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PubMed1999

[The diagnostic and therapeutic value of flexible bronchoscopy in foreign-body aspiration misdiagnosed as other respiratory diseases].

To explore the causes of missed diagnosis of foreign-body aspiration and summarize the experiences on the diagnostic and therapeutic use of flexible bronchoscopy (FB) in these patients. Twelve cases of foreign-body aspiration misdiagnosed as other respiratory diseases, confirmed by FB examination were analyzed. All of these patients had no histories of foreign-body aspiration, and no foreign-body shadows were found on their chest films. But there were atelectasis, hilar enlargement and obstructive pneumonia found on the films. Among the patients in this group, 7 cases were misdiagnosed as lung cancer, 2 cases of pneumonia and asthma each, and 1 case as tuberculosis. The diagnoses of all the 12 cases were confirmed by FB examinations. The foreign-bodies of the 11 cases were successfully grasped and taken out through the FB. This suggests that FB should be of great diagnostic and therapeutic value in patients with foreign-body aspiration misdiagnosed as other respiratory diseases.

Adolescent↗

PubMed1983

Computed tomographic localization of wooden foreign bodies in children's extremities.

Computed tomographic (CT) scanning accurately can identify and localize deeply embedded wooden foreign bodies in an extremity. Previously, wooden foreign bodies were often difficult to find for surgical removal. Two cases illustrating the accurate identification and localization of troublesome infected wooden foreign bodies in the tissues of extremities of children are presented. The accurate description by CT facilitated a precisely planned removal of these foreign bodies without adjacent tissue damage. This new diagnostic tool is valuable for finding obscure low-density foreign bodies in an extremity.

Child↗

PubMed2006

Case report: esophageal foreign body mistaken for impacted button battery.

Foreign body ingestion is a common complaint in the pediatric emergency department. Here, we report an interesting case of a coin ingestion in which the radiographic findings were alarming and inconsistent with the history provided by our patient. A brief review of the diagnosis and management of gastrointestinal foreign bodies is presented, with particular focus on ingested coins and button batteries.

Child↗

PubMed1991

Removal of a laryngeal foreign body using high frequency jet ventilation.

Aspiration of a foreign body into the respiratory tract is a common and serious accident in childhood. Laryngotracheal foreign bodies, although less common than bronchial foreign bodies, are potentially more dangerous. Removal is commonly achieved using a rigid ventilating bronchoscope. We report a 16-month-old boy who had an open safety pin impacted in his larynx. This was removed through a tracheostomy, using high frequency jet ventilation to maintain gaseous exchange. We believe that this is the first case in which this method of removal has been reported.

Bronchoscopy↗

PubMed2004

[Review of 209 cases of foreign bodies in the upper gastrointestinal tract and clinical factors for successful endoscopic removal].

BACKGROUND/AIMS: Most of ingested foreign bodies pass through the gastrointestinal tract spontaneously, but some of them (about 20%) need endoscopic or surgical removal. The aims of this study were to characterize the clinical features associated with foreign bodies in the upper gastrointestinal tract and to determine the clinical factors for their successful removal by endoscopic techniques. METHODS: We analyzed retrospectively 209 cases of foreign bodies in the upper gastrointestinal tract at Chonnam National University Hospital between May 1998 and May 2003. RESULTS: Foreign bodies were found in 97.1% (203/209) of the cases during endoscopic procedure. The types were chiefly fish bones (21.2%), coins (14.8%), meats (11.3%), and bezoars (8.9%). The locations were upper esophagus (49.8%), stomach (26.6%), lower esophagus (11.3%), and mid-esophagus (7.4%). Endoscopic removal was successful in 93.1% (189/203) of the cases, and surgical removal was successful in 8/203 (3.9%) of the cases. Age (p=0.015) and short duration of impaction (p=0.015) were the independent factors to predict the successful removal of the foreign bodies by endoscopic techniques. CONCLUSIONS: Endoscopic removal of foreign bodies in the upper gastrointestinal tract is an effective and safe procedure. Foreign bodies are more successfully removed by endoscopic techniques in children or in cases of short duration of impaction.

Adult↗

PubMed1990

Detection of soft-tissue foreign bodies by plain radiography, xerography, computed tomography, and ultrasonography.

Detection of a soft-tissue foreign body is common yet often difficult, particularly when the foreign material is not radiopaque. Various imaging modalities have been advocated for detecting foreign bodies that are not revealed by plain radiography. The abilities of plain radiography, xerography, computed tomography, and ultrasonography to detect glass, wooden, and plastic foreign bodies in an in vitro preparation are compared. While all of these imaging techniques demonstrated a glass foreign body, only ultrasonography clearly identified wooden and plastic foreign bodies.

Evaluation Studies as Topic↗

PubMed1967

The relationship of polymorphonuclear leukocytes to infertility in uteri containing foreign bodies.

A chronic infiltration of polymorphonuclear leukocytes was invariably found in the infertile regions of uteri containing foreign bodies in conventional rats, germfree rats, mice, and rabbits. Polymorphonuclear leukocytes were never found in the fertile regions of these uteri. A foreign body in the uterus of the rat, and probably also the mouse, was associated with a bacterial infection which spread the inflammatory response throughout the horn containing the foreign body, and in the mouse occasionally into the control horn as well. No bacteria could be cultured from the rabbit uterine horn containing a foreign body. In the germfree rat, both the infiltration of polymorphonuclear leukocytes into the uterus and fertility were significantly different from that observed in the conventional rat. Whereas in the conventional rat the inflammation and infertility extended along the entire length of the uterine horn containing a small foreign body, in the germfree rat the inflammation and infertility were closely correlated to the position of the foreign body. As judged by measurements of lysozyme in the uterine lumens of rats and rabbits, polymorphonuclear leukocytes released their contents into solution in the uterine lumen. It is concluded that some substance derived from polymorphonuclear leukocytes may exert toxic effects on fertilized ova or on spermatozoa and thus be responsible for the infertility of uteri containing foreign bodies.

Animals↗

PubMed1989

A new technique for removing foreign bodies of the external auditory canal.

Foreign bodies of the external auditory canal are a common and challenging problem. Several techniques have been described and utilized to remove the many objects placed in ears. The tightly wedged smooth round foreign body remains one of the most difficult to remove. A new method, using a cyanoacrylate adhesive (Super Glue) was used successfully to remove a soy bean in a 16-year-old male. The glue was placed on the blunt end of a cotton swab, which was then introduced into the canal to make contact with the bean. Removal was easy, safe, and effective. This procedure avoided the morbidity associated with many well known techniques, eg, the use of forceps, and may have prevented removal under general anesthesia.

Adhesives↗

PubMed2003

Posttraumatic and iatrogenic foreign bodies in the heart: report of fourteen cases and review of the literature.

OBJECTIVE: Our experience with posttraumatic and iatrogenic foreign bodies in the heart is presented and discussed along with a review of the literature on this subject. SUMMARY BACKGROUND DATA: Posttraumatic or iatrogenic foreign bodies in the heart can be treated either conservatively or surgically. Controversy exists about optimal management. METHODS: Fourteen cases of posttraumatic or iatrogenic foreign bodies in the heart observed between 1955 and 2000 were studied. Our series includes the following: bullets into the right or left ventricle (4 cases); needles in the left ventricle, atrium, and pulmonary artery (3 cases); retained catheter fragments in the right ventricle, right atrium, or in the pulmonary artery (4 cases); a grenade fragment into the right atrium (1 case); a circular saw fragment into the right ventricle (1 case); and a commissurotomy ring into the left atrium (1 case). RESULTS: Foreign bodies were removed when in the cardiac cavities (1 case); when in the presence of associated risk factors like embolism, arrhythmia, or infection (3 cases); and when in the presence of associated signs or symptoms including cardiac tamponade (2 cases), arrhythmia (1 case), fever (2 cases), or anxiety (1 case). Removal was accomplished by a thoracotomy (7 cases) or sternotomy (2 cases), with (3 cases) or without cardiopulmonary bypass, or percutaneously (1 case). Four asymptomatic patients were conservatively treated and have no evidence of complications at a median follow-up of 20 years. CONCLUSIONS: The management of foreign bodies in the heart should be individualized: (1) symptomatic foreign bodies should be removed irrespective of their location; (2) asymptomatic foreign bodies diagnosed immediately after the injury with associated risk factors should be removed; (3) asymptomatic foreign bodies without associated risks factors or diagnosed late after the injury may be treated conservatively, particularly if they are completely embedded in the myocardium or in the pericardium.

Adult↗

PubMed1998

Management of ingested foreign bodies in childhood: our experience and review of the literature.

The management of foreign bodies in the gastrointestinal tract is not standardized. Retrospectively, we analysed the management of 174 cases of accidental ingestion of foreign bodies in children. No child had ingested more than one foreign object. The ingested foreign bodies were: coins, toy parts, jewels, batteries, 'sharp' materials such as needles and pins, fish and chicken bone, and 'large' amounts of food. Of the patients 51% had transient symptoms at the moment of ingestion, such as retrosternal pain, cyanosis and dysphasia. Attempts to extract the foreign body either by a magnet tube, endoscopy or McGill forceps was performed in 83 patients. The majority of the extracted foreign bodies were batteries and sharp materials. The outcome of all the patients was excellent. No complications were observed.

Adolescent↗

PubMed1984

Esophageal foreign bodies in children.

In the diagnosis of esophageal foreign bodies in children, stridor and dyspnea as well as dysphagia are important. The history is often negative. Long-standing esophageal foreign bodies often present as a neck mass and develop Zenker-type diverticula in the cricopharyngeal sphincteric area. CT scanning has proven to be highly useful in delineating radio-transparent foreign bodies and their precise location in this clinical situation. Two cases with dysphagia and three cases with respiratory distress are presented and discussed.

Aphasia↗

PubMed1989

Management of postequatorial magnetic intraretinal foreign bodies.

17 patients with intraretinal magnetic foreign bodies and vitreous hemorrhage are reported. 15 patients underwent a primary surgical repair consisting of a watertight wound closure and removal of the already swelling cataractous lens in 5 cases. All patients had vitrectomy during the second postinjury week. The foreign body was left in place in 2 cases and removed with intravitreal forceps in 15 patients. Total or partial retinal attachment was achieved in 12 patients (71%). Details of the surgical procedure are described.

Adolescent↗

PubMed2006

Role of ultrasound biomicroscopy (UBM) in the detection and localisation of anterior segment foreign bodies.

INTRODUCTION: The aim of this study was to investigate the role of ultrasound biomicroscopy (UBM) in imaging anterior segment foreign bodies and compare it with conventional B-scan ultrasound and computed tomography (CT). MATERIALS AND METHODS: The charts of 18 eyes with anterior segment foreign bodies were reviewed. The rates of detection of foreign bodies using ultrasound, CT scan and UBM were compared. RESULTS: The foreign body detection rates were 36.5% by ultrasound, 88.9% by CT scan, and 94.4% by UBM. The diagnosis of presence of a foreign body using UBM was made based on high reflective echoes causing shadowing or reverberations. In 7 eyes, UBM detected injury to the zonules, guiding the operative procedure. In the 8 eyes for which all tests were performed, rates of detection of foreign bodies were 25% (2/8) with ultrasound, 87.5% (7/8) with CT, and 100% (8/8) with UBM. CONCLUSION: UBM is a valuable adjunct for the accurate localisation of small foreign bodies, including cilia. It offers a higher detection rate than that provided by ultrasound and CT scan.

Adolescent↗

PubMed1977

Principles of management of colorectal foreign bodies.

We present a five-year experience with removal of 31 colorectal foreign bodies, with no morbidity or mortality. The following principles were used: (1) biplane abdominal roentgenograms to elucidate the location, type, and number of foreign bodies; (2) removal under appropriate anesthesia; (3) transanal extraction of the foreign bodies whenever possible; (4) laparotomy only as a last resort, after failure of all transanal manipulations; (5) proctosigmoidoscopy following removal of foreign bodies; and (6) inpatient observation to rule out bleeding or perforation with delayed symptoms. A classification based on the level of the foreign bodies in the rectum or colon is proposed that is helpful in the initial approach to the problem and the ultimate therapeutic plan.

Adult↗

PubMed1994

Swallowed sharp foreign bodies (sewing needles): a conservative approach.

A swallowed foreign body, large or small, sharp or pointed should be treated with respect. Its passage in the gastrointestinal tract should be carefully watched and monitored. The patient should be kept under regular and constant observation until such time as the foreign body has either expelled itself or is removed. We report here two cases of sharp foreign bodies ingested by children and successfully managed on conservative lines.

Child↗

PubMed1994

Reversible cystic dilatation of distal airways due to foreign body.

We describe a child with foreign body aspiration whose chest radiograph showed an unusual appearance of multiple round lucencies simulating bronchiectasis. This appearance is contrary to the usual appearance of emphysema due to the check-valve type of obstruction. This report is particularly useful for pediatricians and family physicians, who should be aware of the variable appearances of foreign body aspiration. Our case emphasizes the necessity of early bronchoscopy in pediatric patients with unresolving pneumonia.

Bronchi↗

PubMed2002

Magnetic removal of a nasal foreign body.

We describe a case of metallic nasal foreign body removal from a child with the aid of a permanent magnet. This is the first documented case of such a technique as far as we are aware. Magnets may prove invaluable in the removal of metallic nasal foreign bodies particularly in children and avoid the need for a general anaesthetic. A brief review of the use of magnets to remove foreign bodies is included.

Foreign Bodies↗

PubMedDate not supplied

[Bronchial foreign body as a differential diagnosis for asthma. Report of a case and review of the literature].

The aspiration of foreign bodies into the airway is a common problem in childhood, mainly in children younger than 10-years old. Foreign bodies located in the tracheobronchial tree can cause episodic cough, dyspnea and wheezing, and generate a misdiagnosed of asthma if physicians do not consider the possibility of a bronchial foreign body as a differential diagnosis of this disease. In these cases, chest X-ray films are very important because those can show the most of foreign bodies or indirect radiographic signs of a bronchial foreign body. Nowadays, bronchoscopy is the method of choice for removal foreign bodies from the tracheobronchial tree. If there are not complications, most of patients may recover and become non-symptomatic in a short-term after the foreign body extraction. We show the case of a nine years old boy who suffered the aspiration of a tack, which stayed in a bronchi during several years, and was misdiagnosed as asthmatic.

Albuterol↗