A Complicated Case of Foreign Body Oesophagus in an Infant

Ingestion of foreign bodies is common primarily in children, psychiatric patients, alcoholics and elderly people who use dentures. Selivanov et al. reported that, in most cases of foreign body ingestion, the most common foreign bodies ingested were coins, bones, food debris, safety pins and razor blades. Rarity, technical difficulty in removing the foreign body, complications associated with the delay in diagnosis and treatment, migration of the foreign body extraluminally, site, shape and position of the sharp end of a safety pin makes this case interesting and worth reporting. We are reporting a case of a one year child presenting to us with accidental ingestion of a safety pin. The case was difficult because the protected end of the safety pin was broken which made both the ends of the foreign body sharp. Also, the ends of safety pin were wide apart and pointing upwards.

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Deodorant aerosol spray can in the rectum: a potential fire hazard during surgery

BMJ Case Reports ◽

10.1136/bcr-2020-241538 ◽

2021 ◽

Vol 14 (5) ◽

pp. e241538

Author(s):

Sivaraman Kumarasamy ◽

Lileswar Kaman ◽

Azhar Ansari ◽

Amarjyoti Hazarika

Keyword(s):

Foreign Body ◽

Surgical Procedures ◽

Foreign Bodies ◽

Fire Hazard ◽

Psychiatric Patients ◽

Young Male ◽

Energy Devices ◽

Aerosol Spray ◽

Rectal Foreign Bodies ◽

Fire And Explosion

Rectal foreign bodies are not uncommon and often pose a serious challenge to surgeons. In majority, the objects are inserted by self in children, psychiatric patients and for sexual gratification in adults. Various rectal foreign bodies have been reported. Deodorant aerosol spray can in the rectum has not been reported previously. Danger of aerosol dispenser can is the risk of fire and explosion. Especially during any surgical procedures to remove the foreign body using cautery or any energy devices. We report of a rare foreign body of deodorant aerosol spray can in the rectum in a young male patient, which was removed under general anaesthesia.

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Unusual foreign body in the upper digestive tract: case report

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20181885 ◽

2018 ◽

Vol 4 (3) ◽

pp. 850

Author(s):

Snigdha Elaprolu ◽

Gowri Sankar Marimuthu ◽

Raghul Sekar ◽

Sunil Kumar Saxena

Keyword(s):

Case Report ◽

Gastrointestinal Tract ◽

Foreign Body ◽

Digestive Tract ◽

Foreign Bodies ◽

Psychiatric Patients ◽

Unusual Foreign Body ◽

Upper Digestive Tract ◽

Entire Gastrointestinal Tract

Unusual foreign bodies in the digestive tract are common in psychiatric patients and children requiring screening of the entire gastrointestinal tract. We here report two cases of unusual ingested blunt foreign body in the upper digestive tract managed differently.

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Ileocecal Fistula Caused by Multiple Foreign Magnetic Bodies Ingestion

Case Reports in Surgery ◽

10.1155/2018/7291539 ◽

2018 ◽

Vol 2018 ◽

pp. 1-3

Author(s):

Vittorio Cherchi ◽

Gian Luigi Adani ◽

Elda Righi ◽

Umberto Baccarani ◽

Giovanni Terrosu ◽

...

Keyword(s):

Emergency Department ◽

Abdominal Pain ◽

Foreign Body ◽

Clinical Condition ◽

Correct Diagnosis ◽

Intestinal Wall ◽

Accidental Ingestion ◽

The Us ◽

Manual Suture ◽

One Year

The incidence of accidental foreign body (FBs) ingestion is 100,000 cases/year in the US, with over than 80% of cases occurring in children below 5 years of age. Although a single FB may pass spontaneously and uneventfully through the digestive tract, the ingestion of multiple magnetics can cause serious morbidity due to proximate attraction through the intestinal wall. Morbidity and mortality depend on a prompt and correct diagnosis which is often difficult and delayed due to the patient's age and because the accidental ingestion may go unnoticed. We report our experience in the treatment of an 11-year-old child who presented to the emergency department with increasing abdominal pain, vomiting, diarrhea, and fever. Surgery evidenced an ileocecal fistula secondary to multiple magnetic FB ingestion with attraction by both sides of the intestinal wall. A 5-centimeter ileal resection was performed, and the cecal fistula was closed with a longitudinal manual suture. The child was discharged at postoperative day 8. After one year, the patient’s clinical condition was good.

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Foreign body ingestion-related peritonitis in an elderly peritoneal dialysis patient

SAGE Open Medical Case Reports ◽

10.1177/2050313x211056414 ◽

2021 ◽

Vol 9 ◽

pp. 2050313X2110564

Author(s):

Taghavi Maxime ◽

Bellavia Salvatore ◽

Thibaut Véronique³ ◽

De Pelsemaeker Marie-Caroline ◽

Mesquita Maria do Carmo Filomena ◽

...

Keyword(s):

Peritoneal Dialysis ◽

Foreign Body ◽

Dialysis Patient ◽

Foreign Bodies ◽

Peritoneal Dialysis Patient ◽

Medication Administration ◽

Abdominal Sepsis ◽

Dialysis Patients ◽

Accidental Ingestion ◽

Ileal Perforation

Among peritoneal dialysis patients, peritoneal dialysis-related peritonitis is a well-known complication, but it can also be non-peritoneal dialysis-related (e.g. ruptured appendix). Ileal perforation by foreign bodies such as blister pill packs can be seen in the emergency room. Differentiating this from peritoneal dialysis-related peritonitis can be difficult, since they can have both identical presentations. Computed tomography can be of value in detecting abscess, thickening of the digestive wall or adhesions, and exclude other causes of intra-abdominal sepsis. Because of the aging population, ingestion of foreign body can be expected to rise. We therefore recommend that blister pill packs should not be divided into single-dose pieces, and we invite elderly patient’s entourage to check medication administration. Furthermore, manufacturing efforts are highly recommended to improve blister pill pack’s design, to avoid accidental ingestion. We report the case of an elderly peritoneal dialysis patient who presented with peritonitis due to ileal perforation because of blister pill pack ingestion.

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Unusual case of mobile phone simulation SIM card’s outer case ingestion: wedged at laryngeal surface of epiglottis

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20190789 ◽

2019 ◽

Vol 5 (2) ◽

pp. 514

Author(s):

Rachna Dhingra ◽

Jai Lal Davessar ◽

Shruti Sharma ◽

Kanwalpreet Kaur

Keyword(s):

Emergency Department ◽

Foreign Body ◽

Mobile Phone ◽

Unusual Case ◽

Foreign Bodies ◽

Pediatric Population ◽

Title Page ◽

Common Occurrence ◽

Accidental Ingestion ◽

Emergency Department Attendance

<div class="page" title="Page 2"><div class="layoutArea"><div class="column">Accidental ingestion of foreign bodies in the pediatric population is usually small pieces from toys or other household objects and subsequent emergency department attendance is a common occurrence. Here we describe an unusual case of accidental swallowing where the foreign body is outer case of mobile phone simulation (SIM) card.</div></div></div>

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Traheobronchial foreign bodies: evaluation and retrieval by rigid bronchoscopy

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20194925 ◽

2019 ◽

Vol 5 (6) ◽

pp. 1552

Author(s):

Kunzes Dolma ◽

Anchal Gupta ◽

Apurab Gupta ◽

Padam Singh Jamwal

Keyword(s):

Foreign Body ◽

Clinical Examination ◽

Foreign Bodies ◽

Standard Procedure ◽

Neck Surgery ◽

Rigid Bronchoscopy ◽

Foreign Body Aspiration ◽

Female Ratio ◽

Mortality And Morbidity ◽

Delay In Diagnosis

Background: The foreign body aspiration is one of the commonest ENT emergencies. Delay in diagnosis and treatment may lead to significant morbidity and mortality.Methods: The current study was conducted at Department of Otorhinolaryngology and Head and Neck Surgery, SMGS Hospital, Government Medical College, Jammu, from November 2017 to October 2018. All symptomatic patients diagnosed with foreign body aspiration on the basis of history, clinical examination and radiological evaluation and who underwent rigid bronchoscopic retrieval were included in the study. Fifty patients were studied. Results: The majority of patients 33 (66%) were between 1 and 3 years of age.12 (24%) patients were over 3 years of age with oldest of 57 years old age with male: female ratio of 2.1:1. The clinical features of these patients were mainly cough, respiratory distress, wheeze, fever, stridor, choking and cyanosis. On bronchoscopy, foreign body was identified in 46 (92%) patients and no foreign body was seen in 4 (8%) patients with suspected foreign body aspiration. The most common type of foreign body was organic (73.91%), with peanuts (47.82%) being the commonest. The most common site was left bronchus seen in 22 (47.83%) patients followed by right bronchus seen in 18 (39.13%) and trachea seen in 6 (13.04%) patients. Overall mortality and morbidity rates were 2.17% and 4.35% respectively.Conclusions: History and clinical examination should be more relied upon as diagnostic tool than radiological findings in diagnosing foreign body inhalation. Rigid bronchoscopic removal of foreign body is the standard procedure for removing tracheobronchial foreign bodies.

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Spectrum of imaging findings in trans-gastric migration of accidently ingested metallic foreign bodies

International Journal of Advances in Medicine ◽

10.18203/2349-3933.ijam20192058 ◽

2019 ◽

Vol 6 (3) ◽

pp. 726

Author(s):

Arshed Hussain Parry ◽

Mohammad Saleem Dar ◽

Abdul Haseeb Wani ◽

Tariq Ahmad Gojwari ◽

Irfan Robbani

Keyword(s):

Computed Tomography ◽

Gastrointestinal Tract ◽

Foreign Body ◽

Foreign Bodies ◽

Vascular Complications ◽

Greater Omentum ◽

Imaging Findings ◽

Accidental Ingestion ◽

History Of ◽

Upper Gastrointestinal

Background: An accidently ingested foreign body may get lodged within the lumen of gastrointestinal tract, pass uneventfully with feces or may migrate extraluminally into the surrounding tissues in which case it may lead to suppurative or vascular complications. The aim of the endeavor was to study the spectrum of imaging findings in patients with accidental ingestion of foreign bodies with trans-gastric migration of metallic foreign bodies.Methods: Total 33 patients with history of accidental ingestion of foreign bodies were subjected to preliminary radiograph of neck, chest and abdomen followed by upper gastrointestinal endoscopy. Failure to retrieve/ localize foreign body endoscopically from upper gastrointestinal tract with check radiograph reiterating the presence of foreign body in upper abdomen were subjected to computed tomography of abdomen.Results: A total of 33 patients comprising of 27 females and 6 males with mean age of 23.76 years with history of foreign body ingestion were studied. Ingested foreign bodies were lodged in pharynx (n=7), esophagus (n=3), stomach (n=13) or duodenum (n=3). In 7 patients in whom endoscopy failed to locate and/or retrieve foreign body, computed tomography confirmed the presence of trans-gastrically migrated foreign body in the surrounding structures. The location of migrated foreign bodies was in lesser sac (n = 2), greater omentum (n = 3), lesser omentum (n = 1) and transmural (n = 1). Two patients had evidence of collection formation around the migrated foreign bodies.Conclusions: Sharp or pointed metallic foreign bodies may migrate trans-luminally with various implications. Though radiography is the preliminary workhorse for the confirmation of ingested foreign bodies, computed tomography owing to its volumetric data acquisition helps in exact localization of migrated foreign bodies and should precede any therapeutic intervention for retrieval of migrated foreign bodies.

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A study on radio opaque foreign body in digestive tract of children

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20180503 ◽

2018 ◽

Vol 4 (2) ◽

pp. 352

Author(s):

Bharathi Mohan M. ◽

Satish Kumar P. ◽

Vikram V. J. ◽

Kiruthiga M.

Keyword(s):

Foreign Body ◽

Foreign Bodies ◽

Gastroesophageal Junction ◽

Button Battery ◽

Ingested Foreign Body ◽

Pseudo Aneurysm ◽

Pass Through ◽

Sharp Foreign Body ◽

Rigid Oesophagoscopy ◽

Safety Pin

Background: An estimated 40 percent of foreign body ingestions in children are not witnessed, and in many cases, the child never develops symptoms. Sharp foreign body, button battery must be carefully removed and followed up for any complications. Foreign bodies that have passed the gastroesophageal junction should be assured that the foreign body will probably pass through the GI tract. Methods: A retrospective analysis of the records of the children below 12 years with foreign body ingestions were analysed and the radio-opaque foreign body were included in the study period between March 2012 to March 2015. The x-ray were analysed, type of foreign body, treatment and complications were noted. Results: There were 45 children included in the study who had ingested foreign body and on radiological evaluation radio opaque foreign body was found. The coin topped the list with 30, button battery- 7 numbers, safety pin- 5 numbers. In 2 children who ingested button battery suffered cricopharyngeal stricture, which was treated with serial dilatation with bougies, while one child with open safety pin ingestion, developed pseudo- aneurysm of arch of aorta and one ear stud developed stridor with sub glottic stenosis. Conclusions: The radio opaque foreign though is easy to visualise, but in some case it can dangerous complications. Rigid oesophagoscopy and prompt removal of foreign body is the treatment of choice.

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Ingestion of razor blades, a rare event: a case report in a psychiatric patient

Journal of Surgical Case Reports ◽

10.1093/jscr/rjaa094 ◽

2020 ◽

Vol 2020 (5) ◽

Author(s):

Jhony Alejandro Delgado Salazar ◽

Natalia Carolina Naveda Pacheco ◽

Paola Alexandra Palacios Jaramillo ◽

Santiago Danilo Garzón Yépez ◽

Victor Rafael Medina Loza ◽

...

Keyword(s):

Foreign Body ◽

Psychiatric Patient ◽

Foreign Bodies ◽

Psychiatric Patients ◽

Rare Event ◽

Rare Condition ◽

Foreign Body Ingestion ◽

Medical Attention ◽

Close Monitoring ◽

Sharp Foreign Body

Abstract Foreign body ingestion is a common condition in clinical practice, thankfully most of the cases do not require any surgery as most foreign bodies can pass through the bowel without injuring it. Treatment depends on the size and kind of foreign bodies. When complications arise, patients may require urgent medical attention. Self-harm by sharp foreign body ingestion is a rare event that must always be promptly treated and should always be prevented. Psychiatric patients and inmates are the most affected population. A high index of suspicion is required to treat this rare condition, which may be preventable if there is adequate mental and medical therapy along with close monitoring and family support. We present the case of a 31-year-old psychiatric patient. After prompt treatment, two razor blades were surgically removed from her intestines. She fully recovered and is doing well on follow-up controls.

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CASE OF MAXILLARY SINUS FOREIGN BODY REMOVAL

Folia Otorhinolaryngologiae et Pathologiae Respiratoriae ◽

10.33848/foliorl23103825-2019-25-3-73-77 ◽

2019 ◽

Vol 25 (3) ◽

pp. 73-77

Author(s):

S.A. Karpishchenko ◽

◽

D.A. Usmanova ◽

E.V. Bolozneva ◽

E.S. Karpishchenko ◽

...

Keyword(s):

Foreign Body ◽

Maxillary Sinus ◽

Foreign Bodies ◽

Technical Difficulty ◽

Patient Treatment ◽

Endoscopic Endonasal ◽

Foreign Body Removal ◽

Impression Materials ◽

The Right ◽

Selection Of

Maxillary sinus foreign bodies are interrelated with different types of treatment of pathologies of teeth of the maxilla. Foreign bodies can be presented by pins, sillers, impression materials, teeth, dental implants etc. Features of anatomical development of maxilla, degree of pneumatization of it and many other factors promote hit of the foreign body to the maxillary sinus. Detection of the foreign body in the maxillary sinus during the operation sometimes can become a serious technical difficulty and needs a surgeon to be a man of experience. Important part of success of the surgery is selection of access to the maxillary sinus based on the 3D computed tomography data. We represent a clinical case of treatment the patient with the maxillary sinus foreign body after two non-resultative surgeries. After the implantation of dental implant, patient appealed for medical treatment, complaining on the discomfort, passing pain at the right buccal region and secrete from the right part of nose. We know from the anamnesis, that the patient was operated through the anterior maxillary wall under the general anesthesia for two times. The foreign body was removed only during the third surgery, that was done under the local anesthesia under the control of the rigid endoscopes. The patient was conversed to the out-patient treatment at the day of the surgery. The efficacy of the endoscopic endonasal approach to the maxillary sinus through the inferior nasal meatus in case of maxillary sinus foreign body was approved.

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