scholarly journals Role of Foley’s Catheter in Removing Foreign Body of Oesophagus

2009 ◽  
Vol 48 (173) ◽  
Author(s):  
Prakash Adhikari ◽  
CL Bhusal ◽  
RPS Guragain ◽  
S Acharya ◽  
B Budhathoki
Keyword(s):  
Foreign Body ◽  
General Anaesthesia ◽  
Foreign Bodies ◽  
Fluoroscopic Control ◽  
Successful Removal ◽  
Foley’S Catheter ◽  
Rigid Oesophagoscopy

Oesophageal foreign bodies are commonly removed with rigid oesophagoscopy under general anaesthesia, but spherical foreign bodies can also be removed using a foley's catheter under fluoroscopic control without anaesthesia. We present a case of successful removal of a spherical marble from the oesophagus in a four years old girl by a foley's catheter under general anaesthesiaKeywords:Keywords:Foreign body, oesophagus, foley’s catheter

scholarly journals The ‘Parent's Kiss’: An Effective Way to Remove Paediatric Nasal Foreign Bodies

2008 ◽  
Vol 90 (5) ◽  
pp. 420-422 ◽  
Author(s):  
Neeraj Purohit ◽  
Shalina Ray ◽  
Tom Wilson ◽  
OP Chawla
Keyword(s):  
Foreign Body ◽  
General Anaesthesia ◽  
Prospective Observational Study ◽  
Primary Outcome ◽  
Foreign Bodies ◽  
Secondary Outcome ◽  
General Anaesthetic ◽  
Number Of Children ◽  
Accident And Emergency ◽  
Successful Removal

INTRODUCTION The objectives of this study were to: (i) evaluate the effectiveness of ‘parent's kiss’ as a technique for removal of nasal foreign bodies in children; and (ii) determine whether this technique reduces the number of children requiring general anaesthesia for their removal. PATIENTS AND METHODS This was a prospective observational study in the accident and emergency and ENT departments at Luton and Dunstable Hospital. The participants were 31 children with nasal foreign bodies, under the age of 5 years, presenting via the acute services over a 6-month period. The primary outcome measured was successful removal of nasal foreign body with the ‘parent's kiss’ technique. Secondary outcome was reduction in the number of general anaesthetics following introduction of the technique. RESULTS The technique was successful in 20 out of the 31 children (64.5%) in the study group. Only one patient required general anaesthesia for removal of nasal foreign body (3%). This compares with a rate of 32.5% requiring removal under general anaesthetic in the preceding 6-month period. The ‘parent's kiss’, when not successful, seemed to improve the visibility of the foreign body making their subsequent removal easier. CONCLUSIONS The ‘parent's kiss’ is an effective technique. It is non-traumatic, both physically and emotionally, for the child subjected to it. We advocate that it should be used routinely as a first line of management in children with a nasal foreign body in the primary care setting.

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.

scholarly journals Occult Liver Abscess Following Clinically Unsuspected Ingestion of Foreign Bodies

1997 ◽  
Vol 11 (5) ◽  
pp. 445-448 ◽  
Author(s):  
Ban CH Tsui ◽  
J Mossey
Keyword(s):  
Foreign Body ◽  
Preoperative Diagnosis ◽  
Foreign Bodies ◽  
Clinical Presentation ◽  
Computed Tomographic ◽  
Liver Abscesses ◽  
Computed Tomographic Scan ◽  
History Of ◽  
Variable Clinical Presentation

Two uncommon cases of foreign body (a wooden clothespin and a toothpick) perforation of the gut with associated pyogenic liver abscesses are presented. These cases illustrate the difficulties of preoperative diagnosis. The lack of history of ingestion of foreign bodies, variable clinical presentation of the conditions and radiolucent natures of the foreign bodies all play a role in impeding the diagnosis preoperatively. This report emphasizes the role of ultrasound and computed tomographic scan in evaluating similar cases. Any patient with known risk factors for ingestion of foreign body should arouse suspicion and be investigated further.

scholarly journals A Case of Squamous Cell Carcinoma of Skin Subsequent to Subcutaneous Foreign Body

2016 ◽  
Vol 12 (1) ◽  
pp. 53-55
Author(s):  
P Anwar ◽  
S Mubashir ◽  
I Hassa ◽  
T Arif
Keyword(s):  
Squamous Cell Carcinoma ◽  
Foreign Body ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Foreign Bodies ◽  
Transposition Flap ◽  
Skin Cancers ◽  
Flap Closure ◽  
Melanoma Skin

Squamous cell carcinoma (SCC) of the skin is one of the most common non melanoma skin cancers (NMSC), along with basal cell carcinoma (BCC). Besides ultraviolet radiation, the role of exposure to industrial agents, ionizing radiation and areas of chronic inflammation is associated with the development of SCC. SCC may also be associated with foreign bodies. We report a rare case of cutaneous SCC in an elderly Kashmiri female, developing subsequent to subcutaneous non metallic foreign body, which was successfully excised with negative margins, and transposition flap closure. DOI: http://dx.doi.org/10.3126/njdvl.v12i1.10604 Nepal Journal of Dermatology, Venereology & Leprology Vol.12(1) 2014 pp.53-55

scholarly journals Fish Bone Migrating into the Thyroid Gland

2014 ◽  
Vol 5 (1) ◽  
pp. 42-44
Author(s):  
Jay Kantilal Kotecha
Keyword(s):  
Foreign Body ◽  
Soft Tissue ◽  
Thyroid Gland ◽  
Foreign Bodies ◽  
Fish Bone ◽  
Left Lobe ◽  
Rare Phenomenon ◽  
Head Neck

ABSTRACT Many cases have been reported in the literature about foreign bodies lodged in the hypopharynx. A foreign body penetrating the esophagus and migrating into the soft tissue of neck is a rare phenomenon. We report a case of 35 years male who ingested a fish bone which then migrated into left lobe of thyroid and the role of imaging in its detection and management. How to cite this article Kotecha JK. Fish Bone migrating into the Thyroid Gland. Int J Head Neck Surg 2014;5(1):42-44.

scholarly journals A study on radio opaque foreign body in digestive tract of children

2018 ◽  
Vol 4 (2) ◽  
pp. 352
Author(s):  
Bharathi Mohan M. ◽  
Satish Kumar P. ◽  
Vikram V. J. ◽  
Kiruthiga M.
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Gastroesophageal Junction ◽  
Button Battery ◽  
Ingested Foreign Body ◽  
Pseudo Aneurysm ◽  
Pass Through ◽  
Sharp Foreign Body ◽  
Rigid Oesophagoscopy ◽  
Safety Pin

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">An estimated 40 percent of foreign body ingestions in children are not witnessed, and in many cases, the child never develops symptoms. Sharp foreign body, button battery must be carefully removed and followed up for any complications. Foreign bodies that have passed the gastroesophageal junction should be assured that the foreign body will probably pass through the GI tract. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">A retrospective analysis of the records of the children below 12 years with foreign body ingestions were analysed and the radio-opaque foreign body were included in the study period between March 2012 to March 2015. The x-ray were analysed, type of foreign body, treatment and complications were noted.  </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">There were 45 children included in the study who had ingested foreign body and on radiological evaluation radio opaque foreign body was found. The coin topped the list with 30, button battery- 7 numbers, safety pin- 5 numbers. In 2 children who ingested button battery suffered cricopharyngeal stricture, which was treated with serial dilatation with bougies, while one child with open safety pin ingestion, developed pseudo- aneurysm of arch of aorta and one ear stud developed stridor with sub glottic stenosis. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">The radio opaque foreign though is easy to visualise, but in some case it can dangerous complications. Rigid oesophagoscopy and prompt removal of foreign body is the treatment of choice.</span></p>

scholarly journals Removal of Aural Tick in a General Practitioner Setting During COVID-19 Lockdown

2020 ◽  
Author(s):  
Zuraida Zainun ◽  
Husbani Suhaimee ◽  
Irfan Mohamad ◽  
Azliehanis Abdul Hadi
Keyword(s):  
General Practitioner ◽  
Foreign Body ◽  
General Anaesthesia ◽  
Foreign Bodies ◽  
Medical Science ◽  
Tropical Climate ◽  
Referral Centre ◽  
Tertiary Referral ◽  
Tertiary Referral Centre ◽  
Clinic Setting

Foreign body in the ear including beads and seeds is not uncommon in children. Tick also has been a common aural foreign body especially in tropical climate countries. Although in older cooperative children it can be attempted in the clinic setting, most of paediatric aural foreign bodies require general anaesthesia. In addition, a general practitioner setting may impose additional limitations. The available instruments and experience maybe be different from a tertiary referral centre. We report a case of a 3-year-old child with left ear pain for 4 days associated with loud crying when the pinna was touched. It has been worsening until the cry became continuous. The mother was quite hesitated to bring the child to hospital because of the lockdown situation. She sought nearby general practitioner where the engorged tick was removed without any complication in that clinic alone. Bangladesh Journal of Medical Science Vol.19(0) 2020 p. S 82-S 84

Removal of nasal foreign bodies with a Fogarty biliary balloon catheter

1994 ◽  
Vol 108 (9) ◽  
pp. 758-760 ◽  
Author(s):  
V. Nandapalan ◽  
J. C. McIlwain
Keyword(s):  
Foreign Body ◽  
General Anaesthesia ◽  
Foreign Bodies ◽  
Balloon Catheter ◽  
Safe Procedure ◽  
The Cost

AbstractTwenty-five children with a range of nasal foreign bodies, which were not easily amenable to anterior instrumental extraction, were considered for this study. These foreign bodies were removed by the use of a Fogarty biliary balloon catheter (Intimax) successfully in 23 children. In two children no foreign body was found. None of the children had any complications.This is a safe procedure which can be performed as an out-patient. Whilst the cost of the catheter may appear expensive, in comparison to the cost of admission for removal of similarly sited foreign bodies under general anaesthesia, the catheter fares favourably.

scholarly journals Role of HRUS in Detection and Localization of Foreign Bodies

2010 ◽  
Vol 23 (1) ◽  
pp. 33-37
Author(s):  
KZ Shah ◽  
N Begum ◽  
MS Ali ◽  
M Hossain ◽  
P Ahmed
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Clinical Presentation ◽  
Conventional Radiography ◽  
Anatomical Location ◽  
X Ray ◽  
Linear Probe ◽  
Detection And Localization ◽  
Ct And Mri

Prick injuries with metallic and non-metallic foreign body are commonly encountered cases in surgery and orthopedics OPD. Detection and localization is difficult task with conventional radiography. Ultrasonography, CT and MRI are other modes of evaluation but CT and MRI are expensive and not easily available.About 35 patients were evaluated with USG (7.5-10 MHz Linear probe) and X-ray for clinically suspicious non-radiopaque foreign body in soft tissue and extremities. Clinical presentation, symptoms anatomical location, and foreign body retrieved after surgery were recorded. X-ray detect only 3 foreign bodies where as HRUS detected 34 patient. Most of the cases FBs were present in ankle and foot. Majority of the foreign bodies were plant thorn and wood pieces. Plain X-ray is not sensitive for detection of non-radiopaque foreign bodies but USG is sensitive and specific for detection and localization in that cases. TAJ 2010; 23(1): 33-37

EP.TU.226Removal of a pepper shaker from the rectum using a Foleys catheter, a novel technique of balloon trawling

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Jacob Mewse ◽  
Aloka Suwanna Danwaththa Liyanage ◽  
Richard Smith
Keyword(s):  
General Anaesthesia ◽  
Anal Sphincter ◽  
Case History ◽  
Creative Thinking ◽  
Foreign Bodies ◽  
Sphincter Injury ◽  
Novel Technique ◽  
Anal Sphincter Injury ◽  
Successful Removal ◽  
Surgical Teams

Abstract Background Foreign bodies inserted into the rectum often pose a challenge to the emergency surgical teams due to the unforthcoming nature surrounding the object inserted. Its shape, size and the position within the rectum and the associated bowel and sphincter injuries often determine the route of extraction and the need for further intervention. Trans-anal extraction risks anal sphincter injury, however, circumvents the need for a laparotomy and a potential stoma. Case history Here we describe a case of a ceramic pepper shaker inserted into the rectum of a 41-year-old male. Removal was undertaken under general anaesthesia and required evaluation of the matching salt shaker in theatres to creatively design a manoeuvre to extract the shaker via trans-anal route without risking it breaking inside the rectum. Methods A 20 French Foleys catheter was of an appropriate size to be able to thread through the opening at the bottom of the salt shaker. Under optical sigmoidoscopic guidance, the catheter was inserted into the rectum and passed through the hole in the bottom of the pepper shaker. The balloon of the Foleys catheter was then inflated with 30ml of saline and trawled out of the rectum intact. Conclusion Extraction of foreign bodies via trans-anal route in most instances avoids prolonged morbidity. Successful removal of these difficult foreign bodies with minimum morbidity often requires strategic planning and creative thinking.

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