scholarly journals Delayed Presentation Of A Girl With A Sour Plum Seed In The Trachea

2013 ◽  
Vol 12 (2) ◽  
pp. 231-234
Author(s):  
Wan Emelda Wan Mohamad ◽  
Norasnieda Mohd Shukri ◽  
Irfan Mohamad ◽  
Norhafiza Mat Lazim

Foreign body in the airway is very rare as compared to the alimentary tract. Food particles constitute among the commonest foreign body. The airway obstruction caused by foreign body dislodgement often present with acute emergency condition. The pathognomonic history includes history of choking and noisy breathing. It is an acute emergency and requires immediate medical attention. However in small number of patients the earliest symptom may be ignored leaving only mild neck discomfort. We report a case of comfortable girl with foreign body airway who finally sought treatment after presented with delayed sign and symptoms of partial airway obstruction. Bangladesh Journal of Medical Science Vol. 12 No. 02 April’13 Page 231-234 DOI: http://dx.doi.org/10.3329/bjms.v12i2.14979

2015 ◽  
Vol 14 (2) ◽  
pp. 210-212
Author(s):  
Md Zakirul Alam ◽  
Mohibul Aziz

A 19 years old married female presented with severe upper abdominal pain, repeated vomiting having history of swallowing a knife 7 months ago was admitted in Mordern Clinic and Diagnostic center, Joypurhat, Bangladesh. USG abdomen & X-ray (fig-1) abdomen were done when presence of a large foreign body (knife fig-3) in abdomen was made which latter on confirmed by Endoscopy of upper GIT (fig-2). Surprisingly the patient kept it in her abdomen for 7 months without any symptoms until the symptoms got worse and compelled her to seek medical help. The knife was removed by laparotomy, gastrotomy with uneventful recovery.Bangladesh Journal of Medical Science Vol.14(2) 2015 p.210-212


Author(s):  
A. G. Naveen Kumar

<p class="abstract"><strong>Background:</strong> Foreign bodies in esophagus come as an emergency to otolaryngologist and needs to be removed at the earliest to prevent complications. The objective was to share our experience with esophageal foreign bodies removal in Sapthagiri Institute of Medical Science and Research Centre, Bangalore, India.</p><p class="abstract"><strong>Methods:</strong> Study of 84 patients admitted with the final diagnosis of esophageal foreign body during September 2011 – September 2018, for sex, age, diagnosis on admission, estimated duration and site of impaction, type and number of foreign body removed.  </p><p class="abstract"><strong>Results:</strong> Over 7 years period, 84 patients (48 males and 36 females) of different ages, youngest being 02 years and oldest being 92 years were admitted with the diagnosis of esophageal foreign body. Fifty percent of patients were five years or less in age at the time of admission. 32.1% were between 5 to 14 years and 17.9% were between the age range of 60-92 years. Seven patients (2.9%) had a history of esophageal anomalies requiring operation. Different types of foreign bodies ingested most common being coin. Majority of foreign bodies (75/84, 89.2%) were located in the post cricoid and upper esophagus followed by the mid-esophagus, and only 3 cases involved the lower esophagus.</p><p class="abstract"><strong>Conclusions:</strong> The most common foreign bodies in children are coin and toys. Sharp foreign bodies are difficult remove but need to be removed carefully at the earliest to prevent dreaded complications like - retropharyngeal abscess and mediastinitis. Loose fitting dentures are common foreign body in elderly patients.</p>


2018 ◽  
Vol 17 (3) ◽  
pp. 515-517
Author(s):  
Nurul Syeha Abdull Rasid ◽  
Irfan Mohamad ◽  
Norasnieda Md Shukri

Foreign body denture is common among edentulous adults because of decrease the sensitivity of the oral cavity. Carelessness in handling dentures and failure to seek early medical attention even the denture has broken are among the contributing factors. Persistence of symptoms with normal radiograph findings still require further actions which include surgical intervention. Rigid esophagoscopy remain as standard treatment modality for removal of foreign body.Bangladesh Journal of Medical Science Vol.17(3) 2018 p.515-517


2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Caleb H. Creswell ◽  
Tony L. Kille ◽  
Matthew R. Hoffman ◽  
Tabassum Kennedy ◽  
Seth H. Dailey

Foreign body ingestion occurs in not only children but also adults, particularly those with history of neurologic disease, alcohol use, or psychiatric disease. We present the case of a 40-year-old male with schizophrenia who presented to the emergency room with a long history of pharyngeal foreign body sensation which had recently progressed to include trismus, odynophagia, and dyspnea. Flexible laryngoscopy demonstrated fullness of the right posterior pharyngeal wall and computed tomography (CT) showed a linear opaque foreign body extending from the level of the oropharynx to the thyroid ala. Further history elicited that he stabbed himself in the pharynx two years prior with a toothbrush following a command hallucination. The toothbrush was removed uneventfully via an external approach. The patient was discharged with psychiatry follow-up. This case is unusual due to the submucosal location of the foreign body and the length of retention. It demonstrates the atypical nature which patients with comorbid psychiatric illness may present following foreign body injury and the use of an external surgical approach for the removal of a retained foreign body based on CT reconstruction.


2003 ◽  
Vol 112 (10) ◽  
pp. 866-868 ◽  
Author(s):  
Robert G. Berkowitz ◽  
Wye-Keat Lim

To review our experience with inhaled laryngeal foreign bodies in children, we performed a retrospective review of all admissions to our institution between March 1989 and March 2002 with the diagnosis of an inhaled laryngeal foreign body. We included only cases in which the diagnosis was confirmed at endoscopy under general anesthesia. Two children were dead on arrival at our institution as a result of upper airway obstruction following a choking episode and did not undergo endoscopy; they were not included. Nine children (5 male, 4 female) were identified. The age range was 5 months to 13 years 9 months, although only 1 child was older than 32 months. The foreign body was removed within 24 hours of a witnessed choking episode in 4 children, and the diagnosis was delayed in 5 children for a period between 4 days and 2 months, including 2 in whom a history of a choking episode had been initially obtained. One complication occurred in a child in whom the diagnosis was delayed; he developed laryngeal edema after foreign body removal and required endotracheal intubation for 1 week.


2001 ◽  
Vol 115 (2) ◽  
pp. 161-163 ◽  
Author(s):  
Aftab Ahmed ◽  
Showkat Mirza ◽  
Michael P. Rothera

We report a rare case of mediastinal tuberculosis in a child who presented as a possible inhaled foreign body. A 10-month-old girl was admitted with a five-month history of cough, wheeze and problematic feeding, thought initially to be due to asthma. A clinical deterioration and subsequent X-rays suggested an inhaled foreign body. However, at direct laryngotracheobronchoscopy no foreign body was found and subsequent investigations revealed a subcarinal mediastinal mass. She underwent a thoracotomy and excision of the mass, the histological analysis of which revealed it to be of tuberculous origin. When a patient presents with symtoms of upper airway obstruction which are highly suggestive of a foreign body, other causes such as mediastinal tuberculosis must be borne in mind when no foreign body can be found. Although rare, cases of tuberculosis are apparently increasing and the otolaryngolgoist must be aware of its various manifestations and submit specimens for appropriate analysis. We also briefly review mediastinal lymphadenopathy due to tuberculosis.


2013 ◽  
Vol 12 (4) ◽  
pp. 449-452
Author(s):  
SBA Rahim ◽  
T Maruthamuthu ◽  
LL Chooi ◽  
A Singh ◽  
MRBM Yunus

Foreign body aspiration often occurs amongst extreme age. Most of aspirated object are; nuts, nails, pins, coins, metal piece and dental appliances. Foreign body aspiration can be life threatening. Patients with foreign body aspiration may present with choking, coughing, wheezing, haemoptysis, asphyxia and even death. The symptoms and severity depend on the site of obstruction. This is a case of 9 year old boy provided the history of aspiration of white board needle. He had persistent cough but examination revealed normal vital signs. Radiological examination confirmed needle like radio opaque material in his trachea. This case report depicts the management and bronchoscope as diagnostic procedure of this case and role of X-ray and CT scan in dealing with foreign body in the tracheobronchial tree. DOI: http://dx.doi.org/10.3329/bjms.v12i4.16668 Bangladesh Journal of Medical Science Vol. 12 No. 04 October ’13 Page 449-452


2020 ◽  
Vol 28 (4) ◽  
pp. 345-347
Author(s):  
Israr ud Din ◽  
Muhammad Hafeez ◽  
Muhammad Junaid ◽  
Arif Raza Khan ◽  
Imran Khan

Objective: To determine the role of Rigid Bronchoscopy in Management of Tracheobronchial Foreign Body Aspiration. Material and Methods: This study was conducted in otolaryngology department, Khyber teaching hospital, Peshawar of one year duration from January 2018 to December 2019. Total 90 Patients of age 4 months to 14 years on clinical suspicion of foreign body bronchus were included, while patients with history of bronchial asthma, pulmonary tuberculosis and radio opaque foreign body bronchus were excluded. Results: Total number of patients was 90 in which male patients were 60 (66.67 %) and female patients were 30 (33.33 %), patients with foreign body bronchus were 80 (88.89%). Male patients with foreign body bronchus was 53 (58.89%) and female 27 (30.00%). In age range from 4 months to 3 years, 35(39%) Patients underwent bronchoscopy in which foreign body bronchus retrieved in 30(37.5%) patients. Conclusion: Patients with history of repeated chest infection, relieved by medicines for some time should not be over look, as vegetative foreign body bronchus are radiolucent and patients usually present late in respiratory compromised state, the clinician must urge, for prompt treatment as rigid bronchoscopy.


Author(s):  
Reyaz Ahmad Wani ◽  
Kumar Abdul Rashid ◽  
Muneer Abas Malik

Background: Foreign body related extremity trauma is uncommon in children and mostly involves lower limb. Such cases are prone to get neglected or missed and present at a later date with complications. Careful management at the outset can avoid such complications. Clinical suspicion followed by diagnostic imaging and retrieval of foreign bodies in cases with delayed presentation is vital. Methods: A retrospective case series analysis of foreign body foot, diagnosed and managed over a period of 6 years, was carried out at our institute with the aim to highlight clinical presentation and management of cases with a neglected foreign body foot.Results: A total of 23 patients with diagnosis of foreign body foot were studied with 15 acute cases and 8 chronic neglected cases. The neglected cases ranged in age from 15 months to 96 months (Mean 58.87±28.32). Male to female ratio was 7:1. The history of trauma was concealed in 6 out of 8 cases. Three presented as abscess, 2 each as cellulitis and non-healing wound and one as a granuloma. Mean delay in foreign body removal was 57.12±67.94 days. Five patients had radiolucent while three had radiopaque foreign bodies.Conclusions: Clinical suspicion aided by radiography and/or ultrasonography is pivotal in diagnosis. Removal of foreign body can be done by wound exploration under local anaesthesia in most of the cases.


2019 ◽  
Vol 6 (7) ◽  
pp. 2587
Author(s):  
Pei Pei Lee ◽  
Jitt Aun Chuah ◽  
Ratha Krishnan Sriram

Rectal foreign bodies present a challenge to surgeons from obtaining the correct diagnosis to managing the patient due to a wide array of presentation. Diagnostic dilemmas often arise as patients are sometimes unwilling to disclose the actual history and seek medical attention late. We present a case of a 65 year old Asian gentleman who present with history of per-rectal bleeding, tenesmus, acute urinary retention, constitutional symptoms with investigations suggestive of rectal malignancy. Intraoperatively identified a rubber-like foreign body tightly packed in the pelvic-cavity with severe injury to the rectum requiring abdominal-perineal resection. 


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