scholarly journals Successful Endoscopic Removal of 42 Magnetic Balls

2017 ◽  
Vol 08 (02) ◽  
pp. 081-082
Author(s):  
Michael Dole ◽  
Girish Hiremath
Keyword(s):  
Emergency Department ◽  
Foreign Body ◽  
Surgical Management ◽  
Surgical Procedures ◽  
Clinical Case ◽  
Pediatric Patients ◽  
Surgical Intervention ◽  
Endoscopic Removal ◽  
Emergency Department Presentation ◽  
Gastrointestinal Mucosa

ABSTRACTForeign body ingestion in pediatric patients is a common emergency department presentation. Despite a ban and recall in 2014 for the magnetic toy “Buckyballs” due to posing a deadly risk if ingested, clinical cases continue to occur. The need for surgical management in the setting of multiple magnet ingestions is related to compromised blood supply when at least two magnets are attracted while separated by gastrointestinal mucosa, and previous studies have indicated that the majority of multiple magnet ingestions require surgical intervention. In the setting of a known recent ingestion, endoscopic removal can potentially safely avoid the morbidity and mortality associated with surgical procedures. We present an interesting clinical case of multiple magnetic ingestion managed with endoscopic procedure.

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.

scholarly journals Incisive dental implant migration into the nasal septum

2019 ◽  
Vol 12 (7) ◽  
pp. e228325 ◽  
Author(s):  
Ana Sousa Menezes ◽  
Nuno Daniel Ribeiro Martins da Costa ◽  
Filipa Carvalho Moreira ◽  
Daniela Ribeiro
Keyword(s):  
Emergency Department ◽  
Surgical Treatment ◽  
Foreign Body ◽  
Dental Implant ◽  
Nasal Septum ◽  
Clinical Case ◽  
Cartilage Destruction ◽  
Septal Cartilage ◽  
Abscess Drainage ◽  
Septal Abscess

We report the clinical case of a female patient who presented to our emergency department due to a septal abscess caused by the displacement of a dental implant into the nasal septum. The patient underwent surgical treatment for endoscopic foreign body excision and septal abscess drainage. Despite the presence of septal cartilage destruction, the L-shaped structure was preserved and no reconstruction was required. Postoperative healing was uneventful.

Tu1532 Emergency Department Presentation, Admission and Surgical Intervention for Colonic Diverticulitis

2013 ◽  
Vol 144 (5) ◽  
pp. S-1120
Author(s):  
Eric B. Schneider ◽  
Aparajita Singh ◽  
Shalini Selvarajah ◽  
Jonathan E. Efron ◽  
Anne O. Lidor
Keyword(s):  
Emergency Department ◽  
Surgical Intervention ◽  
Emergency Department Presentation ◽  
Colonic Diverticulitis

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 Etiologies of abdominal pain emergencies in pediatrics

2021 ◽  
Author(s):  
Hala Atta Youssef ◽  
Aishah Mohammad Alkhaldi ◽  
Manar Mohammed Alshahrani ◽  
Abdullah Tariq Almalki ◽  
Amjad Ali Alahmari ◽  
...  
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Pediatric Patients ◽  
Surgical Intervention ◽  
Acute Abdominal Pain ◽  
Clinical Importance ◽  
Healthcare Settings ◽  
Common Causes ◽  
The Common ◽  
Attending Physicians

Reports showed that children usually complained of acute abdominal pain, which indicated the presence of severe underlying conditions and can have significant clinical importance. Serious challenges have been reported in healthcare settings where an urgent evaluation of the cases was necessary to adequately manage the patient before developing serious complications that might even end up with death. Some of these conditions included intussusception, appendicitis, volvulus and adhesions. Although estimates indicated that only around 1% of pediatric patients with acute abdominal pain usually required surgical intervention, concerns regarding the overlooking and misdiagnosis of significant conditions that might have severe prognostic outcomes were aroused among the different emergency departments. This study reviewed the common causes of acute abdominal pain among children admitted to the emergency department. Our results indicated that various etiologies can develop acute abdominal pain and therefore, establishing an adequate diagnosis by differentiating between the different etiologies should be done by the attending physicians to enhance the outcomes and adequately manage the admitted patients. Gastrointestinal causes of acute abdominal pain were the commonest to cause admissions to the emergency department. However, care should also be provided to the less common conditions, which might include genitourinary and pulmonary disorders and therefore, a thorough examination of children should be provided not to conduct a misdiagnosis of the underlying condition.

scholarly journals Surgical management of a patient with biliodigestive anastomosis stricture complicated by multiple intrahepatic lithiasis

2021 ◽  
Vol 180 (4) ◽  
pp. 82-85
Author(s):  
A. Yu. Korolkov ◽  
D. N. Popov ◽  
A. O. Tantsev ◽  
T. O. Nikitina ◽  
S. F. Bagnenko
Keyword(s):  
Small Bowel ◽  
Surgical Management ◽  
Clinical Case ◽  
Surgical Intervention ◽  
Biliodigestive Anastomosis ◽  
Second Stage ◽  
Intrahepatic Lithiasis ◽  
Iatrogenic Damage ◽  
The Right ◽  
Upper Abdomen

A clinical case of surgical management of patient with biliodigestive anastomosis stricture complicated by multiple intrahepatic lithiasis is presented. The patient was 57 years old woman. Anamnesis of the disease: in 2016, biliodigestive anastomosis was performed due to iatrogenic damage of the biliary tract. She was admitted to the hospital with complaints of the right upper abdomen pain, accompanied by chills, jaundice, and fever up to 39°C. The examination revealed a stricture of a previously formed biliodigestive anastomosis complicated by multiple intrahepatic cholelithiasis. Surgical intervention was performed: at the first stage – percutaneous transhepatic cholangiostomy; at the second stage – laparotomy, separation of hepaticojejunoanastomosis, intraoperative cholangioscopy with lithoextraction, resection of a small bowel section with a Brownian anastomosis, post-colon hepaticojejunostomy on a disconnected loop and replaceable transhepatic drains (Smith-Praden-Saypol-Kurian).

scholarly journals Management of trauma cranioencephalic (MTC) in kids against the pandemic of COVID-19: a integrative review

2021 ◽  
Author(s):  
Izabela Borges Silva ◽  
Ingrid Ayumi Yamaguchi Kasai ◽  
Roberta Martins Anhezini de Sousa ◽  
Thamyres Cintra Lemos ◽  
Yasmim Victoria Loureiro Alvares de Oliveira
Keyword(s):  
Surgical Management ◽  
Emergency Care ◽  
Clinical Management ◽  
Pediatric Patients ◽  
Surgical Intervention ◽  
Integrative Review ◽  
Trauma Management ◽  
Routine Design ◽  
Distrito Federal ◽  
Hospital Expenses

Introduction: The SARS-CoV-2 pandemic affects all the segments, including the healthcare centre services. Thus, understanding how emergency care is performed in cases of TBI in pediatric patients is essential. Objectives: To analyze changes in trauma management in children since measures to combat the pandemic have fostered a change in hospital routine. Design of study and location: The work was carried out with students from Goiás, Distrito Federal, Amazonas, Espírito Santo and São Paulo who organized themselves at a distance to deal with relevant and current issues in an integrative manner. Methods: Integrative review based on the PubMed and SciELO research databases. Results: In clinical management, light TBI corresponds to most pediatric cases, therapy consists of monitoring and stabilising the patient. In surgical management, the main objective is decompression of the cephalic mass and surgical intervention in the resolution of parenchymal hematomas. Neuroimaging exams are also essential for good conduct and evaluation; However, the concern with the excessive use of these grew and, therefore, it was necessary to reduce the number of unnecessary requests, avoiding hospital expenses. In addition, telemedicine assists in care ensure greater protection, since it reduces the risk of contagion. Conclusion: Therefore, it is evident that the SARS-CoV-2 pandemic affected the treatment of TBI cases in children. Thus, there was a need for restructuring in the hospital routine.

Twelve month delay in emergency department presentation of a patient with a rectal foreign body

2012 ◽  
Vol 24 (6) ◽  
pp. 683-683 ◽  
Author(s):  
Bige Sayın ◽  
Perihan Polattaş ◽  
Betül Akdal Dölek ◽  
Nilgün Yıldırım ◽  
Doğan Dede
Keyword(s):  
Emergency Department ◽  
Foreign Body ◽  
Emergency Department Presentation

737 Treadmill Friction Hand Injuries in the Pediatric Patient

2020 ◽  
Vol 41 (Supplement_1) ◽  
pp. S200-S201
Author(s):  
Paulette Abbas ◽  
Mia Choe ◽  
Elika Ridelman ◽  
Beth A Angst ◽  
Justin D Klein ◽  
...  
Keyword(s):  
Surgical Management ◽  
Surgical Procedures ◽  
Surgical Intervention ◽  
Median Number ◽  
Hand Injuries ◽  
Home Exercise ◽  
Scar Management ◽  
Delayed Intervention ◽  
Clinic Visits

Abstract Introduction Pediatric friction hand injuries are prevalent, likely due to the increasing presence of home exercise equipment. While friction injuries often appear deeper on initial assessment, not all are treated surgically during the acute phase. We sought to characterize our experience with outcomes based on acute (< 30 days) surgical intervention compared to delayed intervention. Methods Patients were queried from a single institution, verified pediatric burn center database. A retrospective chart review of pediatric patients (< 18 years) over a 5 year period was performed. Data collected included demographics, treatment methods (acute vs. delayed), dressing type, scar management, and follow-up. Outcomes included additional surgical and non-surgical adjuncts to treat the sequela of injury. Results Our institution treated 23 treadmill hand injuries over the 5-year period. There was a slight predominance of female (n=13, 57%) vs. male (n=10, 43%) patients. Median age at injury was 2 years (IQR 1–3). Thirteen patients (57%) sustained an injury equivalent to a second degree burn and ten (43%) to third degree. Injuries were initially treated with silvadene (n=14) and/or xeroform (n=21). Involvement of left and right hands were equally divided and all injuries involved the digits. The median number of digits involved was 2 (range 1–4). The most commonly injured digits were the middle and ring fingers (19 each). Average length of stay was 14 hours. All but one patient followed-up with a median number of 4 clinic visits. All of these patients were reported as healed at time of last follow-up. Median time to healing was 31.5 days (IQR 29 – 58). Overall, 4 patients (17%) underwent acute surgical intervention with a median of 7 days from injury (IQR 1.75–13.5). Of these 4 patients, 2 (50%) required additional operations for scar management and 2 (50%) required non-surgical management. Of the 19 (83%) who did not undergo early surgical management, only 1 patient (6%) required a Z-plasty, 12 (63%) were managed with non-surgical intervention and 6 (31%) needed no further treatment after healing. Conclusions Pediatric friction hand injuries often affect multiple digits and lead to a median of 4 clinic visits. Our data suggest that early surgical intervention in this cohort did not minimize future surgical procedures or non-surgical management. Rather, delayed intervention appears to allow for fewer surgical procedures and similar non-surgical management. Larger studies are required to validate this finding; however, this data suggests that continued initial management with a combination of silvadene and xeroform may be a safe option. Applicability of Research to Practice Our study provides guidance in the evaluation and treatment of pediatric treadmill friction injury. This data supports delaying surgical interventions on these seemingly deep hand injuries.

scholarly journals A Near Brush with Death: A Case Report on Oral Foreign Body Impalement

2019 ◽  
Vol 2 (1) ◽  
pp. 13-17 ◽  
Author(s):  
Rachel Christner ◽  
Marisa Homer ◽  
Oliver Atar ◽  
Brian Hynes
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Foreign Body ◽  
Emergency Room ◽  
Operating Room ◽  
Pediatric Patient ◽  
Pediatric Patients ◽  
Conscious Sedation ◽  
Upper Airway

We describe a case of an 11-month-old baby presenting to the emergency room with a foreign body in the upper airway. After unsuccessfully attempting to remove the foreign body in the emergency department, the otolaryngologist was consulted. The patient was taken to the operating room, and a comb was successfully removed under conscious sedation. This case illustrates the need of a well-considered strategy for managing the airway of a pediatric patient with a foreign body, while also demonstrating the unique challenges of treating pediatric patients.

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