scholarly journals Rectal Foreign Body Removal in the Emergency Department: A Case Report

2020 ◽  
Vol 4 (3) ◽  
pp. 450-453
Author(s):  
Samuel Nesemann ◽  
Kimberly Hubbard ◽  
Mehdi Siddiqui ◽  
William Fernandez
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Surgical Intervention ◽  
Clinical Suspicion ◽  
Emergency Physicians ◽  
Review Of The Literature ◽  
Foreign Body Removal ◽  
Rectal Foreign Bodies

Introduction: Rectal foreign bodies (RFB) pose a challenge to emergency physicians. Patients are not often forthcoming, which can lead to delays to intervention. Thus, RFBs require a heightened clinical suspicion. In the emergency department (ED), extraction may require creative methods to prevent need for surgical intervention. Case Report: The authors present a case of a successful extraction of a RFB in the ED and review of the literature. Conclusion: Retained RFBs are an unusually problematic reason for an ED visit. Thus, it is important for emergency physicians to be comfortable managing such cases appropriately.

scholarly journals Successful Transanal Removal of a Rectal Foreign Body by Abdominal Compression under Endoscopic and X-Ray Fluoroscopic Observation: A Case Report

2016 ◽  
Vol 10 (3) ◽  
pp. 646-652 ◽  
Author(s):  
Hironobu Mikami ◽  
Norihisa Ishimura ◽  
Akihiko Oka ◽  
Ichiro Moriyama ◽  
Takafumi Yuki ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Case Report ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Abdominal Compression ◽  
X Ray ◽  
Large Size ◽  
Rectal Foreign Bodies ◽  
Abdominal Examination

We occasionally encounter patients with various types of rectal foreign bodies. When too large to grasp, transanal removal can be difficult. Here, we report a case of successful manual transanal removal of an 18 × 4 × 4 cm silicon rod without complications. A 50-year-old male came to the emergency department of our hospital 12 h after transanal insertion of a whole silicon rod. An abdominal examination showed no evidence of peritonitis, while X-ray and computed tomography findings revealed a large foreign body in the rectum, without any sign of perforation. Initially, we attempted removal using an endoscopy procedure with conventional endoscopic instruments, including a snare and grasp forceps, though we failed because of the large size. Next, we manually compressed the foreign body from the abdominal wall under endoscopic and X-ray fluoroscopic observation, and successfully removed it in a transanal manner without complications. Endoscopic and X-ray fluoroscopic assistance were helpful to guide the direction and angle of abdominal compression in this case.

Survival of multiple nail gun injuries to the head, lung, and heart: A case report

2020 ◽  
Author(s):  
Suo-Hsien Wang ◽  
Mao-Yu Chen ◽  
Tzu-Yen Huang ◽  
Che-Chia Chang ◽  
Chih-Ying Chien
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Suicide Attempt ◽  
Surgical Planning ◽  
Surgical Intervention ◽  
Treatment Strategies ◽  
Emergency Physicians ◽  
Significant Morbidity ◽  
Case Presentation ◽  
The Brain

Abstract Background: Most nail gun injuries occur at the extremities due to working accidents. Injuries to the brain or thorax are relatively rare, and cases with both injuries are even rarer. Initial evaluation, resuscitation and surgical planning can be challenging. Case presentation: Here, we present a case with nail gun injuries to the brain, lung, and heart by suicide attempt. The patient presented to the emergency department under shock. After resuscitation and surgical intervention, he was discharged without significant morbidity. Conclusions: Multiple nail gun injuries, especially those to vital organs such as the brain, lung, and heart, can be challenging to emergency physicians and surgeons. Imaging tools, treatment strategies, and possible complications are discussed in this article to provide optimized outcomes in such situations.

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.

Airway Foreign Bodies

2020 ◽  
pp. 155-160
Author(s):  
C. Anthoney Lim ◽  
Rachel Whitney ◽  
Jeremy M. Rose
Keyword(s):  
Emergency Department ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Operative Management ◽  
Treatment Modalities ◽  
Foreign Body Removal ◽  
Life Threatening ◽  
Airway Foreign Body ◽  
Emergent Airway Management ◽  
Physical Findings

The presentation of an airway foreign body can range from benign to truly life-threatening. Respiratory tract obstruction from an airway or esophageal foreign body is relatively rare but remains a leading cause of morbidity and mortality among children. This chapter discusses the evaluation and management for inhaled and aspirated foreign bodies in the upper aerodigestive and lower respiratory tracts. Using anatomical areas as a systematic approach, common presentations, physical findings, and diagnostic workup including imaging options are reviewed. Treatment modalities including emergent airway management and foreign body removal are discussed, with a focus on procedures that can be performed in an emergency department setting and indications for operative management.

An unusual foreign body in the larynx: a case report

1996 ◽  
Vol 110 (12) ◽  
pp. 1164-1165 ◽  
Author(s):  
N. A. Bhat ◽  
J. Oates
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Small Proportion ◽  
Foreign Bodies ◽  
Review Of The Literature ◽  
Unusual Foreign Body ◽  
Finger Nail

AbstractInhalation of a foreign body is a serious event. A small proportion of foreign bodies become impacted in the larynx, when urgent recognition is required to prevent disaster. The case of an 18-month-old baby with an impacted artificial finger nail in the larynx is described along with a brief review of the literature

scholarly journals Management of Foreign Bodies in Throat: An Emergency Department's Perspective

2002 ◽  
Vol 9 (3) ◽  
pp. 126-130 ◽  
Author(s):  
Hs Chiu ◽  
Ch Chung
Keyword(s):  
Emergency Department ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Cost Effective ◽  
Endoscopic Examination ◽  
Chief Complaint ◽  
Emergency Physicians ◽  
Retrieval Method ◽  
Fish Bones ◽  
Short Period

Objectives To review the share of emergency physicians and surgeons in the removal of foreign bodies in throat, and to revisit the concept of home observation and elective endoscopic examination for this group of patients. Design Retrospective study for a five month period. Setting Public general hospital with emergency and surgical departments. Population All patients attending the emergency department from 1st January 1999 to 31st May 1999 with a diagnosis or chief complaint of foreign body in throat or foreign body ingestion. Main outcome measures Success rate of foreign body retrieval, method of removal, specialty and patient outcome. Results 79.8% of the foreign bodies were fish bones. Eighty-nine percent foreign bodies was removed by direct laryngoscopy in the emergency department, 6.7% by emergency physicians in the endoscopy unit as outpatients and 4.3% by surgeons after admission. Conclusion In the absence of frank clinical or radiological sign, a short period of home observation before proceeding to elective oesophagogastro-duodenoscopy (OGD) assessment may be helpful as well as cost-effective. This policy screens out some unnecessary instrumentation, without increasing the rate of complications. As emergency physicians remove the majority of foreign bodies, their expanded involvement on an ambulatory basis is both reasonable and feasible.

scholarly journals Rectal foreign body: a case report

2017 ◽  
Vol 4 (3) ◽  
pp. 1119
Author(s):  
Robin George Cheereth ◽  
George Abraham Ninan
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Foreign Body ◽  
Computerized Tomography ◽  
Anal Incontinence ◽  
Foreign Bodies ◽  
Primary Repair ◽  
Abdominal Radiographs ◽  
Early Decision ◽  
Emergent Laparotomy

Colorectal foreign bodies are infrequently encounteredand present a dilemma for management. The diagnosis may be confirmedby plain abdominal radiographs and rectal examination, butabdominal computerized tomography with 3-D reconstruction can be decisive in thefurther management and must be advised without reconsideration. Transanal removal is only possible for very low-lying objects, while patients with high-lying foreign bodiesusually require anoperative intervention. An early decision of laparotomy should only be madeafter subjecting the patient to suitable investigations to determineexactly the localization of the object, in order toavoid any inadvertent damage to the adjoining vasculatureas well as anal incontinence. We report the case of a youngadult male who presented in the emergency department with a Hand Held Bidet Shower inserted per rectum. Transanal removal was unsuccessful and Emergent laparotomy with colotomy and primary repair was necessary for safe removal of the same.

Removal of foreign bodies from the proventriculus in a young golden eagle (Aquila chrysaetos)

2021 ◽  
Author(s):  
Lucia Kottferová ◽  
Ladislav Molnár ◽  
Peter Major ◽  
Juraj Toporčák ◽  
Lýdia Mesárčová ◽  
...  
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Clinical Case ◽  
Foreign Bodies ◽  
Surgical Removal ◽  
Golden Eagle ◽  
Aquila Chrysaetos ◽  
Foreign Body Removal ◽  
Foreign Objects

Abstract This paper presents a clinical case report of a golden eagle (Aquila chrysaetos) with foreign bodies (stones) in its proventriculus. The case deals with the identification, management and removal of foreign objects identified in the gastrointestinal tract. A surgical removal by proventriculotomy under general anaesthesia was attempted. The surgery and the recovery were uneventful, and the follow-up after six months revealed no complications. To the best of our knowledge, there are no other reports of successful foreign body removal by proventriculotomy in the golden eagle.

scholarly journals Svetimkūnis storojoje žarnoje: atvejo pristatymas ir literatūros apžvalga

2009 ◽  
Vol 7 (1-2) ◽  
pp. 0-0
Author(s):  
Bronius Buckus ◽  
Gintaras Varanauskas ◽  
Juozas Stanaitis ◽  
Algimantas Stašinskas
Keyword(s):  
Emergency Department ◽  
Foreign Body ◽  
Literature Review ◽  
Current Literature ◽  
Foreign Bodies ◽  
Distal Colon ◽  
Foreign Body Removal ◽  
Uncommon Presentation ◽  
Vilnius University ◽  
Transanal Extraction

Bronius Buckus, Gintaras Varanauskas, Juozas Stanaitis, Algimantas StašinskasVilniaus universiteto Gastroenterologijos, nefrourologijos ir chirurgijos klinikos Bendrosios chirurgijos centras; Vilniaus greitosios pagalbos universitetinė ligoninė,Šiltnamių g. 29, LT-04130 VilniusEl paštas: [email protected] Svetimkūniai storojoje žarnoje nėra tokie reti, kaip kartais yra manoma. Į distalinę storojo žarnyno dalį patenkančių svetimkūnių įvairovė yra begalinė, kaip ir jiems pašalinti naudojamų metodų skaičius, aprašomas literatūroje.Šio straipsnio tikslas – aprašyti retą svetimkūnio storojoje žarnoje klinikinį atvejį ir pateikti literatūros apžvalgą.Aprašomas klinikinis avejis, kai 29 metų ligonis į tiesiąją žarną įsipurškė „Makroflex“ montažinių poliuretano putų, kurios stingdamos geba išsiplėsti iki dviejų kartų. Vyriškis atvyko į gydymo įstaigą praėjus trims valandoms po įvykio, tačiau pašalinti svetimkūnio priėmimo skyriuje nepavyko. Įvertinus anamnezę, kliniką ir tyrimų duomenis, bendrosios nejautros metu ligoniui buvo atliktas laparotominis pjūvis ir svetimkūnis pašalintas transanaliai. Operacijos metu išplėsta storoji žarna buvo nepažeista ir gyvybinga, todėl kolotomija nebuvo indikuotina. Ligonis sparčiai sveiko ir šeštąją dieną buvo išrašytas iš gydymo įstaigos. Straipsnio pabaigoje pateikiama literatūros ir svetimkūnių iš storosios žarnos šalinimo būdų apžvalga. Reikšminiai žodžiai: storoji žarna, svetimkūnis, gydymas Colorectal foreign bodies: a case report and current literature review Bronius Buckus, Gintaras Varanauskas, Juozas Stanaitis, Algimantas StašinskasVilnius University, General Surgery Center of Clinic of Gastroenterology, Nephrourology and Surgery, Vilnius University Emergency Hospital,Šiltnamių str. 29, LT-04130 Vilnius, LithuaniaE-mail: [email protected] Rectal foreign bodies are not an uncommon presentation in the emergency department. The variety of foreign bodies inserted to the distal colon is enormous and ingenious methods have been described for the extraction of these foreign bodies.The aim of this article is to present a rare case of colorectal foreign body removal and to review current literature in this area.We present a case of a 29-year old male patient with a difficult colorectal foreign body of moisture-cure semirigid polyurethane foam insulation which expands roughly two times in size during curing. When manual transanal extraction in the emergency department failed, the patient was admitted directly to the operating room for retrieval of the foreign body under general anesthesia. A laparotomy was conducted and the foreign body was successfuly removed transanally from the colorectal region without a colotomy. The patient was discharged within 6 days of the operation. A current literature review is presented and a management strategy suggested. Key words: colorectal, foreign body, management

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