scholarly journals Operative Removal of 154 Objects in Chronic Compulsive Foreign Body Ingestion

Author(s):  
Amanda Chelednik ◽  
Zahra Haider ◽  
Amanda Chelednik ◽  
Jacob Quick

Intentional foreign body ingestion presents as a chronic surgical challenge. We encountered a severe case of ingestion that had failed endoscopic retrieval secondary to the size, shape, and quantity of structures encountered. Open gastrostomy with removal of objects with care to prevent future hostile abdomen was performed with 154 total objects removed at completion. We report a lesson in approaching a clinical problem with thought to approach for the preservation of anatomical structures in potential future interventions.

2013 ◽  
Vol 4 (3) ◽  
pp. 142-144
Author(s):  
Ravi Meher ◽  
Kanika Rana ◽  
Eishaan Kamta Bhargava

ABSTRACT Foreign body ingestion is a common clinical problem. Here we present an unusual case of a foreign body (needle) that got embedded in the lateral wall of pyriform sinus (PFS) and could not be retrieved via rigid esophagoscopy. The foreign body could not be visualized on neck exploration and was located by palpation of the mucosa of the lateral wall of PFS and use of a sterile magnet. How to cite this article Rana K, Meher R, W adhwa V, Bhargava EK. Foreign Body Pyriform Sinus: A Rare Presentation. Int J Head Neck Surg 2013;4(3):142-144.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Lizhi Yi ◽  
Zhengyu Cheng ◽  
Yafei Zhou ◽  
Qin Wang ◽  
Yangyang Liu ◽  
...  

Abstract Background Foreign body ingestion is a common clinical problem. The upper esophagus is the most common site of foreign body, accounting for more than 75% of all cases, but cases with a foreign body in the duodenal papilla or common bile duct are rarely reported. Case presentation Herein, we report a rare case that a patient’s abdominal pain resembling gastric ulcer was caused by a 3 cm long fishbone inserted into the duodenal papilla. Conclusion Fishbone inserted into the duodenal papilla can cause an abdominal pain resembling gastric ulcer. Endoscopy is useful for the diagnosis and treatment of fishbone ingestion in clinical.


Geriatrics ◽  
2020 ◽  
Vol 5 (3) ◽  
pp. 49
Author(s):  
Patrick Marquardt ◽  
Taylor Derousseau ◽  
Neha Patel

Foreign body ingestion is an under-recognized hazard in adults, especially in the elderly where it may lead to significant morbidity and even mortality. We present the case of an elderly patient who ingested her denture without any reported symptoms. After early recognition, endoscopic retrieval of the item was performed. We provide support for endoscopy as a safe and effective intervention for removing ingested foreign bodies in the geriatric population.


2008 ◽  
Vol 59 (2) ◽  
pp. 195-195
Author(s):  
Y. Oka ◽  
K. Asabe ◽  
H. Kai ◽  
T. Shirakusa

2019 ◽  
Vol 10 (01) ◽  
pp. 028-032
Author(s):  
Nisar Ahmad Shah ◽  
Showkat Ahmad Kadla ◽  
Asif Iqbal Shah ◽  
Bilal Ahmad Khan ◽  
Inaam Ul Haq ◽  
...  

ABSTRACT Background and Aims: Foreign-body ingestion is a common phenomenon, especially in children. In normal adults, foreign-body ingestion is usually accidental and mostly ingestion occurs with food and impaction is a result of structural abnormalities of the upper gastrointestinal tract (UGIT). However, accidental ingestion of nonfood products is unusual; especially ingestion of pins (scarf or safety pins) and needles is unknown. We come across ingestion of these unusual/sharp foreign bodies routinely from the past few years. The aim of this study was to observe, over a period of 1 year, the spectrum of nonfood or true foreign-body ingestion in our community and to see the impact of an early endoscopy on outcome or retrieval of the ingested objects. Materials and Methods: In a prospective observational study, we studied the profile of foreign-body ingestion in normal individuals of all ages and both sexes, excluding the individuals with any structural abnormalities of the gut and the people with psychiatric ailment. Results: Of total 51 patients with foreign-body ingestion, 42 (82%) were 20 or <20 years of age with females constituting 86.3% of the total and males constituting only 13.7%. Foreign bodies ingested included 38 pins (74.5%), seven coins (13.7%), four needles (7.8%), and one denture and a nail (2%) each. Overall 26 (51%) foreign bodies were seen in UGIT (within reach of retrieval) at the time of endoscopy and all of them were retrieved. Nineteen (37.3%) patients reported within 6 h of ingestion, and majority of them (16 = 84.2%) had foreign bodies within UGIT and all of them were removed. Those patients (n = 32; 62.7%) who reported beyond 6 h, only 10 (31.25%) had foreign bodies in UGIT as a result of which the success rate of removal in these patients was only 32%. Conclusion: Most of our patients were young females and the common foreign bodies ingested were sharp including scarf pins followed by coins and needles. The success rate of retrieval was high in those who reported within 6 h of ingestion of foreign body. The rate of retrieval was 100% if foreign body was found on esophagogastroduodenoscopy. Hence, we recommend an early endoscopy in these patients and some alternative to use of scarf pins.


2017 ◽  
Vol 85 (5) ◽  
pp. AB211
Author(s):  
Simone L. Moreira ◽  
Carla L. Aluizio ◽  
Danielle P. Sampaio ◽  
Cristiane k. Nagasako ◽  
Maria de Fatima C. Servidoni ◽  
...  

Foreign body ingestion is a regular medical referral. Patients present with different objects such as chicken bones, nails, coins, and fishbones. It is usually managed in causality and passes without any intervention. However, occasionally, we come across fishbone complications requiring intervention. We discuss the course and management of two case reports of fishbone injuries in different abdominal regions.


2015 ◽  
Author(s):  
Kunal Jajoo ◽  
Allison R Schulman

Foreign-body ingestion and food bolus impaction are common causes of esophageal obstruction, with an annual incidence of 13 cases per 100,000, and represent approximately 4% of all emergency endoscopies. Although the majority of foreign bodies that travel to the gastrointestinal (GI) tract will pass spontaneously, 10 to 20% must be removed endoscopically, and 1 to 5% will require surgery. Key diagnostic and therapeutic decisions are based on common factors, including the type of ingested object, number of objects, timing between ingestion and presentation, anatomic location of the object, and presence or absence of symptoms. Complications relating to foreign-body ingestion are typically uncommon; however, the associated morbidity may be severe and occasionally life threatening, and despite the fact that overall mortality has been extremely low, it has been estimated that up to 1,500 deaths occur annually in the United States as a result of foreign-body ingestion. The initial and follow-up management strategies are crucial to preventing morbidity. This review details the epidemiology, etiology and pathophysiology, diagnosis, management, and complications of foreign-body ingestion. Figures show examples of foreign bodies in the esophagus and stomach, three esophageal areas where a foreign body is likely to be impacted, examples of a meat bolus in the esophagus, radiograph of a patient who swallowed one nail and three batteries, and examples of linear erosions of the esophagus and stomach. Tables list the most common GI pathology predisposing individuals to esophageal foreign-body impaction, timing and management of food bolus impaction and foreign-body ingestion, endoscopic management strategies for food bolus impaction and ingested foreign bodies, and radiographic and surgical management strategies for monitoring progress of foreign-body passage through the GI tract. This review contains 5 highly rendered figures, 4 tables, and 78 references.


2019 ◽  
Vol 30 (7) ◽  
pp. e603-e605 ◽  
Author(s):  
Yu Zhao ◽  
Jianfeng Liu ◽  
Zhijun Wang ◽  
Yujie Yan ◽  
Jun Han ◽  
...  

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