IMPALEMENT OF AN UNUSUAL FOREIGN BODY IN THE LEG – A CASE REPORT

Foreign body penetration is not uncommon and may be glass, shrapnel, needles, etc. and may occur in almost any part of the body. Impalement injury is when a blunt force causes a long object to penetrate a body part resulting in retention of the object in situ. The management following foreign body penetration includes tetanus prophylaxis, parenteral antibiotic cover and removal of the foreign body in the theatre with exploration for neurovascular injury, thorough debridement and repair of any damaged tissue. Here, we report a case of an industrial foreign body that impaled a middle aged male while at work in the left leg which was carefully removed under anaesthesia with no post-operative complications.

An unusual long standing metallic foreign body in nasopharynx in an adult

<p class="abstract">This case report was to highlight the occurrence of a long standing unusual foreign body in the nasopharynx in an adult. Foreign bodies are common in ENT practice universally. At times they may present as emergency requiring urgent intervention and many a times they go unnoticed as these are not suspected. Nasopharyngeal foreign bodies are rare in any age group. A 70 year old man presented to neurology department with complaints of headache of 1 month duration. CT brain angiography showed atherosclerotic wall calcifications in bilateral cavernous segment of ICA and there was an incidental detection of a metallic foreign body in the posterior wall of oropharynx. History revealed accidental ingestion of a ring into mouth at 1 year of age. Diagnostic nasal endoscopy (DNE) was done, FB (foreign body) ring was seen at the level of left torus tubarius in nasopharynx and same removed in to intraorally. Care should be taken while removing these FBs. Digital manipulation for removal of such FBs are hazardous and should be avoided at all cost.</p>

Removal of unusual foreign body from rectosigmoid colon with colonoscope and forcep

Accidental foreign body ingestion is common among children and in many adults with or without systemic disease (altered mental status due to any cause), most of which is expelled spontaneously, some are removed endoscopically, laproscopically and surgically in complicated cases. Herein we are discussing a case of denture (of size about 5 x 5 cm) removal from sigmoid colon which was accidentaly swallowed with food in a normal conscious and alert person, with the help of colonoscope, proctoscope and forceps, without any complications except for mild bleeding which was managed conservatively

Laparoscopic Retrieval of Ingested Foreign Body

Foreign body ingestion is one of the most common presenting complaints in the emergency room. Psychiatric patients that present with an unusual ingested object are frequently associated with the intention of suicide, especially if they have a history of recurrent foreign body ingestion. Radiographic films help in locating the site and predicting the complications. The best method of object retrieval is dependent on many factors and decisions made for the best of patient safety to minimize expected complications. This is a case report of a patient who presented with unusual foreign body ingestion.

Case report of recurring pneumonia due to unusual foreign body aspiration in the airway

Foreign body aspiration is a rare but life-threatening event. Most accidental aspiration events occur in children. In adults, it can represent up to 25% of cases. Bronchoscopy remains the gold standard for diagnosing and treating foreign body aspiration from the lower respiratory tract. A 63-year-old female smoker with a history of chronic alcoholism and exposure to pyrotechnic smoke presented a productive cough, with whitish expectoration, dyspnea and pleuritic chest pain on the right side. On chest X-ray, she presented opacity in 2/3 of the right hemithorax. Computed axial tomography revealed consolidation with an air bronchogram on the right hemithorax, cylindrical bronchiectasis, ground glass pattern and centrilobular nodules. Bronchoscopic examination revealed a foreign body covered with granulation tissue in the right segmental bronchus (B6). The granulation tissue was integrated into the foreign body. In a second attempt, the foreign body could be removed, which was of bone consistency, seemingly a bird bone, confirmed by pathological anatomy results. After further questioning, the patient reported that two years before, she had choked when eating chicken. She had a cough and an episode of hemoptysis, but she chose not to ask for medical advice.

Impaled Nasopharyngeal Foreign Body

Introduction Foreign body cases are common in otolaryngologic practice, usually occurring in children. An impacted penetrating impaling foreign body can be one of the most challenging emergencies Management revolves around safe extraction of impaling object and prevention of complications. Here we share our experience with one such case of unusual foreign body impacted at an unusual site, with an extensive review of literature discussing management & prevention of complications in similar cases. Case Report A 3 year old boy presented to us in ENT emergency with a long metallic hook impaled in nasopharynx for the past 8 hours. We were able to dislodge the impacted foreign body under direct endoscopic visualisation under general anaesthesia. Discussion Any such injury might be similar but no two injuries are the same. It needs combined expertise of multidisciplinary team usually consisting of ENT surgeon, anaesthesiologist, radiologist and may also need vascular surgeon and interventional radiologist at times. Several complications are reported in literature, knowledge of which would help preparedness and thus a better outcome.

Unusual foreign body in rectum: a surgical curiosity

Rectal foreign bodies represent a unique and challenging field of surgical management which includes a careful history, physical examination and a high index of suspicion for complications. Foreign bodies are rarely seen in lower GI or rectum, inserted either accidently or for sexual satisfaction or to inflict harm. We have 3 case scenarios of unusual foreign body in rectum with varied clinical presentation, findings and three different methods of management/extraction done in our Institution. Patients present with common complaints of rectal or abdominal pain, constipation or obstipation, bright red blood per rectum, or incontinence. Initial step is to assess for peritonitis which is suggestive a perforation with intraperitoneal contamination and requires emergency exploratory. Erect Xray abdomen can reveal the presence of free air and the location of the object relative to the pelvic floor. A careful digital rectal examination is the most informative component of the evaluation process. Impacted foreign bodies may result in complications like intestinal obstruction, perforation of gut and peritonitis. Rectal foreign body is a diagnostic and management dilemma due to the delayed presentation owing to associated social stigma. Patients require a detailed examination and radiographic evaluation with resuscitation. Surgical intervention should be planned based on hemodynamic stability and presence/absence of perforation. Patient has to be referred to the psychiatrist for his perversion disorder, which is also mandatory for preventing recurrences.