal colon is enormous and ingenious methods have been described for the extraction of these foreign bodies.The aim of this article is to present a rare case of colorectal foreign body removal and to review current literature in this area.We present a case of a 29-year old male patient with a difficult colorectal foreign body of moisture-cure semirigid polyurethane foam insulation which expands roughly two times in size during curing. When manual transanal extraction in the emergency department failed, the patient was admitted directly to the operating room for retrieval of the foreign body under general anesthesia. A laparotomy was conducted and the foreign body was successfuly removed transanally from the colorectal region without a colotomy. The patient was discharged within 6 days of the operation. A current literature review is presented and a management strategy suggested. Key words: colorectal, foreign body, management

scholarly journals Foreign Body Ingestion in Children: Epidemiological, Clinical Features and Outcome in a Third Level Emergency Department

Children ◽  
2021 ◽  
Vol 8 (12) ◽  
pp. 1182
Author(s):  
Antonio Gatto ◽  
Lavinia Capossela ◽  
Serena Ferretti ◽  
Michela Orlandi ◽  
Valeria Pansini ◽  
...  
Keyword(s):  
Emergency Department ◽  
Foreign Body ◽  
Clinical Features ◽  
Foreign Bodies ◽  
Pediatric Patients ◽  
Invasive Procedure ◽  
Foreign Body Ingestion ◽  
X Rays ◽  
And Gender ◽  
Underlying Diseases

Ingestion of foreign bodies is a frequent pediatric cause of access to the Emergency Department (ED). The aim of this study was to determine the epidemiological and clinical features of pediatric patients with a diagnosis of foreign body ingestion and to identify the factors associated with an urgent invasive procedure or hospitalization. This is a retrospective study conducted on a population of 286 pediatric patients (0–17 years) evaluated for foreign body ingestion at the Pediatric ED of “Fondazione Policlinico Universitario A. Gemelli, IRCSS” between October 2014 and June 2019. Data concerning age and gender, underlying diseases, type of foreign body, symptoms and signs, instrumental tests, specialist visits, treatment and outcome were analyzed. The majority of foreign bodies were coins (23%). Symptoms recurred in 50% of the foreign bodies with esophageal localization and between the 92 (32%) patients with symptoms the most common was vomiting (7%). X-rays was performed in 61% of patients. Among all patients, 253 patients (88.8%) had been discharged, 21 (7%) had been hospitalized, and four (1.4%) were sent to an outpatient facility. Besides, 17 (5.9%) patients had been transferred to the Observation Unit. Of the hospitalized patients (21 (7.3%)), clinical observation was performed for 57% and endoscopic procedure for 45%. Our data confirm that the ESPGHAN-ESGE guidelines application prevents interventions that are not necessary, avoiding diagnostic and therapeutic delays.

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