Foreign Body Ingestion: A Curious Case of the Missing Denture

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.

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Oesophageal Foreign Bodies in Children

Journal of Nepal Medical Association ◽

10.31729/jnma.154 ◽

2008 ◽

Vol 47 (172) ◽

Cited By ~ 1

Author(s):

Prakash Adhakari ◽

P Adhikari ◽

CL Bhusal ◽

RPS Guragain

Keyword(s):

Foreign Body ◽

Diagnostic Procedure ◽

Foreign Bodies ◽

Neck Surgery ◽

Foreign Body Ingestion ◽

Significant Morbidity ◽

X Ray ◽

Soft Tissue Neck ◽

Female Children ◽

Rigid Oesophagoscopy

Foreign body ingestion is a common occurrence and carries significant morbidity and mortality.Failure to treat foreign bodies immediately can lead to various serious complications. This study wasdone to identify the types as well as site of foreign body ingested and its complication in children.A retrospective study of 122 cases of suspected foreign body ingestion in patients admitted in ENTand Head and Neck Surgery of TU Teaching Hospital, Kathmandu were done in between April 2004to July 2008. Ages less than 12 years were included. In all cases x-ray soft tissue neck lateral andchest x-ray posterio-anterior views were done along with other preoperative investigations. Rigidoesophagoscopy or hypopharyngoscopy were done under general anesthesia to remove foreignbodies.There were 64.7% male and 35.3% female children. Foreign bodies were common in 0-4 year agegroup. Most common foreign body were coin (64.0%) followed by meat bone (14.0%). No foreignbodies were found in 2.4% patients as they were passed in stomach. No complications were notedduring the entire period of this study.Most common foreign bodies in children are coin. Though complications with these foreign bodiesare rare, these do occur due to delay in presentation and removal. No complications were noted inour series. Eventhough children who swallow foreign bodies are asymptomatic; we must maintain ahigh index of suspicion and undergo diagnostic procedure, if there is a positive history.Key words: foreign bodies, oesophagus, rigid oesophagoscopy

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Endoscopic Management of Foreign Bodies in the Gastrointestinal Tract: A Review of the Literature

Gastroenterology Research and Practice ◽

10.1155/2016/8520767 ◽

2016 ◽

Vol 2016 ◽

pp. 1-6 ◽

Cited By ~ 20

Author(s):

Mikhael Bekkerman ◽

Amit H. Sachdev ◽

Javier Andrade ◽

Yitzhak Twersky ◽

Shahzad Iqbal

Keyword(s):

Gastrointestinal Tract ◽

Foreign Body ◽

Foreign Bodies ◽

Clinical History ◽

Foreign Body Ingestion ◽

Endoscopic Management ◽

Geriatric Population ◽

Diagnostic Endoscopy ◽

Common Diagnosis ◽

Pass Through

Foreign body ingestion is a common diagnosis that presents in emergency departments throughout the world. Distinct foreign bodies predispose to particular locations of impaction in the gastrointestinal tract, commonly meat boluses in the esophagus above a preexisting esophageal stricture or ring in adults and coins in children. Several other groups are at high risk of foreign body impaction, mentally handicapped individuals or those with psychiatric illness, abusers of drugs or alcohol, and the geriatric population. Patients with foreign body ingestion typically present with odynophagia, dysphagia, sensation of having an object stuck, chest pain, and nausea/vomiting. The majority of foreign bodies pass through the digestive system spontaneously without causing any harm, symptoms, or necessitating any further intervention. A well-documented clinical history and thorough physical exam is critical in making the diagnosis, if additional modalities are needed, a CT scan and diagnostic endoscopy are generally the preferred modalities. Various tools can be used to remove foreign bodies, and endoscopic treatment is safe and effective if performed by a skilled endoscopist.

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Unique Pattern of True Foreign-Body Ingestion in the Valley of Kashmir; Sharp Foreign Bodies Outnumbering the Blunt Ones

Journal of Digestive Endoscopy ◽

10.4103/jde.jde_74_18 ◽

2019 ◽

Vol 10 (01) ◽

pp. 028-032

Author(s):

Nisar Ahmad Shah ◽

Showkat Ahmad Kadla ◽

Asif Iqbal Shah ◽

Bilal Ahmad Khan ◽

Inaam Ul Haq ◽

...

Keyword(s):

Foreign Body ◽

Success Rate ◽

Foreign Bodies ◽

Foreign Body Ingestion ◽

Young Females ◽

The People ◽

Early Endoscopy ◽

Normal Individuals ◽

Structural Abnormalities ◽

The Impact

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.

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Foreign Body Ingestion

10.2310/gastro.5503 ◽

2015 ◽

Author(s):

Kunal Jajoo ◽

Allison R Schulman

Keyword(s):

Foreign Body ◽

Foreign Bodies ◽

Management Strategies ◽

The United States ◽

Foreign Body Ingestion ◽

Gi Tract ◽

Food Bolus ◽

Therapeutic Decisions ◽

Food Bolus Impaction ◽

Bolus Impaction

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.

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Gastric perforation secondary to ingestion of a plastic bag

Annals of The Royal College of Surgeons of England ◽

10.1308/rcsann.2016.0036 ◽

2016 ◽

Vol 98 (2) ◽

pp. e29-e30 ◽

Cited By ~ 1

Author(s):

YM Goh ◽

IM Shapey ◽

K Riyad

Keyword(s):

Clinical Practice ◽

Gastrointestinal Tract ◽

Foreign Body ◽

Foreign Bodies ◽

Gastric Perforation ◽

Foreign Body Ingestion ◽

Pathophysiological Process ◽

Common Presentation ◽

Plastic Bag ◽

Pass Through

Foreign body ingestion is a common presentation in clinical practice, seen predominantly in children. Most foreign bodies pass through the gastrointestinal tract without any additional morbidity. We present a case of gastric perforation secondary to the ingestion of a small plastic bag. We discuss the likely pathophysiological process underlying perforation secondary to plastic bag ingestion, which is most commonly associated with the concealment of narcotics.

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Acute obstructive cholangitis due to fishbone in the common bile duct: a case report and review of the literature

BMC Gastroenterology ◽

10.1186/s12876-019-1088-8 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 1

Author(s):

Min Yu ◽

Bowen Huang ◽

Ye Lin ◽

Yuxue Nie ◽

Zixuan Zhou ◽

...

Keyword(s):

Foreign Body ◽

Bile Duct ◽

Literature Review ◽

Foreign Bodies ◽

Present Review ◽

Foreign Body Ingestion ◽

Clinical Value ◽

The World ◽

Obstructive Cholangitis ◽

Post War

Abstract Background Choledocholithiasis is an endemic condition in the world. Although rare, foreign body migration with biliary complications needs to be considered in the differential diagnosis for patients presenting with typical symptoms even many years after cholecystectomy, EPCP, war-wound, foreign body ingestion or any other particular history before. It is of great clinical value as the present review may offer some help when dealing with choledocholithiasis caused by foreign bodies. Case presentation We reported a case of choledocholithiasis caused by fishbone from choledochoduodenal anastomosis regurgitation. Moreover, we showed up all the instances of choledocholithiasis caused by foreign bodies published until June 2018 and wrote the world’s first literature review of foreign bodies in the bile duct of 144 cases. The findings from this case suggest that the migration of fishbone can cause various consequences, one of these, as we reported here, is as a core of gallstone and a cause of choledocholithiasis. Conclusion The literature review declared the choledocholithiasis caused by foreign bodies prefer the wrinkly and mainly comes from three parts: postoperative complications, foreign body ingestion, and post-war complications such as bullet injury and shrapnel wound. The Jonckheere-Terpstra test indicated the ERCP was currently the treatment of choice. It is a very singular case of choledocholithiasis caused by fishbone, and the present review is the first one concerning choledocholithiasis caused by foreign bodies all over the world.

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Denture Impaction Causing an Upper Esophageal Diverticulum

Case Reports in Gastrointestinal Medicine ◽

10.1155/2019/9621383 ◽

2019 ◽

Vol 2019 ◽

pp. 1-4

Author(s):

Shireen Samargandy ◽

Hani Marzouki ◽

Talal Al-Khatib ◽

Mazin Merdad

Keyword(s):

Foreign Body ◽

Foreign Bodies ◽

The Elderly ◽

Barium Swallow ◽

Diagnostic Challenge ◽

Case Presentation ◽

History Of ◽

Endoscopic Diverticulotomy ◽

Tomography Scan ◽

Rule Out

Background. Dentures are a common cause of inadvertent foreign body ingestion particularly in the elderly. Due to their radiolucent nature, they often present a diagnostic challenge to care providing physicians. Case Presentation. A 66-year-old female presented to our otolaryngology clinic with a 2-year history of dysphagia. Her physical examination was unremarkable. Computed tomography scan of the neck and barium swallow suggested Zenker diverticulum. She was planned for endoscopic diverticulotomy; however, during surgery, a foreign body was incidentally found and retrieved, which was a partial lower denture. The diverticulum resolved thereafter, and the patient's symptoms abated. Conclusion. The authors recommend evaluating the esophagus endoscopically first in cases of upper esophageal diverticular formation, even when planning an open repair approach, to rule out any concealed foreign bodies.

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

Case Reports in Surgery ◽

10.1155/2016/8075432 ◽

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.

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PS01.099: RETROSPECTIVE ANALYSIS OF CLINICAL FEATURES OF 202 CASES WITH ESOPHAGEAL FOREIGN BODIES

Diseases of the Esophagus ◽

10.1093/dote/doy089.ps01.099 ◽

2018 ◽

Vol 31 (Supplement_1) ◽

pp. 77-77

Author(s):

Jinteng Feng ◽

Kun Fan ◽

Rui Gao ◽

Junke Fu ◽

Guangjian Zhang

Keyword(s):

Foreign Body ◽

Clinical Features ◽

Foreign Bodies ◽

Conflicts Of Interest ◽

The Elderly ◽

General Information ◽

Diagnostic Methods ◽

Practical Significance ◽

Esophageal Foreign Body ◽

Esophageal Foreign Bodies

Abstract Background Esophageal foreign bodies refer to objects that are accidentally or intentionally swallowed, or that are naturally swallowed during medication or eating, temporarily staying in or resting in the esophagus. Esophageal foreign body is one of the common emergency of esophageal surgery, more common in the elderly and children. This paper study clinical features of esophageal foreign body in northwestern China in order to improve the abilities of diagnosis and treatment for the disease. Methods Clinical data of 202 patients admitted in for esophageal foreign body was analyzed retrospectively. The general information of the patients were collected, and the types of foreign bodies, the location, diagnostic methods, methods of taking out and related complications, hospitalization days, et al were analyzed statistically. Results The types of esophageal foreign body included jujube pit (61.8%), animal bones (12.9%) and non-food foreign bodies (24.3%). It mainly occurred in the upper orifice of the esophagus (65.8%). Diagnostic methods were mainly consisted of esophageal angiography (57.9%), chest X-ray (19.8%) and endoscopy (16.4%). Most of the patients (189, 93.6%) were treated with esophagoscopy. Altogether 26 cases presented with complications, and 18 of them were admitted in for jujube pit. Conclusion The main cause of esophageal foreign body is jujube pit. Early diagnose and timely management is essential for the disease. How to guide the population as far as possible to avoid ingesting jujube pit wrongly and reduce the incidence of esophageal foreign body is of practical significance. Disclosure All authors have declared no conflicts of interest.

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Wire bristle foreign body: Never in the same place twice

SAGE Open Medical Case Reports ◽

10.1177/2050313x19853443 ◽

2019 ◽

Vol 7 ◽

pp. 2050313X1985344

Author(s):

Andrew DP Prince ◽

Ashley M Bauer ◽

Yanjun Xie ◽

Mark EP Prince

Keyword(s):

Foreign Body ◽

Emergency Room ◽

Computerized Tomography ◽

Foreign Bodies ◽

Aerodigestive Tract ◽

Common Reason ◽

Foreign Body Ingestion ◽

Upper Aerodigestive Tract ◽

Close Proximity

Foreign body ingestion is a common reason for visiting the emergency room. Foreign bodies can lodge anywhere in the upper aerodigestive tract and can sometimes be difficult to extract. Wire bristles that dislodge from grill-cleaning wire brushes and which are then accidentally swallowed can be particularly challenging to remove due to their small size, propensity to become embedded, and their ability to migrate through tissues. This case reveals the speed with which wire bristle foreign bodies can migrate through tissues and exemplifies the need to obtain computerized tomography evaluations in close proximity to any planned attempt to remove them.

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