scholarly journals Accidentally swallowed toothbrush in mentally healthy patient: A case report and review of literature

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Usman M. Bello ◽  
Mamuda Atiku
Keyword(s):  
Case Report ◽  
Foreign Bodies ◽  
Duodenal Perforation ◽  
Healthy Patient ◽  
Endoscopic Removal ◽  
Review Of Literature ◽  
Endoscopic Retrieval ◽  
Mini Laparotomy ◽  
Is Failure ◽  
Surgical Option

Most ingested foreign bodies are usually passed through the gastrointestinal tract. Ingested toothbrush however is almost never passed due to their long length, which doesn’t negotiate the C-loop of the duodenum. Early endoscopic removal is however recommended to reduce chances of morbidity and mortality. Surgical option is considered when there is failure of endoscopic retrieval or when complication such as duodenal perforation has set in. In this case we present a 40-years-old man who accidentally ingested toothbrush that was removed surgically through mini laparotomy and gastrostomy.

scholarly journals EP.TH.691Necrotic Liver Abscess secondary to Duodenal Perforation caused by ingestion of a Fish Bone – A Case Report

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Shazmeen Surtee ◽  
Adam O'Connor ◽  
Mazyar Fani ◽  
Ahmed Hassan ◽  
Thomas Satyadas ◽  
...  
Keyword(s):  
Case Report ◽  
Foreign Bodies ◽  
Hepatic Abscess ◽  
Fish Bone ◽  
Magnetic Resonance Images ◽  
Source Control ◽  
Duodenal Wall ◽  
Duodenal Perforation ◽  
Lower Quadrant ◽  
Endoscopic Retrieval

Abstract Introduction Ingestion of foreign bodies are not uncommon, however enterohepatic migration of fish bones causing liver abscesses remains a rare phenomenon. Case Report We present the case of a 58-year-old female admitted with 11 days history of fever, rigors, shortness of breath and malaise associated with vomiting and diarrhoea. Her COVID-19 rapid antigen test was negative. She was tender in the left lower quadrant of her abdomen and inflammatory markers were markedly high so initial differential diagnosis included colitis and diverticulitis. Contrast Computed Tomography of the abdomen and pelvis showed an 8.1cm irregular hepatic lesion initially thought to be a multi-loculated abscess, malignancy or complex cyst. She was started on broad-spectrum antibiotics, escalated to Intensive Care Unit (ICU) and discussed at the hepato-biliary multi-disciplinary team (MDT) where magnetic resonance images demonstrated a perforated duodenum from a 2.5cm fish bone penetrating from the duodenal wall into the liver parenchyma causing a necrotic abscess. She underwent percutaneous drainage of the hepatic abscess. Endoscopic retrieval was then attempted; however, the fish bone was not visualised. Definitive management followed with laparoscopic removal of the fish bone and primary duodenal repair. Discussion Identification of the cause of the abscess during MDT discussion enabled prompt source control which was key in managing intra-abdominal sepsis – radiological drainage in the first instance prevented secondary peritonitis from a potentially ruptured abscess and enabled the patient to be de-escalated from ICU. Previous literature suggests endoscopic retrieval however, laparoscopic surgery remains safer for managing complications following removal of sharp foreign bodies.

Neuralgia-like symptoms in a patient with an airgun pellet in the ethmoid sinus: a case report

1995 ◽  
Vol 109 (7) ◽  
pp. 646-649 ◽  
Author(s):  
Paul J. Donald ◽  
Arun K. Gadre
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Surgical Management ◽  
Unusual Case ◽  
Foreign Bodies ◽  
Ethmoid Sinus ◽  
Endoscopic Removal ◽  
Review Of The Literature ◽  
Anatomical Basis

AbstractAn unusual case of a retained airgun pellet in the ethmoid sinus is presented. The patient's only complaint was a severe neuralgic headache. Anatomical basis for this symptom, imaging and successful endoscopic removal of the foreign body are discussed. The philosophy for removal of innocuous foreign bodies, potential pitfalls in surgical management, and a review of the literature are included in the discussion.

A foreign body (a fish bone) in the esophagus translocating into soft tissues of the neck – a case report

2019 ◽  
Vol 8 (1) ◽  
pp. 56-59
Author(s):  
Magda Licznerska-Kreczko ◽  
Jerzy Kuczkowski ◽  
Tomasz Nowicki ◽  
Maciej Świerblewski ◽  
Andrzej Skorek
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Antibiotic Prophylaxis ◽  
Digestive Tract ◽  
Foreign Bodies ◽  
Soft Tissues ◽  
Atlantic Cod ◽  
Fish Bone ◽  
Endoscopic Removal ◽  
Key Words Foreign Body

Background: Patients with foreign bodies in upper digestive tract not infrequently trigger many diagnostic and treatment challenges, especially when foreign bodies translocate and are lodged outside the esophagus. Case report: We present a case of a foreign body in esophagus 56-years old woman who had developed persistent sensation of an obstacle in her throat after eating fish (Atlantic cod). She has initially dismissed her symptoms and refused medical treatment. Subsequently, a neck CT done one week later showed a 20-milimeter long fish bone in the soft tissues on the left side of her neck (between pharynx and vertebral column). Few attempts of endoscopic removal were unsuccessful. Despite antibiotic prophylaxis and due to the fish bone translocation into soft tissues of the neck and its location close to a common carotid artery and an internal jugular vein a decision was made to remove it from the external approach. The foreign body was successfully removed without any esophageal damages. Conclusions: Foreign bodies in digestive tract may result in many life-threatening complications. The fundamental management is based on the endoscopic removal of a foreign body and the antibiotic prophylaxis. In case of foreign bodies lodged in soft tissues open surgery is recommended. Key words: foreign body in the esophagus; fish bone; paraesophageal abscess ; treatment

scholarly journals Endoscopic Removal of a Duodenal-Perforating Leg of Glasses with Dormia Basket

2016 ◽  
Vol 10 (3) ◽  
pp. 679-684 ◽  
Author(s):  
Li Wang ◽  
Wei Wen ◽  
Jiamiao Huang ◽  
Weijie Hu ◽  
Renrong Zhou ◽  
...  
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Duodenal Perforation ◽  
Test Results ◽  
Endoscopic Removal ◽  
Gi Tract ◽  
Tract Perforation ◽  
Laboratory Test Results ◽  
Ingested Foreign Body ◽  
Pass Through

Ingestion of foreign bodies is common in clinical practice. Most ingested foreign bodies will pass through the gastrointestinal (GI) tract without any problems. While GI tract injury due to the ingested foreign body such as a toothpick, a fishbone, a date pit, or a chicken bone, is common, duodenal perforation is rare. In this report, our experience with this rare entity is shared. We present a 38-year-old male patient with GI tract perforation in the bulbus of the duodenum due to a leg of glasses. The patient was admitted to our hospital with severe abdominal pain. Right upper quadrant tenderness was detected at physical examination, and leukocytosis on the laboratory test results. Plain X-ray and computerized tomography showed an ingested foreign body in the bulbus of the duodenum. A leg of glasses perforating the duodenum was removed with endoscopy. The patient was managed nonoperatively, and discharged without any complications on the eighth day after endoscopy. Endoscopic removal and nonoperative management may be feasible in carefully selected patients with duodenal-perforating foreign bodies.

scholarly journals Foreign Bodies in Lower Urinary Tract: Case Report and Review of Literature

2013 ◽  
Vol 15 (7) ◽  
pp. 611-613
Author(s):  
Praveen Kumar Pandey ◽  
Amit Goel ◽  
Dilip Kumar Pal ◽  
Anup Kumar Kundu
Keyword(s):  
Case Report ◽  
Urinary Tract ◽  
Lower Urinary Tract ◽  
Foreign Bodies ◽  
Review Of Literature ◽  
Lower Urinary

scholarly journals Migratory Bronchial Foreign Body: Role of Serial Radiographs and Review of Literature

2020 ◽  
Vol 7 (11) ◽  
pp. 5130-5134
Author(s):  
E.E. Afiadigwe ◽  
E.N. Chime ◽  
G. Obasikene ◽  
B C Ezeanolue
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Tracheobronchial Tree ◽  
Endoscopic Removal ◽  
Review Of Literature ◽  
Bronchial Foreign Body ◽  
Initial Radiograph ◽  
Foreign Body Impaction

ABSTRACT Foreign body impaction in the airway poses a great challenge of management to any Laryngology facility. Prompt localization of the foreign body and its endoscopic removal are the panacea for the successful extraction of the foreign body Tracheobronchial foreign bodies depending on their size and site of initial impaction can migrate to other locations in the tracheobronchial tree making their identification and subsequent extraction more challenging for the endoscopist. We present here and review the literature on three cases that throw up such challenges that were successfully managed by the authors to highlight this.  Serial radiograph can be useful in the management of such cases especially if delay occurred in its extraction after initial radiograph assessment.

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