scholarly journals Intestinal perforation by ingested foreign bodies

2017 ◽  
Author(s):  
Xinping Li ◽  
Bujun Ge ◽  
Hongmei Zhao ◽  
Wei Jin ◽  
Daojing Huang ◽  
...  
Keyword(s):  
Foreign Body ◽  
Intestinal Perforation ◽  
Foreign Bodies ◽  
Bowel Perforation ◽  
Optimal Choice ◽  
Diagnosis And Treatment ◽  
Foreign Body Ingestion ◽  
X Ray ◽  
Common Location ◽  
Background Data

Abstract Objective The aim of our manuscript is to study the incidence, diagnosis, and treatment of bowel perforation by foreign body ingestion. Summary of Background Data Bowel perforation, by foreign body ingestion, has been believed to be relatively rare, and most commonly caused by fish bones, chicken bones, and toothpicks. Our clinical experience,however, suggests such perforations may be more common than previously thought, and caused by various other objects as well. Methods Medical records of all patients diagnosed with foreign body-induced intestinal perforation, from the Department of General Surgery at Shanghai Tongji Hospital, from January 2000 to June 2015, were retrospectively analyzed. Results Among the 25 total patients, 4 ingested foreign bodies intentionally, while the other 21 cases were accidental.The foreign bodies were identified by plain X-ray film in 2 patients and by multidetector computed tomography (MDCT) in 11 patients, thus supporting the correct preoperative diagnosis (13 cases, 52%). The most common location of the perforation was the terminal ileum (n = 17).The offending objects were date stones (n=13), bones(n=7), and metallic objects (n=5). The most common treatment was removal ofthe foreign body and closure of the perforation with simple suture(n=22). Ten patients were treated laparoscopically. Conclusion The present study shows that the most common foreign bodies causing intestinal perforation are date stones and bones. Although about 50 percent of the foreign bodies could be identified by MDCT, definite diagnosis remained preoperatively difficult. Laparoscopy may be the optimal choice for diagnosis and treatment of bowel perforation by foreign bodies.

scholarly journals Foreign Body Ingestion in Pediatrics: Distribution, Management and Complications

Medicina ◽  
2019 ◽  
Vol 55 (10) ◽  
pp. 686 ◽  
Author(s):  
Khorana ◽  
Tantivit ◽  
Phiuphong ◽  
Pattapong ◽  
Siripan
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Foreign Body Ingestion ◽  
Common Symptom ◽  
Distribution Management ◽  
Common Location ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
International Statistical Classification ◽  
History Of

Background and Objectives: Foreign body (FB) ingestion is a common problem in children, causing serious complications. This study aimed to identify the distribution of types and locations of these foreign bodies and create Chiang Mai University (CMU) Guidelines. Materials and Methods: A retrospective descriptive study was conducted. All patients under 15 years old with foreign body ingestion (International Statistical Classification of Diseases and Related Health Problems; ICD-10 codes T18) treated in CMU Hospital from January 2006 to December 2017 were included. The data were analyzed using descriptive statistics. The guidelines were created, which paralleled the standard guidelines. Results: In total, 194 episodes of FB ingestion were recorded. These included 53.6% males and 46.4% females with a median age of 43.5 months. A history of foreign body ingestion complaints occurred in 77.8% of cases. Presentation was divided into asymptomatic (44.3%) and symptomatic (55.7%). The most common symptom was vomiting (23.2%). In the majority of cases, foreign bodies were located in the esophagus (37%). The most common type of foreign body was a coin (41.2%). Management included spontaneous passing (60.3%), endoscopy (35.6%), and others (3.1%). Complications before treatment were recorded in 9.3% of cases and after treatment in 2.1% of cases. Conclusions: Foreign body ingestion is common among children younger than four years old. Coins are the most common foreign body found, and the esophagus is the most common location. We recommend our created CMU Guidelines for management.

scholarly journals Oesophageal Foreign Bodies in Children

2008 ◽  
Vol 47 (172) ◽  
Author(s):  
Prakash Adhakari ◽  
P Adhikari ◽  
CL Bhusal ◽  
RPS Guragain
Keyword(s):  
Foreign Body ◽  
Diagnostic Procedure ◽  
Foreign Bodies ◽  
Neck Surgery ◽  
Foreign Body Ingestion ◽  
Significant Morbidity ◽  
X Ray ◽  
Soft Tissue Neck ◽  
Female Children ◽  
Rigid Oesophagoscopy

Foreign body ingestion is a common occurrence and carries significant morbidity and mortality.Failure to treat foreign bodies immediately can lead to various serious complications. This study wasdone to identify the types as well as site of foreign body ingested and its complication in children.A retrospective study of 122 cases of suspected foreign body ingestion in patients admitted in ENTand Head and Neck Surgery of TU Teaching Hospital, Kathmandu were done in between April 2004to July 2008. Ages less than 12 years were included. In all cases x-ray soft tissue neck lateral andchest x-ray posterio-anterior views were done along with other preoperative investigations. Rigidoesophagoscopy or hypopharyngoscopy were done under general anesthesia to remove foreignbodies.There were 64.7% male and 35.3% female children. Foreign bodies were common in 0-4 year agegroup. Most common foreign body were coin (64.0%) followed by meat bone (14.0%). No foreignbodies were found in 2.4% patients as they were passed in stomach. No complications were notedduring the entire period of this study.Most common foreign bodies in children are coin. Though complications with these foreign bodiesare rare, these do occur due to delay in presentation and removal. No complications were noted inour series. Eventhough children who swallow foreign bodies are asymptomatic; we must maintain ahigh index of suspicion and undergo diagnostic procedure, if there is a positive history.Key words: foreign bodies, oesophagus, rigid oesophagoscopy

scholarly journals Unique Pattern of True Foreign-Body Ingestion in the Valley of Kashmir; Sharp Foreign Bodies Outnumbering the Blunt Ones

2019 ◽  
Vol 10 (01) ◽  
pp. 028-032
Author(s):  
Nisar Ahmad Shah ◽  
Showkat Ahmad Kadla ◽  
Asif Iqbal Shah ◽  
Bilal Ahmad Khan ◽  
Inaam Ul Haq ◽  
...  
Keyword(s):  
Foreign Body ◽  
Success Rate ◽  
Foreign Bodies ◽  
Foreign Body Ingestion ◽  
Young Females ◽  
The People ◽  
Early Endoscopy ◽  
Normal Individuals ◽  
Structural Abnormalities ◽  
The Impact

ABSTRACT Background and Aims: Foreign-body ingestion is a common phenomenon, especially in children. In normal adults, foreign-body ingestion is usually accidental and mostly ingestion occurs with food and impaction is a result of structural abnormalities of the upper gastrointestinal tract (UGIT). However, accidental ingestion of nonfood products is unusual; especially ingestion of pins (scarf or safety pins) and needles is unknown. We come across ingestion of these unusual/sharp foreign bodies routinely from the past few years. The aim of this study was to observe, over a period of 1 year, the spectrum of nonfood or true foreign-body ingestion in our community and to see the impact of an early endoscopy on outcome or retrieval of the ingested objects. Materials and Methods: In a prospective observational study, we studied the profile of foreign-body ingestion in normal individuals of all ages and both sexes, excluding the individuals with any structural abnormalities of the gut and the people with psychiatric ailment. Results: Of total 51 patients with foreign-body ingestion, 42 (82%) were 20 or <20 years of age with females constituting 86.3% of the total and males constituting only 13.7%. Foreign bodies ingested included 38 pins (74.5%), seven coins (13.7%), four needles (7.8%), and one denture and a nail (2%) each. Overall 26 (51%) foreign bodies were seen in UGIT (within reach of retrieval) at the time of endoscopy and all of them were retrieved. Nineteen (37.3%) patients reported within 6 h of ingestion, and majority of them (16 = 84.2%) had foreign bodies within UGIT and all of them were removed. Those patients (n = 32; 62.7%) who reported beyond 6 h, only 10 (31.25%) had foreign bodies in UGIT as a result of which the success rate of removal in these patients was only 32%. Conclusion: Most of our patients were young females and the common foreign bodies ingested were sharp including scarf pins followed by coins and needles. The success rate of retrieval was high in those who reported within 6 h of ingestion of foreign body. The rate of retrieval was 100% if foreign body was found on esophagogastroduodenoscopy. Hence, we recommend an early endoscopy in these patients and some alternative to use of scarf pins.

Foreign Body Ingestion

2015 ◽  
Author(s):  
Kunal Jajoo ◽  
Allison R Schulman
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Management Strategies ◽  
The United States ◽  
Foreign Body Ingestion ◽  
Gi Tract ◽  
Food Bolus ◽  
Therapeutic Decisions ◽  
Food Bolus Impaction ◽  
Bolus Impaction

Foreign-body ingestion and food bolus impaction are common causes of esophageal obstruction, with an annual incidence of 13 cases per 100,000, and represent approximately 4% of all emergency endoscopies. Although the majority of foreign bodies that travel to the gastrointestinal (GI) tract will pass spontaneously, 10 to 20% must be removed endoscopically, and 1 to 5% will require surgery. Key diagnostic and therapeutic decisions are based on common factors, including the type of ingested object, number of objects, timing between ingestion and presentation, anatomic location of the object, and presence or absence of symptoms. Complications relating to foreign-body ingestion are typically uncommon; however, the associated morbidity may be severe and occasionally life threatening, and despite the fact that overall mortality has been extremely low, it has been estimated that up to 1,500 deaths occur annually in the United States as a result of foreign-body ingestion. The initial and follow-up management strategies are crucial to preventing morbidity. This review details the epidemiology, etiology and pathophysiology, diagnosis, management, and complications of foreign-body ingestion. Figures show examples of foreign bodies in the esophagus and stomach, three esophageal areas where a foreign body is likely to be impacted, examples of a meat bolus in the esophagus, radiograph of a patient who swallowed one nail and three batteries, and examples of linear erosions of the esophagus and stomach. Tables list the most common GI pathology predisposing individuals to esophageal foreign-body impaction, timing and management of food bolus impaction and foreign-body ingestion, endoscopic management strategies for food bolus impaction and ingested foreign bodies, and radiographic and surgical management strategies for monitoring progress of foreign-body passage through the GI tract. This review contains 5 highly rendered figures, 4 tables, and 78 references.

scholarly journals Gastric perforation secondary to ingestion of a plastic bag

2016 ◽  
Vol 98 (2) ◽  
pp. e29-e30 ◽  
Author(s):  
YM Goh ◽  
IM Shapey ◽  
K Riyad
Keyword(s):  
Clinical Practice ◽  
Gastrointestinal Tract ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Gastric Perforation ◽  
Foreign Body Ingestion ◽  
Pathophysiological Process ◽  
Common Presentation ◽  
Plastic Bag ◽  
Pass Through

Foreign body ingestion is a common presentation in clinical practice, seen predominantly in children. Most foreign bodies pass through the gastrointestinal tract without any additional morbidity. We present a case of gastric perforation secondary to the ingestion of a small plastic bag. We discuss the likely pathophysiological process underlying perforation secondary to plastic bag ingestion, which is most commonly associated with the concealment of narcotics.

scholarly journals Small bowel perforation secondary to foreign body ingestion mimicking acute appendicitis

Medicine ◽  
2019 ◽  
Vol 98 (30) ◽  
pp. e16489 ◽  
Author(s):  
Tantan Ma ◽  
Wentao Zheng ◽  
Beiying An ◽  
Yan Xia ◽  
Geng Chen
Keyword(s):  
Foreign Body ◽  
Small Bowel ◽  
Acute Appendicitis ◽  
Bowel Perforation ◽  
Foreign Body Ingestion ◽  
Small Bowel Perforation

Lethal Intestinal Perforation After Foreign Body Ingestion in a Superobese Patient

2008 ◽  
Vol 19 (8) ◽  
pp. 1183-1185 ◽  
Author(s):  
José Ignacio Rodríguez-Hermosa ◽  
Bartomeu Ruiz-Feliú ◽  
Josep Roig-García ◽  
Maite Albiol-Quer ◽  
Pere Planellas-Giné ◽  
...  
Keyword(s):  
Foreign Body ◽  
Intestinal Perforation ◽  
Foreign Body Ingestion

scholarly journals Use of Scheimpflug imaging in the management of intra-lenticular foreign body

2015 ◽  
Vol 7 (1) ◽  
pp. 82-84 ◽  
Author(s):  
R Singh ◽  
J Ram ◽  
R Gupta
Keyword(s):  
Foreign Body ◽  
Intraocular Lens ◽  
Foreign Bodies ◽  
Case Reports ◽  
Slit Lamp ◽  
Traumatic Cataract ◽  
X Ray ◽  
Scheimpflug Imaging ◽  
History Of ◽  
Post Traumatic

Introduction: Asymptomatic traumatic intra-lenticular foreign body is very uncommon and few case reports have been published.Objective: To report a case of post-traumatic intra-lenticular foreign body and use of Scheimpflug imaging in its management. Case: A 41-year-old male with history of injury to right eye during hammering a chisel 1 year back presented with decreased vision since 6 months. An intra-lenticular foreign body was found on slit lamp bio-microscopy and was confrmed by Scheimpflug imaging. Posterior capsule was intact on Scheimpflug imaging. Thus, Scheimpflug imaging helps in exact localization of the foreign body in the intralenticular space or behind the iris. We ruled out other foreign bodies by x-ray and ultrasonography of the orbit. The foreign body with post-traumatic cataract was removed using phacoemulsification and three piece foldable intraocular lens was implanted in the bag. Conclusion: An intra- lenticular foreign body may remain asymptomatic for months. Scheimpflug imaging can be useful in its localization. It can be removed during phacoemulsification.

scholarly journals Acute obstructive cholangitis due to fishbone in the common bile duct: a case report and review of the literature

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Min Yu ◽  
Bowen Huang ◽  
Ye Lin ◽  
Yuxue Nie ◽  
Zixuan Zhou ◽  
...  
Keyword(s):  
Foreign Body ◽  
Bile Duct ◽  
Literature Review ◽  
Foreign Bodies ◽  
Present Review ◽  
Foreign Body Ingestion ◽  
Clinical Value ◽  
The World ◽  
Obstructive Cholangitis ◽  
Post War

Abstract Background Choledocholithiasis is an endemic condition in the world. Although rare, foreign body migration with biliary complications needs to be considered in the differential diagnosis for patients presenting with typical symptoms even many years after cholecystectomy, EPCP, war-wound, foreign body ingestion or any other particular history before. It is of great clinical value as the present review may offer some help when dealing with choledocholithiasis caused by foreign bodies. Case presentation We reported a case of choledocholithiasis caused by fishbone from choledochoduodenal anastomosis regurgitation. Moreover, we showed up all the instances of choledocholithiasis caused by foreign bodies published until June 2018 and wrote the world’s first literature review of foreign bodies in the bile duct of 144 cases. The findings from this case suggest that the migration of fishbone can cause various consequences, one of these, as we reported here, is as a core of gallstone and a cause of choledocholithiasis. Conclusion The literature review declared the choledocholithiasis caused by foreign bodies prefer the wrinkly and mainly comes from three parts: postoperative complications, foreign body ingestion, and post-war complications such as bullet injury and shrapnel wound. The Jonckheere-Terpstra test indicated the ERCP was currently the treatment of choice. It is a very singular case of choledocholithiasis caused by fishbone, and the present review is the first one concerning choledocholithiasis caused by foreign bodies all over the world.

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