scholarly journals Ingestion of Bell Clappers by a Shaman in Jumla, Nepal: A Case Report

2019 ◽  
Vol 57 (215) ◽  
Author(s):  
Niresh Thapa ◽  
Subi Basnyat ◽  
Muna Maharjan
Keyword(s):  
Foreign Body ◽  
Psychiatric Illness ◽  
Foreign Bodies ◽  
Surgical Intervention ◽  
Interesting Case ◽  
Foreign Body Ingestion ◽  
Ileocecal Junction ◽  
Post Operative Period ◽  
History Of ◽  
Significant Injury

Accidental foreign body ingestion is a common problem encountered in Emergency. Deliberate foreign body ingestion may result due to an act of insanity or an act of daring. A shaman locally known as Dhami was brought to Emergency with the history of ingestion of bell clappers. He denied the history of psychiatric illness or substance abuse. On physical examination, there were signs of peritonitis. Laparotomy was done to remove the foreign bodies. Post-operative period was uneventful. Apart from the surgical intervention, psychological counselling was given to him. This is a rare interesting case due to the fact that the 15 cm long foreign bodies passing all the way through without significant injury and finally causing obstruction in ileocecal junction and perforation in the distal ileum.

Foreign Body Nose: An Unusual Presentation

2021 ◽  
Vol 28 (3) ◽  
pp. 282-284
Author(s):  
Ankit Gulati ◽  
Surinder K Singhal ◽  
Shashikant A Pol ◽  
Nitin Gupta
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Interesting Case ◽  
Alar Cartilage ◽  
Open Approach ◽  
Medial Canthus ◽  
History Of ◽  
Foreign Body Impaction ◽  
Nasal Bleed ◽  
High Index Of Suspicion

Introduction This is a very interesting case of retained homicidal foreign body in the nose in contrast to most of the foreign bodies which are accidental. Case Report A 27 year old male presented to ENT emergency with alleged history of assault over face with sharp object following which patient developed nasal bleed. On examination vertical laceration of approximately 8 cm in length was present along left naso-orbital groove extending superiorly from medial canthus of left eye and inferiorly to nasal alar cartilage. On anterior rhinoscopy a metallic foreign body was seen in both nasal cavities, which appeared to be crossing from left to right side piercing the nasal septum. Foreign body was removed via open approach. Discussion Penetrating maxillofacial injury with foreign body impaction are less common. High index of suspicion is required in diagnosing these cases. Radiological intervention should be done to get idea of exact location and extent of foreign body. Lateral rhinotomy is a useful approach in removing these foreign bodies.

scholarly journals Tendency to Ingest Foreign Bodies in Mentally Retarded Patients: A Case with Ileal Perforation Caused by the Ingestion of a Teaspoon

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
İhsan Yıldız ◽  
Yavuz Savaş Koca ◽  
Gökhan Avşar ◽  
İbrahim Barut
Keyword(s):  
Mental Retardation ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Mentally Retarded ◽  
The Body ◽  
Foreign Body Ingestion ◽  
Emergency Laparotomy ◽  
Ileal Perforation ◽  
History Of ◽  
The Right

Introduction. Unintentional foreign body ingestion commonly occurs accidentally in children aged between 3 months and 6 years and at advanced ages or results from psychiatric disorders such as hallucination in patients with mental retardation. Most of the ingested foreign bodies are naturally discharged from the body but some of them may require surgical intervention.Presentation of Case. A 29-year-old mentally retarded female patient was admitted to the emergency service with a two-day history of abdominal pain, nausea, and vomiting. Physical examination revealed abdominal tenderness, defense, and rebound on palpation. Radiological examination revealed diffuse air-fluid levels and a radiopaque impression of a metal object in the right upper quadrant. The metal teaspoon causing ileal perforation was extracted by emergency laparotomy. On postoperative day 7, the patient was uneventfully discharged following a psychiatric consultation.Discussion. Foreign body ingestion can occur intentionally in children at developing ages and old-age patients, or adults and prisoners, whereas it may occur unintentionally in patients with mental retardation due to hallucination. However, repeated foreign body ingestion is very rare in individuals other than mentally retarded patients.Conclusion. Mentally retarded patients should be kept under close surveillance by surgeons and psychiatrists due to their tendency to ingest foreign bodies.

scholarly journals Self-Inflicted Urethrovesical Foreign Bodies in Children

2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
Canan Ceran ◽  
Sema Uguralp
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Surgical Intervention ◽  
Skin Incision ◽  
Definitive Treatment ◽  
Endoscopic Removal ◽  
X Ray ◽  
History Of ◽  
Endoscopic Guidance ◽  
Lower Urinary

We present two cases of self-inflicted urethrovesical foreign body in children. Case 1 was a 6-year-old girl admitted with a history of self-introduction of a pin. The X-ray revealed the pin as 3.5 cm in length and in the bladder. The foreign body was removed endoscopically. Case 2 was a 13-year-old boy with a self-introduced packing needle, 13 cm in length, partially in the urethra. The end and the tip of the needle passed through the urethra to the surrounding tissues. Foreign body removed via a little skin incision with endoscopic guidance. Foreign bodies are rarely found in the lower urinary tract of children. Definitive treatment is usually the endoscopic removal; however, sometimes surgical intervention may require.

scholarly journals Accidental multiple magnet ingestion by an adult: a case report

2020 ◽  
Vol 7 (6) ◽  
pp. 2050
Author(s):  
Suraj Gopal ◽  
Dubey Indu Bhushan ◽  
Junaid Ahmad Sofi
Keyword(s):  
Foreign Body ◽  
Surgical Intervention ◽  
The Other ◽  
Foreign Body Ingestion ◽  
Pressure Necrosis ◽  
History Of ◽  
Magnet Ingestion ◽  
Magnetic Foreign Body ◽  
Asymptomatic Individuals ◽  
Early Surgical Intervention

Accidental multiple magnetic foreign body ingestion although common in children is rare in adults. Multiple magnetic foreign body ingestion possess a definitive risk of causing intestinal perforation, volvulus or fistulas and requires early surgical intervention even in apparently asymptomatic individuals to prevent catastrophic complications. We report a case of an 18 year old male with a history of accidental simultaneous ingestion of two semi-circular shaped magnets along with a nail. The peculiarity of the case being that despite the magnets being simultaneously ingested, one was in the stomach and the other in the jejunum adhered to each other through the transverse colon mesentery causing pressure necrosis of the adjoining wall with the patient being asymptomatic.

scholarly journals Foreign Body Ingestion in Pediatrics: Distribution, Management and Complications

Medicina ◽  
2019 ◽  
Vol 55 (10) ◽  
pp. 686 ◽  
Author(s):  
Khorana ◽  
Tantivit ◽  
Phiuphong ◽  
Pattapong ◽  
Siripan
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Foreign Body Ingestion ◽  
Common Symptom ◽  
Distribution Management ◽  
Common Location ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
International Statistical Classification ◽  
History Of

Background and Objectives: Foreign body (FB) ingestion is a common problem in children, causing serious complications. This study aimed to identify the distribution of types and locations of these foreign bodies and create Chiang Mai University (CMU) Guidelines. Materials and Methods: A retrospective descriptive study was conducted. All patients under 15 years old with foreign body ingestion (International Statistical Classification of Diseases and Related Health Problems; ICD-10 codes T18) treated in CMU Hospital from January 2006 to December 2017 were included. The data were analyzed using descriptive statistics. The guidelines were created, which paralleled the standard guidelines. Results: In total, 194 episodes of FB ingestion were recorded. These included 53.6% males and 46.4% females with a median age of 43.5 months. A history of foreign body ingestion complaints occurred in 77.8% of cases. Presentation was divided into asymptomatic (44.3%) and symptomatic (55.7%). The most common symptom was vomiting (23.2%). In the majority of cases, foreign bodies were located in the esophagus (37%). The most common type of foreign body was a coin (41.2%). Management included spontaneous passing (60.3%), endoscopy (35.6%), and others (3.1%). Complications before treatment were recorded in 9.3% of cases and after treatment in 2.1% of cases. Conclusions: Foreign body ingestion is common among children younger than four years old. Coins are the most common foreign body found, and the esophagus is the most common location. We recommend our created CMU Guidelines for management.

scholarly journals Perianal and rectal injury due to unusual foreign body-bell

2018 ◽  
Vol 5 (3) ◽  
pp. 1124
Author(s):  
Maitreyi S. Patel ◽  
Chandan Padghane ◽  
Varsha M. Kulkarni
Keyword(s):  
Foreign Body ◽  
Systematic Approach ◽  
Foreign Bodies ◽  
Surgical Intervention ◽  
Rectal Injury ◽  
Unusual Foreign Body ◽  
History Of ◽  
Careful History

Perianal foreign bodies are a surgical challenge. The management of these patients requires a systematic approach which includes a careful history and examination, appropriate radiological investigations and surgical intervention. Here authors present a case of a five years old female with alleged history of fall over a bell with perianal and rectal injury. 

scholarly journals Multiple esophageal foreign bodies in an infant: a rare case of serious parental neglect

2016 ◽  
Vol 6 (3) ◽  
Author(s):  
Arunabha Chakravarti ◽  
Sunil Garg ◽  
Rahul Bhargava
Keyword(s):  
Foreign Body ◽  
Rare Case ◽  
Foreign Bodies ◽  
Foreign Body Ingestion ◽  
Parental Neglect ◽  
Rigid Esophagoscopy ◽  
The Family ◽  
History Of ◽  
Esophageal Foreign Bodies

A case of multiple esophageal foreign bodies, which were retrieved successfully by rigid esophagoscopy in a 1-year old child is being reported. There are few cases of multiple esophageal foreign bodies in children reported in the literature; this case was unique in presentation as there was no history of foreign body ingestion. This case also highlights the serious neglect present in our society towards children of lower socio-economic strata despite this child being the 1<sup>st</sup> child in the family.

scholarly journals Case report of a piece of dishwashing steel wool in a child’s pharynx

2020 ◽  
Vol 6 (2) ◽  
pp. 118-120
Author(s):  
Parvin Abbaslou ◽  
Maryam Ahmadipour
Keyword(s):  
Foreign Body ◽  
General Anesthesia ◽  
Foreign Bodies ◽  
Cervical Vertebrae ◽  
Diagnostic Procedures ◽  
Interesting Case ◽  
Medical Emergency ◽  
Steel Wool ◽  
History Of ◽  
Medical Emergencies

Objective: Foreign body swallowing is a common pediatric problem. A foreign body in the pharynx is a medical emergency that requires urgent intervention. Evaluation and treatment of pharyngeal foreign bodies is much more difficult in children than in adults and sometimes requires hospitalization and removal of the foreign bodies under general anesthesia due to children’s lack of cooperation. Fish and chicken bones are the most common swallowed foreign bodies, but an interesting case of a piece of dishwashing steel wool stuck in a child’s pharynx is reported in this article. Case Presentation: A 10-year old boy was presented with a history of dysphagia from five weeks ago. Oral examination did not reveal anything significant. In lateral neck radiographs of the patient, a metal wire was observed in the hypopharyngeal region opposite the 4th and 5th cervical vertebrae. Endoscopic attempts to remove the foreign body were not successful. Therefore, the foreign body was removed from the patient’s pharynx in the operating room under general anesthesia. No complications were observed. Conclusion: Despite the prevalence of swallowing foreign bodies in children, ingestion of a piece of dishwashing steel wool not diagnosed for three weeks was considered interesting to report. Pharyngeal foreign bodies are medical emergencies; therefore, it is particularly important to suspect the presence of a foreign body and perform diagnostic procedures.

scholarly journals A Curious “Appendicitis”, Magnetic Foreign Bodies Ingestion In a Five Year Old Girl With Ileal Perforation. Case Report and Review of Literature.

2021 ◽  
Author(s):  
Alaa Ghallab ◽  
Alexander Wilkson ◽  
Rajio Daniel
Keyword(s):  
Foreign Body ◽  
Terminal Ileum ◽  
Foreign Bodies ◽  
Iliac Fossa ◽  
Significant Risk ◽  
Interesting Case ◽  
Foreign Body Ingestion ◽  
Free Fluid ◽  
Suspected Appendicitis ◽  
Abdominal Symptoms

Abstract BackgroundForeign body ingestion is common in children. Ingestion of multiple magnetic foreign bodies poses a significant risk of complications as they are unlikely to pass spontaneously. Case presentationWe present our interesting case of a 5 Year old girl, complaining of right iliac fossa pain not relieved with paracetamol, associated with 2 episodes of vomiting and one episode of loose bowel motion. Abdominal examination revealed tender right iliac fossa with weak rebound and mild guarding with no rigidity. WBC was 16.9, with 12.68 neutrophils, with normal urea, creatinine, amylase, CRP and liver function tests. Patient was admitted for suspected appendicitis versus gastroenteritis. Abdominal ultrasound showed free fluid in the pelvis, appendix was not seen and there was a mass in the right iliac fossa. The patient was started on intravenous co-amoxiclav and diagnostic laparoscopy revealed a normal appendix with free fluid in pelvis. The omentum was stuck to terminal ileum with two necrotic patches and a perforation in the terminal ileum with magnetic foreign bodies protruding from the perforation site.There was no peritoneal contamination. Laparotomy was performed via right lower transverse incision with resection & anastomosis of necrotic perforated bowel segment and removal of three magnetic foreign bodies from the terminal ileum. Patient had smooth postoperative recovery. ConclusionThe Ingestion of multiple magnets, or a magnet with a metallic object should be considered an impending surgical emergency as it is unlikely to pass spontaneously and complications are more likely. There are no reports where more than one magnet was passed spontaneously. The possibility of foreign body ingestion should always be considered in a young child presenting with abdominal symptoms. Early intervention is indicated if the history, clinical findings and imaging are suggestive of multiple magnetic ingestion to prevent serious life threatening complications.

scholarly journals Management of rectal foreign body with endoscopic snare: a case report

2018 ◽  
Vol 5 (9) ◽  
pp. 3177
Author(s):  
A. Sai Kishore ◽  
S. Sabu Jeyasekharan ◽  
Nithila C. ◽  
N. Pradeep Reddy
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Sigmoid Colon ◽  
Foreign Bodies ◽  
Psychiatry Department ◽  
Rectal Examination ◽  
Polypectomy Snare ◽  
Perforative Peritonitis ◽  
History Of ◽  
Significant Injury

Foreign bodies in the rectum, although not much common present a challenging task to the surgeons for retrieval.  Depending on the type and position they can cause anorectal trauma and perforative peritonitis. Diagnosis is usually by history, per rectal examination and radiography. Here authors present a 27-year-old male who came with history of insertion of candle into rectum to prevent bleeding from haemorrhoids. Perforative peritonitis was ruled out and manually tried to remove it and all attempts failed. He was posted for colonoscopy and it revealed 23cm long candle in the rectum with bleeding anal tag. The tip of candle extended into sigmoid colon. Polypectomy snare applied around the candle and foreign body was gently removed. Check colonoscopy revealed no significant injury. He was referred to psychiatry department and he was discharged the next day.

Sign in / Sign up

Export Citation Format

Share Document