scholarly journals Sewing machine spool in cervical canal: Case report

Author(s):  
Radhika AG ◽  
◽  
Natasha Tyagi ◽  
Shilpa Singh ◽  
Richa Agarwal ◽  
...  

Background: Intentional placement or forgotten foreign bodies in the lower female genital tract have been reported. Patients may selfreport or may present with an array of symptoms including pelvic pain, vaginal discharge and vaginal bleeding. Case: Ms X, 23 years old, presented to antenatal clinic at two months pregnancy with complaints of excessive discharge per vaginum. There was no bleeding or foul smell. She did not reveal any other significant history. On internal examination, uterus was 8 weeks size, and a nodular lesion was felt in the cervical canal. Transvaginal USG confirmed intra-uterine pregnancy but also aroused the suspicion of a foreign body in the cervix. At examination in the operation theatre, the spool of sewing machine was found imbedded in cervical canal. It was gently dislodged and removed. Procedure and post-operative period were uneventful. The history was then reviewed. It came to light that the spool had been inserted in the cervical canal to expedite conception, without her knowledge when the patient was examined by an untrained birth attendant. Conclusion: Fear of infertility drives women to seek treatment from any source, as illustrated in this report. The spool inserted into the cervix was possibly to function as a “conduit” for the sperms Keywords: foreign body; cervix; pregnancy; discharge.

2018 ◽  
Vol 9 (1) ◽  
pp. 35-37
Author(s):  
Md Monoarul Islam Talukdar ◽  
Quamrul Akter ◽  
Md Abdullah Al Mamun ◽  
Abdullah Md Abu Ayub Ansary

Though anorectal foreign body cases are rare, they have become increasingly frequent in recent years. Although entrapped foreign bodies are most often related to sexual behavior, they can also result from ingestion or sexual assault. The diagnosis may be made by rectal examination and metallic objects can be confirmed by plain abdominal radiographs. Transanal removal is only possible for very low-lying objects, while patients with high-lying foreign bodies usually require an operative intervention. An early decision of laparotomy should only be made after subjecting the patient to suitable investigations to determine exact location of the object, in order to avoid any inadvertent damage to the adjoining vasculature as well as anal incontinence. . We report the case of a young male who presented at surgery department of Shaheed Suhrawardy medical college hospital with severe rectal pain due to insertion of an apple into rectum by some eunuchs. It was successfully removed transanally under spinal anesthesia. Post operative period was uneventful and referred for psychiatric consultation.J Shaheed Suhrawardy Med Coll, June 2017, Vol.9(1); 35-37


2017 ◽  
Vol 13 (1) ◽  
pp. 113-113
Author(s):  
The Bangkok Medical Journal

2019 ◽  
Vol 7 (1) ◽  
pp. 49-52
Author(s):  
KM Reza Ul Haq ◽  
Refat Tabassum ◽  
Shoriful Islam ◽  
Asif Imran Siddiqui ◽  
Mohammad Arman Zahed Basunia ◽  
...  

Otolaryngologists frequently encounter nasal foreign bodies, particularly among children and mentally retarded patients. Many unusual foreign bodies in the nose have been reported like nuts, plastic toy parts, beads and even button batteries. Several symptoms may be present in the case of a nasal foreign body which includes nasal discharge, epistaxis, infection, halitosis, foul breath or body odour and chronic sinusitis. We present a case of 19 years old girl with left sided nasal blockage, foul smell from left nostril and mouth with occasional nasal bleeding for last 13 years. She was treated conservatively but was not improved. On anterior rhinoscopy some blackish material covered with exudates was revealed which was very foul smelling and bleeds on touch. After nasoendoscopy we suspected that it would be an old foreign body which had already formed rhinolith. The large foreign body was fixed with floor, lateral and medial wall (nasal septum) and was removed by 0˚nasoendoscope and also through oral cavity under general anaesthesia. Delta Med Col J. Jan 2019 7(1): 49-52


2019 ◽  
Vol 57 (215) ◽  
Author(s):  
Niresh Thapa ◽  
Subi Basnyat ◽  
Muna Maharjan

Accidental foreign body ingestion is a common problem encountered in Emergency. Deliberate foreign body ingestion may result due to an act of insanity or an act of daring. A shaman locally known as Dhami was brought to Emergency with the history of ingestion of bell clappers. He denied the history of psychiatric illness or substance abuse. On physical examination, there were signs of peritonitis. Laparotomy was done to remove the foreign bodies. Post-operative period was uneventful. Apart from the surgical intervention, psychological counselling was given to him. This is a rare interesting case due to the fact that the 15 cm long foreign bodies passing all the way through without significant injury and finally causing obstruction in ileocecal junction and perforation in the distal ileum.


2016 ◽  
Vol 9 (1) ◽  
pp. 24-28 ◽  
Author(s):  
Mariya V Kataeva ◽  
Vadim P Nikolaenko

Purpose. To investigate transvitreal intraocular foreign body (IOFB) removal results, and to determine indications for this splinter removal approach. Materials and methods. A chart analysis of 35 cases with splinter eye trauma was carried out. In all patients, a pars plana vitreoretinal surgical procedure was performed to remove the IOFB. Results. The intraocular penetration of foreign body was accompanied by injuries of different eyeball structures, which presented as intravitreal hemorrhage, hyphema, subretinal bleeding, retinal detachment, traumatic cataract, iridocyclitis. Splitter removal was complemented by endolaser coagulation; scleroplastic component and gaz-fluid exchange. In 54.29% patients with trauma, a lensectomy had to be added to the vitrectomy with IOFB removal. As a result of treatment, visual acuity increased in 51.43% injured patients. In the late post-operative period, retinal detachment developed in 14.29% of cases. Conclusions. IOFB removal by transvitreal approach is recommended in intravitreal, pre- or intraretinal splitter position; in retro-equatorial foreign body localization; when intraoperative splitter visualization is possible; in posterior vitreous detachment formation.


2020 ◽  
Vol 9 (3) ◽  
pp. 282-283
Author(s):  
S. Y. Khazan

The contradictory opinions prevailing in the sciences regarding the use of the so-called objective antiseptics in obstetrics forced W. to discuss the controversial issue of asepticity or non-asepticity of female genital tracts, and he came to some results. The genital tract of an unexamined pregnant woman breaks up in bacteriological relation into two sections: the lower one, rich in microorganisms, and the upper one, completely free of microbes. The border between both sections is located in the middle part of the cervical canal and is caused on the one hand by constantly renewing cervical mucus, which is a poor nutrient medium for microorganisms, and on the other hand, by phagocytosis, which has a place in the lower part of the uterine cervix, due to the property of the vaginal secretion of the vagina. from the surrounding tissues.


Swiss Surgery ◽  
2001 ◽  
Vol 7 (3) ◽  
pp. 139-140 ◽  
Author(s):  
Halkic ◽  
Wisard ◽  
Abdelmoumene ◽  
Vuilleumier

All manner of foreign bodies have been extracted from the bladder. Introduction into the bladder may be through self-insertion, iatrogenic means or migration from adjacent organs. Extraction should be tailored according to the nature of the foreign body and should minimise bladder and urethral trauma. We report a case of a bullet injury to the bladder, which finally presented as a gross hematuria after remaining asymptomatic for four years. We present here an alternative to suprapubic cystostomy with a large bladder foreign body treated via a combined transurethral unroofing followed by removal using a grasper passed through a suprapubic laparoscopic port.


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