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At least 307 records · Page 17Linked to original sources

PubMed1990

The management of intraocular foreign bodies.

This study of 69 cases of retained intraocular foreign body confirms that eyes with anterior segment foreign bodies fare better than those with posterior segment foreign bodies, that eyes with smaller foreign bodies fare better than those with larger, and that the magnet is the safest method of removal. There is no evidence to support primary vitrectomy in every case of posterior segment foreign body. Computerised tomography is the best method of localisation, but a foreign body can be missed on computerised tomography, and a plain x-ray is still the best method of detection.

Adolescent↗

PubMed2003

Esophageal foreign body causing direct aortic injury.

Foreign bodies in the esophagus are uncommon causes of esophageal perforation. Many nonperforating cases are successfully managed by flexible gastroscopy. However, complicated foreign bodies such as those that result in esophageal perforation and vascular injury are best managed surgically. Gastroscopy remains the primary method of diagnosis. A case of a 59-year-old woman who developed retrosternal and intrascapular pain, odynophagia and hematemesis after eating fish is reported. Flexible gastroscopy showed arterial bleeding from the midthoracic esophagus. Computed tomography scan localized a 3 cm fish bone perforating the esophagus with surrounding hematoma. An aortogram did not reveal an actively bleeding aortoesophageal fistula. The fish bone was surgically removed and the patient recovered with no postoperative complications. This case illustrates the importance of early consideration for surgical intervention when confronted with a brisk arterial bleed from the esophagus with suggestive history of foreign body ingestion.

Aorta↗

PubMed2005

Hepatic abscess secondary to foreign body perforation of the stomach.

Foreign body penetration of the stomach is seldom encountered in general surgical practice. Liver abscess as a consequence of such occurrence has only been reported sporadically. We report three cases of liver abscesses due to direct penetration injury of the stomach by ingested foreign bodies. All three patients presented with clinical features of liver abscess without history of foreign body ingestion. All recovered with surgical treatment. Successful management relies on prompt recognition and early intervention as deaths have been reported due to missed or delayed diagnosis. The potential role of a minimally invasive approach in the management of this entity is also discussed.

Aged↗

PubMed1987

[Removal of swallowed metallic foreign bodies by orogastric magnetic intubation].

Foreign bodies with metal content ingested by 16 patients were removed from the upper gastrointestinal tract by means of a magnet inserted into the end of orogastric tube. In only one case did the foreign body uncouple from the orogastric tube-magnet arrangement during retrieval. The procedure is an alternative to endoscopic or surgical removal in some cases of metal foreign body ingestion.

Child↗

PubMed1991

Radiographic imaging of foreign bodies in the hand.

Injuries involving foreign bodies in the hand are common. Index of suspicion should be high in any hand injury, particularly with a proper history. Plain radiographs should be obtained liberally and multiple views always taken. Xeroradiography, if available, is helpful if the plain radiographs are normal and a foreign body is suspected. Ultrasound is useful particularly in the detection of non-radiopaque foreign bodies and can provide guidance for removal of foreign objects if they are not readily found at surgery. Computed tomography (CT) and magnetic resonance imaging (MRI) may be used in rare instances if other studies have failed to detect a suspected foreign object, particularly a small wood or wood-like fragment. CT and MRI are the best studies to evaluate complications of retained foreign bodies.

Foreign Bodies↗

PubMed1997

Late presentation of an intra-abdominal foreign body.

Bowel obstruction by a foreign body is rare. The authors describe the case of a 77-year-old woman who had small-bowel obstruction due to a foreign body 40 years after a transabdominal hysterectomy. A loop of small bowel had herniated through a metal ring and had become necrotic. The ring and involved bowel were excised and the patient's clinical course was uncomplicated. The original purpose of the ring remains a mystery. The time frame between the introduction of a foreign body and the occurrence of symptoms in this case appears to be the longest ever reported.

Abdomen↗

PubMed1990

Retained intraocular foreign bodies and endophthalmitis.

Retained intraocular foreign bodies (IOFBs) are associated with endophthalmitis in approximately 7 to 13% of cases. The role of prompt surgical removal of the foreign body along with the use of intravitreal antibiotics in reducing this figure is uncertain. Retained IOFBs presenting to The Medical College of Wisconsin between July 1986 and June 1989 were reviewed. A total of 27 cases were evaluated and surgically treated. None of the 27 cases presented with or developed clinical signs of endophthalmitis, yet bacterial cultures of the removed intraocular material were positive in seven cases (foreign body in 5 cases, the aqueous fluid and the vitreous fluid in 1 case each). All eyes presenting within 24 hours of injury underwent immediate surgery (average, 4.5 hours after presentation). Of the seven eyes with positive intraocular cultures, all had pars plana vitrectomy removal of the IOFB and three of these eyes received intravitreal antibiotics at the time of surgery over concern of a high risk of infection. Two of these eyes eventually grew out the Bacillus sp. All eyes received subconjunctival antibiotics and postoperative topical and systemic antibiotics. Even after the positive cultures, no signs of clinical infection developed in any of the eyes. All seven eyes retained excellent visual acuity of 20/70 or better at an average of 10 months' follow-up. Follow-up ranged from 1 to 31 months. Prompt surgical intervention, the use of intravitreal antibiotics in high-risk-type injuries, and the possible use of vitrectomy surgery may reduce the incidence and severity of endophthalmitis.

Adolescent↗

PubMed2005

Intraocular foreign body injuries during Operation Iraqi Freedom.

OBJECTIVE: To evaluate the number of intraocular foreign body (IOFB) injuries that occurred in Operation Iraqi Freedom, and to determine the cause of injury, the type of foreign body, and the associated injuries to other body systems. DESIGN: Retrospective, noncomparative, interventional case series. PARTICIPANTS: Fifty-five United States military personnel with an IOFB injury during Operation Iraqi Freedom. INTERVENTION: Pars plana vitrectomy, foreign body removal, and additional surgical procedures as the clinical situation dictated. MAIN OUTCOME MEASURES: Cause of injury, size of corneal/scleral laceration, number of foreign bodies, type of foreign body, time to foreign body removal, visual acuity, number of enucleations, and injuries to other body systems. RESULTS: The foreign body was caused by a propelled explosive in 20 patients (36%) and a nonpropelled explosive in 31 patients (56%), and the cause of the foreign body was not known in 4 patients (7%). The size of the laceration of the cornea and/or sclera averaged 5.4 mm (range, 0.2-18). There were an average of 1.7 foreign bodies in the injured eye (range, 1-6). The size of those foreign bodies measured ranged from <1 mm to 12 x 14 mm. The most common type of foreign body was metal (68%), followed by glass (14%), stone/cement (14%), bone (5%), and cilia (3%). The time from injury to foreign body removal averaged 20.6 days (range, 0-90). No cases of endophthalmitis were seen. The most common associated injury was to the upper extremity, face, lower extremity, and neck. CONCLUSIONS: Unlike trauma in the civilian sector, IOFB injuries in a military setting tend to be caused by explosive devices, which often result in multiple foreign bodies and simultaneous injuries to other body systems. Because of the lack of availability of specialty care in the combat theater, there is often a delay in removal of the foreign body.

Adolescent↗

PubMed1996

[Endobronchial foreign bodies: surgical indications].

Removal of foreign bodies from the tracheobronchial tree is generally possible by bronchoscopy. Seldom requested is a thoracotomy, to be considered an "ultima ratio" for cases with asphyxia, with an acute or chronic obstructive pulmonary infection, for cases-finally-of very little foreign body in a peripheral location. We collected in the past fifteen patients who had a thoracotomy for a tracheobronchial foreign body: extensive description is given of our most recent case.

Adolescent↗

PubMed1980

Computed tomography and the occult tracheobronchial foreign body.

Four children with occlut tracheobronchial foreign bodies were examined by computed tomography (CT) in order to establish whether CT is superior to plain radiography and xeroradiography in visualizing foreign bodies, as in vitro data suggest. In three patients the foreign body was localized by CT. CT is not recommended as a routine in the diagnosis of tracheobronchial foreign bodies but can be of value in the more difficult cases.

Bronchography↗

PubMed1986

Foreign bodies of the gastrointestinal tract.

Gastrointestinal foreign bodies are a common occurrence in most emergency room settings and should be dealt with in an organized manner to bring about their retrieval expeditiously. Approximately 1500 to 1600 persons in the United States die from ingestion or placement of foreign bodies every year. This study of foreign bodies of the gastrointestinal tract reports an 8-year span in which 60 cases were compiled from a 540-bed private, inner city hospital. The average hospital stay was 3.2 days. Foreign bodies were retained in the esophagus in 68.3 per cent of patients, in the stomach in 11.6 per cent, and in the colon or rectum in 13.3 per cent. In 3.3 per cent the object passed spontaneously, and in 3.3 per cent it resulted in perforation.

Digestive System↗

PubMed1996

Foreign bodies in the gastrointestinal tract.

Management of foreign bodies of the gastrointestinal tract is not standardized among the various specialties and subspecialties of physicians who care for these patients. This article gives a true emergency department approach to the patient with an ingested or inserted gastrointestinal foreign body. Evaluation and management of the foreign body by location are presented. Controversial issues such as Foley catheter removal of esophageal foreign bodies, management of sharp objects in the stomach, and management of body packers and body stuffers are discussed. Examples of foreign bodies encountered by the typical emergency physician are demonstrated.

Catheterization↗

PubMed1991

An unusual foreign body in the oesophagus.

UNLABELLED: Unusual swallowed foreign bodies are uncommon in normal individuals. They may be encountered in the mentally deranged or the subnormal. A case of an unusual foreign body, two safety pins hooked together, in the upper oesophagus of a 27-year-old lady who looked apparently normal at the time of admission to hospital is reported. CASE REPORT: A 27-year-old lady presented with history of discomfort in the throat and difficulty in swallowing for two weeks. She denied having swallowed anything unusual. At the time of admission, she looked mentally normal, with normal behaviour. She had no signs of dehydration. There was tenderness on movement of the trachea. Indirect pharyngoscopy showed minimal pooling in the piriform fossae. Plan X-ray of the neck showed a foreign body in the upper oesophagus: two safety pins hooked together (Fig I and II). Under general anaesthesia, oesophagoscopy was carried and the foreign body was successfully removed. During oesophagoscopy, it was attempted to bring the two limbs of each safety pin together and to get the sharp end of the lower safety pin into the oesophagoscope. Fortunately, the lower safety pin broke at the joint. The upper safety pin was delivered in toto and the lower one in two pieces. The foreign body was tarnished suggesting that it stayed in the oesophagus for two weeks. Figure III shows the foreign body repositioned after removal. Post-operative recovery was uneventful and the patient was discharged home after five days in good condition. We met the patient accidentally after six months. She looked well and mentally stable.

Adult↗

PubMed1977

Inhalation of foreign bodies in children. Report of 500 cases.

Inhalation of foreign bodies is a major cause of accidental death during childhood. Aspiration of foreign bodies is common in children aged 1 to 3 years, especially in boys. A past history of foreign body aspiration is itself an indication for bronchoscopic examination of the airways, because some children with aspirated foreign bodies are without symptoms and chest x-ray films may not show abnormalities. Bronchoscopic removal of the foreign bodies requires close communication between the anesthesiologist and the endoscopist. Forgotten foreign bodies in the airways cause chronic pulmonary infections, allergic asthma, bronchiectatic changes, and lung abscess. Foreign bodies that cannot be grasped by bronchoscopic forceps should be removed by thoracotomy and bronchotomy. This report describes our experience in 500 children with suspected foreign body inhalation. We routinely use prednisolone, 1 to 2 mg. per kilogram, and nebulization just after bronchoscopic examination of the airways. This medication greatly diminishes the rate of postbronchoscopic complications such as laryngeal edema, which require tracheostomy. In our series of 500 case, the incidence of postbronchoscopic tracheostomy is 1.4 per cent and the total mortality rate is 1.8 per cent.

Aerosols↗

PubMed1986

Ingested foreign bodies: removal by magnet.

Metallic foreign bodies ingested by eight patients (seven children) were removed from the upper gastrointestinal tract by means of a magnet inserted into the end of an orogastric tube. No patient required hospitalization, anesthesia, surgery, or subsequent radiography, and all patients remained asymptomatic. In no case did the foreign body uncouple from the orogastric tube-magnet arrangement during retrieval. The procedure is an alternative to endoscopic or surgical removal in some cases of metallic foreign body ingestion.

Adult↗

PubMed1992

Posterior chamber intraocular lens implantation combined with lensectomy-vitrectomy and intraretinal foreign-body removal.

Two patients with intraretinal foreign bodies and traumatic cataracts were treated with pars plana lensectomy, vitrectomy, and removal of the foreign body. In each case, it was technically possible to preserve the anterior capsule despite small but obvious rents caused by the foreign body. This allowed support for the placement of a posterior chamber intraocular lens at the time of the initial repair. Posterior chamber intraocular lens implantation may be a useful adjunctive step in the treatment of selected patients with intraocular foreign bodies.

Adult↗

PubMed1998

Foreign bodies of the hard palate.

Foreign bodies of the hard palate are rare occurrences with only 11 reported cases in the literature. These patients can present to the Otolaryngologist in a variety of ways and often with confusing histories. We present seven cases of foreign bodies adherent to the hard palate. The age range was three to eighteen months and the most common referring diagnosis was a suspected tumor (five patients). The most common object removed was a nut shell. In six of the seven cases the foreign body could be removed in the ambulatory clinic without the need for sedation or anesthesia. The clinical presentation, incidence and management is reported and discussed with reference to the literature.

Diagnosis, Differential↗

PubMed2002

Nasal positive-pressure technique for nasal foreign body removal in children.

Nasal foreign bodies in children are often encountered in emergency medicine and many methods of removal exist. This study examines the nasal positive pressure technique, a method not previously described in the literature. A retrospective chart review of nasal foreign body removal using the nasal positive pressure technique was conducted, as well as, a follow-up telephone survey of patient's parents. Nine patients were identified over a 1-year period. The average time from triage to discharge was 34 minutes (15-106 minutes). No sedation, consultation or complications were recorded. Five of the 9 parents completed the survey. All 5 (100%) described the procedure less traumatic than an injection, and 4 (80%) described the procedure similar or less traumatic than an oral pharyngeal exam with a tongue depressor. Nasal positive pressure technique for nasal foreign body removal is a safe and efficient method, and it is relatively nontraumatic in the view of parents.

Child, Preschool↗