[Intraocular foreign bodies. The experience of the Baia Mare Ophthalmology Section in treating nonmagnetic intraocular foreign bodies].
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Adolescent↗
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Lead foreign body ingestion in children.
Foreign body ingestion is seen commonly in paediatric surgical practice and the vast majority of ingested foreign bodies will pass spontaneously once they have made their way into the stomach. Lead foreign body ingestion in children represents a special case in view of the potential for acute lead intoxication secondary to dissolution and absorption of the ingested lead. Lead dissolves poorly in physiological solutions with the exception of the acid environment of the stomach. We report a case of a 4-year-old child who ingested a lead sinker which was removed from the stomach by emergency endoscopy. This case stimulated a review of the relevant literature and the formulation of a management plan for lead foreign body ingestion in children. The principles of this management plan are observation of the child in hospital and use of a protein pump inhibitor until the foreign body has passed out of the stomach.
Child, Preschool↗
[X-ray findings in deliberately incorporated foreign bodies].
Observations of 181 foreign body introductions in 99 patients are reported. It is possible to differentiate between an oral, transanal, transcutaneous, transurethral, transvenous, transaural way and exceptional cases. Orally introduced foreign bodies up to a length of 12-15 cm usually pass spontaneously: longer foreign bodies must be removed endoscopically or surgically. A special problem is connected with foreign bodies which are swallowed together in a parallel position and form a cross in the stomach. Intravenously introduced foreign bodies like metallic mercury and copper wire were well tolerated by the patients. - Individual observations concern a patient who swallowed a screw driver (about 10 cm in length) and water intoxication in 3 patients (one of whom died) who drank 9-17 liters during 1-2 hours.
Adult↗
Tracheobronchial foreign bodies.
Aspiration of tracheobronchial foreign bodies occurs more commonly in children, but under certain circumstances, it also can occur in adults. The most common symptoms are choking followed by a protracted cough. Physical examination findings include fever, stridor, retractions, and decreased breath sounds. Radiographic imaging can be helpful if the object aspirated is radiopaque or if there are signs of hyperexpansion on expiration. Negative-imaging studies, however, do not exclude the presence of a foreign body in the airway. The longer a foreign body resides in the airway, the more likely it is to migrate distally. When this occurs, symptoms of chronic cough and wheezing may mimic an asthmalike condition. Bronchoscopy is indicated in this situation to evaluate the airway thoroughly. If a foreign body is present, extraction can be performed with flexible or rigid bronchoscopy. If flexible bronchoscopy is attempted, it is imperative that the bronchoscopist is familiar with rigid bronchoscopy and has the equipment immediately available should danger to the airway occur. The procedure is generally safe and well tolerated. Many patients are managed under general anesthesia, but foreign bodies often can be removed with a flexible bronchoscope with the patient under local anesthesia. Surgery should be performed only as a last resort and rarely is necessary.
Adolescent↗
Laparoscopic removal of intragastric foreign bodies.
Ingestion of foreign bodies is a common happening for prison inmates. When such bodies do not pass, endoscopic or surgical retrieval is necessary. The authors report the case of a young patient in whom endoscopy failed to retrieve several intragastric foreign bodies. He was treated successfully by laparoscopic gastrotomy. The authors think that this approach is a valid alternative to laparotomy.
Adult↗
Intra-operative echocardiography: a useful tool in the localization of small intracardiac foreign bodies.
Small intracardiac foreign bodies may be difficult to palpate and localize at surgery using conventional diagnostic procedures. The use of intra-operative echocardiography greatly facilitates the localization of intramyocardial foreign bodies, and minimizes operative time and iatrogenic myocardial damage. A case is presented in which this diagnostic modality was used.
Adult↗
Obstruction of the gastrointestinal tract by foreign bodies in adults.
Foreign bodies may become impacted because of congenital or acquired narrowing of the gastrointestinal tract or owing to unusual physical characteristics of the ingested material. Active intervention is necessary when impaction is complicated by intestinal obstruction or perforation or when the foreign body is composed of a toxic substance.
Adult↗
Nasal wash technique for nasal foreign body removal.
Nasal foreign bodies are seen commonly both in the office and pediatric emergency department setting. There have been a number of strategies described for their removal. We describe the "nasal wash" as a technique for nasal foreign body removal in the following three case reports. The "nasal wash" has been used in many pediatric vaccine studies as a method to collect mucus and relies on simple equipment readily available in the office setting.
Animals↗
Foley catheter, a simple device for removal of oesophageal foreign bodies.
An oesophageal foreign body is a common mishap in children. Removal through oesophagoscopy is a standard procedure but where this facility is not available this rather common accident could pose serious problems. A foley catheter was used repeatedly for the extraction of smooth foreign bodies from the oesophagus without fluoroscopic control. The procedure is safe and could be used whenever oesophagoscopy is not available.
Catheterization↗
An unusual intaocular foreign body.
An unusual foreign body in a 60-year-old man with ocular siderosis is described. A surgical needle was found in the eye after magnetic resonance imaging was performed for cerebral ischemia. As a general precaution in patients who have undergone any kind of surgery, it might be better to perform a plain x-ray before performing magnetic resonance imaging to identify such foreign bodies.
Eye↗
Management of orbital-sinus foreign bodies.
Orbital-sinus foreign bodies traverse the orbit and lay, at least partially, within the paranasal sinuses. Most of these injuries occur as a result of facial trauma. In most cases, history alone is not sufficient to rule out a retained foreign body. Early magnetic resonance imaging is necessary to evaluate the full extent of injury. Since these foreign bodies may cause a severe orbital infection and threaten the patient's vision, surgical removal is recommended. Endoscopic sinus surgery provides a safe and effective approach for extraction of these foreign bodies that can be used alone or in conjunction with other surgical approaches. The case of an orbital-sinus foreign body is presented together with a comprehensive approach for diagnosis and management of this type of injury.
Accidental Falls↗
Surgical management of nonmagnetic intraocular foreign bodies.
Selected nonmagnetic, intraocular foreign bodies can be successfully removed from the posterior segment by a modification of the pars plana vitrectomy technique using foreign-body forceps. Opacities of the ocular media are cleared and the foreign body mobilized using the vitrectomy instrument. The foreign body is extracted, under direct visualization, with forceps. Reflex-free illumination is provided by an intraocular, fiberoptic light source. The globe is supported with a double Flieringa ring to prevent collapse after removal of the formed vitreous. Retinal reattachment surgery can be performed during the same operation if indicated.
Adolescent↗
[Unusual foreign body aspiration].
Tracheobronchial foreign body aspiration in adults is rare when compared to children. In this case report, 76 year old female patient who aspirated a screw of tracheostomy cannula which was taken out by fiberoptic bronchoscopy (FOB) was presented. This case showed us that education of patients about stoma care is important. The FOB can be used safely to get foreign body from distal airways.
Aged↗
Migrating esophageal foreign bodies.
UNLABELLED: Ingested foreign bodies which migrate extraluminally, although rare in occurrence, are fraught with the potential to cause life-threatening complications. PURPOSE OF THE STUDY: To discuss the management of this pathology. MATERIAL AND METHODS: A series of four patients with such occurrences is presented. CONCLUSION: A discussion on the safe management of such seemingly innocuous foreign bodies allows the authors to propose a therapeutical algorythm.
Adult↗
Use of nebulized adrenaline to aid expulsion of intra-nasal foreign bodies in children.
Foreign bodies in the noses of children may often be expelled by simple nose blowing. Success of this manoeuvre depends on how firmly the object is lodged, and on the co-operation and skill of the child. Attempts at direct removal using instruments frequently result in the patient becoming distressed and resort to general anaesthesia is sometimes required. This short communication describes a series of cases in which nebulized adrenaline helped loosen firmly impacted foreign bodies, thereby facilitating removal, minimizing upset for the child, and avoiding anaesthetic risk.
Child, Preschool↗
Endobronchial cockroach: an unusual foreign body aspiration.
Foreign-body aspiration is a frequent and potentially lethal occurrence in children. It is associated with a variety of symptoms including choking, coughing, and wheezing. These symptoms differ in severity and are sometimes absent, and chest radiograph findings are often nonspecific. Thus, the diagnosis of foreign body aspiration is occasionally missed or delayed. A multitude of aspirated objects have been reported in the literature. In the present report, we describe the aspiration of a cockroach by a child with a delay in diagnosis of 3 d.
Animals↗
An unusual gastric foreign body.
Ingestion of foreign bodies is common in children. The majority of those which reach the stomach will pass uneventfully through the gastrointestinal tract. We report here an 9-month-old boy who swallowed an earring. Several roentgenologic examinations revealed a small, closed earring in the stomach. Endoscopic removal failed. At surgery the earring was seen grasping the pyloric ring and one end had eroded the gastric mucosa. These caused the earring to anchor firmly to the pylorus, as if it were attached to an ear lobe. The unusual way in which it was lodged in the stomach caused the impediment to its further progress, but fortunately, this was without serious consequences. Early endoscopic examination for retained foreign bodies in the stomach is recommended.
Foreign Bodies↗
Simultaneous bilateral aspiration of foreign bodies.
Aspiration of foreign bodies into the bronchial lumen continues to be a potential hazard especially in children. Bronchiectasis, lung abscesses, emphysema, or pleuropulmonary fistula may develop if untreated. The treatment of choice is extraction by bronchoscopy under general anesthesia. Our patient simultaneously aspirated two squirrel vertebrae, neither of which produced obstruction. The patient's symptoms were due mainly to the partial obstruction secondary to the formation of granulation tissue. One aspirated vertebra was extracted during the diagnostic fiberoptic bronchoscopy, but a rigid Jackson bronchoscope was necessary to remove the other foreign body. The patient has since been asymptomatic.
Animals↗