Diagnosis and Localization of Intraocular Foreign Bodies by Computed Tomography

A dog was referred to Alta Vista Animal Hospital with a porcupine quill penetrating the right ventricle. The presenting complaint was tachypnea and dyspnea secondary to bilateral pneumothorax. Computed tomography revealed bilateral pneumothorax without evidence of quills. A median sternotomy was performed and the quill was removed. The dog recovered uneventfully. Quill injuries are common in dogs; however, intracardiac quill migration is rare. Dogs without evidence of severe cardiac injury secondary to intracardiac foreign bodies may have a good prognosis.

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Rectal Foreign Body of Eggplant Treated Successfully by Endoscopic Transanal Removal

Case Reports in Gastroenterology ◽

10.1159/000488974 ◽

2018 ◽

Vol 12 (1) ◽

pp. 189-193 ◽

Cited By ~ 2

Author(s):

Hiroo Sei ◽

Toshihiko Tomita ◽

Keisuke Nakai ◽

Kumiko Nakamura ◽

Akio Tamura ◽

...

Keyword(s):

Computed Tomography ◽

Sexual Orientation ◽

Foreign Body ◽

Foreign Bodies ◽

Deep Part ◽

Endoscopic Removal ◽

Abdominal Computed Tomography ◽

Endoscope Guidance ◽

Gastrointestinal Endoscope ◽

Emergency Measures

Transanal rectal foreign body implies that a foreign body has been inserted transanally due to sexual orientation or other reasons and cannot be removed. Such cases require emergency measures because foreign bodies often present difficulties in manual removal or endoscopic removal and may even require surgery when peritonitis due to gastrointestinal perforation occurs. We report a patient in our hospital who had a rectal foreign body inserted into the deep part of the proctosigmoid that could be removed endoscopically. A 66-year-old man visited our hospital because of an eggplant which had been inserted into his rectum by his friend and could not be removed. Since plain abdominal computed tomography showed a foreign body thought to be an eggplant in the proctosigmoid, the foreign body was captured and removed with a snare under lower gastrointestinal endoscope guidance.

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The Dangers of Barbecuing: An Interesting Case of a Foreign Body in the Throat

Clinical Practice and Cases in Emergency Medicine ◽

10.5811/cpcem.2019.4.42105 ◽

2019 ◽

Vol 3 (3) ◽

pp. 301-302

Author(s):

Vincent Sicari ◽

Joseph Pepe ◽

Alfonso Cardenas ◽

Christopher Zabbo

Keyword(s):

Computed Tomography ◽

Linear Density ◽

Foreign Bodies ◽

Recent Literature ◽

Acute Onset ◽

Interesting Case ◽

Computed Tomography Imaging ◽

Tomography Imaging ◽

Common Complaint ◽

Emergency Department Setting

Swallowing of foreign bodies (FB), and sensation of such in the throat, is a common complaint in the emergency department setting, with roughly 80,000 visits in 2010 for FB ingestion.1 Grill wire brushes are a rarely reported, accidental FB ingestion, although recent literature suggests that it is more common than initially thought.2 This is a report of a female with acute onset odynophagia after a meal, with a normal laryngoscopic exam that used flexible fiberoptics. Evidence of a metallic linear density was present in the retropharynx on computed tomography imaging, most consistent with a wire from a grill wire brush.

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Localization of Metallic Foreign Bodies in the Chest by Computed Tomography

Journal of Computer Assisted Tomography ◽

10.1097/00004728-198210000-00014 ◽

1982 ◽

Vol 6 (5) ◽

pp. 955-957 ◽

Cited By ~ 3

Author(s):

Olga B. Adler ◽

Alexander Rosenberger

Keyword(s):

Computed Tomography ◽

Foreign Bodies

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An uncommon localisation of a vegetal foreign body in a dog: a case report

Veterinární Medicína ◽

10.17221/108/2017-vetmed ◽

2017 ◽

Vol 62 (No. 10) ◽

pp. 579-582

Author(s):

F. Del Signore ◽

R. Terragni ◽

A. Carloni ◽

L. Stehlik ◽

P. Proks ◽

...

Keyword(s):

Computed Tomography ◽

Foreign Body ◽

Foreign Bodies ◽

Subcutaneous Tissue ◽

Clinical Signs ◽

The Body ◽

Whole Body ◽

Easy Access ◽

Post Contrast ◽

Grass Seed

The goal of this study was to describe the ultrasonographic and computed tomographic appearance of a penile foreign body in a dog for the first time. We describe an unusual penile localisation of a grass seed awn in an 11-year-old mixed-breed dog referred for a computed tomography study after a severe haemorrhage from the penis. A fistulous tract was observed after plain and post-contrast whole-body computed tomography acquisition; the foreign body was localised with ultrasound and removed under ultrasonographic guidance, with the complete healing of the penile lesion. Grass awns are common foreign bodies in dogs and cats and are commonly localised in the ear canal, subcutaneous tissue, interdigital space, eyelid, conjunctiva and nasal or oral cavity. These foreign bodies pose a threat due to their peculiar structure, which facilitates their easy access to the affected area and their transit through the body. Clinical signs are often non-specific, and imaging modalities such as ultrasonography and computed tomography are useful techniques for localisation. Our report demonstrates that the combination of computed tomography and ultrasound techniques was crucial for the exact localisation and mini-invasive retrieval of the grass seed.

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Detection of Wooden Foreign Bodies in Muscle Tissue: Experimental Comparison of Computed Tomography, Magnetic Resonance Imaging, and Ultrasonography

Foot & Ankle International ◽

10.1177/107110079401500807 ◽

1994 ◽

Vol 15 (8) ◽

pp. 437-443 ◽

Cited By ~ 58

Author(s):

Mark S. Mizel ◽

Neil D. Steinmetz ◽

Elly Trepman

Keyword(s):

Magnetic Resonance Imaging ◽

Computed Tomography ◽

Magnetic Resonance ◽

Muscle Tissue ◽

Foreign Bodies ◽

Imaging Modality ◽

Experimental Comparison ◽

Imaging Method ◽

Resonance Imaging ◽

Ct And Mri

An experimental study was performed to compare computed tomography (CT), magnetic resonance imaging (MRI), and real-time, high resolution ultrasonography (US) for the detection of wooden foreign bodies in muscle tissue. Wooden splinters were prepared, measured for size, soaked in saline, and placed in porcine muscle distant from and adjacent to bone. The specimens were then examined using roentgenography, CT and MRI in planes parallel and perpendicular to the splinters, and US. The largest wooden foreign bodies (minimum smallest width = 10 mm) were easily detected by CT, MRI, and US. Almost all splinters of various sizes, small and large, soaked in saline for 5 months were easily detected by MRI. Smaller splinters (minimum smallest width = 1–4 mm) soaked for only 3 days and placed distant from bone were most easily detected by US; those soaked for 5 months were most easily detected by either US or MRI. The smaller splinters soaked for only 3 days and placed near bone were not reliably detected by any of the imaging methods; CT and MRI were both more sensitive than US in this situation. MRI scanning was more sensitive perpendicular than parallel to the long axis of the splinters. Therefore, either US or MRI may be the best initial imaging modality for evaluation of a suspected wooden foreign body, depending on availability of imaging method, chronicity of symptoms, and proximity to bone.

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Role of virtual bronchoscopy in children with a vegetable foreign body in the tracheobronchial tree

The Journal of Laryngology & Otology ◽

10.1017/s0022215114002837 ◽

2014 ◽

Vol 128 (12) ◽

pp. 1078-1083 ◽

Cited By ~ 15

Author(s):

G Behera ◽

N Tripathy ◽

Y K Maru ◽

R K Mundra ◽

Y Gupta ◽

...

Keyword(s):

Computed Tomography ◽

Foreign Body ◽

Multidetector Computed Tomography ◽

Diagnostic Tool ◽

Foreign Bodies ◽

Three Dimensional ◽

Tracheobronchial Tree ◽

Rigid Bronchoscopy ◽

Foreign Body Aspiration ◽

Virtual Bronchoscopy

AbstractObjectives:Multidetector computed tomography virtual bronchoscopy is a non-invasive diagnostic tool which provides a three-dimensional view of the tracheobronchial airway. This study aimed to evaluate the usefulness of virtual bronchoscopy in cases of vegetable foreign body aspiration in children.Methods:The medical records of patients with a history of foreign body aspiration from August 2006 to August 2010 were reviewed. Data were collected regarding their clinical presentation and chest X-ray, virtual bronchoscopy and rigid bronchoscopy findings. Cases of metallic and other non-vegetable foreign bodies were excluded from the analysis. Patients with multidetector computed tomography virtual bronchoscopy showing features of vegetable foreign body were included in the analysis. For each patient, virtual bronchoscopy findings were reviewed and compared with those of rigid bronchoscopy.Results:A total of 60 patients; all children ranging from 1 month to 8 years of age, were included. The mean age at presentation was 2.01 years. Rigid bronchoscopy confirmed the results of multidetector computed tomography virtual bronchoscopy (i.e. presence of foreign body, site of lodgement, and size and shape) in 59 patients. In the remaining case, a vegetable foreign body identified by virtual bronchoscopy was revealed by rigid bronchoscopy to be a thick mucus plug. Thus, the positive predictive value of virtual bronchoscopy was 98.3 per cent.Conclusion:Multidetector computed tomography virtual bronchoscopy is a sensitive and specific diagnostic tool for identifying radiolucent vegetable foreign bodies in the tracheobronchial tree. It can also provide a useful pre-operative road map for rigid bronchoscopy. Patients suspected of having an airway foreign body or chronic unexplained respiratory symptoms should undergo multidetector computed tomography virtual bronchoscopy to rule out a vegetable foreign body in the tracheobronchial tree and avoid general anaesthesia and invasive rigid bronchoscopy.

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Rapunzel syndrome

Vojnosanitetski pregled ◽

10.2298/vsp1208717p ◽

2012 ◽

Vol 69 (8) ◽

pp. 717-720 ◽

Cited By ~ 1

Author(s):

Gordana Petrovic ◽

Aleksandar Nagorni ◽

Goran Bjelakovic ◽

Daniela Benedeto-Stojanov ◽

Biljana Radovanovic-Dinic ◽

...

Keyword(s):

Computed Tomography ◽

Foreign Bodies ◽

Psychiatric Treatment ◽

Abdominal Mass ◽

Rare Form ◽

Rapunzel Syndrome ◽

Younger Women ◽

Palpable Abdominal Mass ◽

Over Time

Introduction. Trichobezoars are foreign bodies in gastrointestinal tract, composed of hair. They occur mainly in children and adolescents suffering from trichotillophagia. They commonly occur in the stomach, but as they enlarge over time, they can extend through the pylorus into distal parts of the small intestine resembling a tail. This rare form of trichobezoar is named Rapunzel syndrome. Case report. We presented a 19-year-old female patient, who suffered from trichotillomania and trichotillophagia, which led to trichobezoar formation. Intra-abdominal tumour was suspected after initial clinical examination. Abdominal echosonography, endoscopy and abdominal computed tomography (CT scan) in the pre-operational period revealed trichobezoar formation. The patient was operated on and subjected to further psychiatric treatment. Conclusion. Trichobezoar should be differentially diagnostically taken into consideration in younger women with abdominal pain, nausea, vomiting, palpable abdominal mass and psychiatric disorders. Most trichobezoar cases require surgical treatment, whereas the patients need long-term psychiatric treatment and monitoring.

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