Case Of Foreign Body Research Articles

An unusual nasopharyngeal foreign body with unusual presentation

Upper aerodigestive tract may harbour foreign bodies such as sponges, grains, toy parts, stones, paper, insects, cotton,glass ball etc. These objects may go undetected for days or even weeks. A metallic foreign body after being inhaled and ultimately being lodged in the nasopharynx is a rare entity. We report a case of an unusual nasopharyngeal foreign body (glass ball) presenting with symptoms of nasal regurgitation and change in voice in a 2-year boy. The foreign body was diagnosed by X-ray skull lateral view including nasopharynx and was removed under general anaesthesia.

A “Missed” Nasal Button Battery in a Child During the COVID-19 Pandemic

A 5-year-old boy was referred acutely to the on-call ENT doctor following multiple remote consultations with his general practitioner with 2 months history of worsening left-sided foul-smelling nasal discharge and bleeding. He underwent examination under anaesthesia and removal of nasal foreign body which was subsequently identified as a button battery. This case highlights the challenges posed to clinicians during the COVID-19 pandemic but also serves as a reminder to keep a high index of suspicion and low threshold for clinical examination in suspected cases of nasal foreign body.

Transoral management of pharyngeal ballistics

ObjectiveTo present a case of a ballistic foreign body in the pharynx after a gunshot wound to the maxillofacial area, an accompanying review of relevant literature, and our approach to management. MethodA 68-year-old male with no prior medical history presented to our trauma center with gunshot wounds to the left chin, left wrist, right chest, and sternum. A CT Angiogram of the neck revealed a bullet fragment left neck and additional fragment adjacent to the L hypopharynx at the level of the hyoid. The patient was taken to the operating room for direct laryngoscopy with foreign body removal and esophagoscopy. ResultsWe document our workup and successful surgical removal of the pharyngeal ballistic foreign body via our video abstract, compiling preoperative imaging, intraoperative imaging, and video. Literature review of the subject accompanying our video abstract highlights the extensive complications that can occur from a retained foreign body in this area, supporting surgical removal of the foreign body if safely possible. ConclusionGiven the demonstrated feasibility and success of endoscopic foreign body removal from the pharyngoepiglottic space, in addition to overwhelming support for removal in the literature we recommend surgical extraction of ballistic foreign bodies located in the upper aerodigestive tract in stable patients to avoid early and long-term complications that can impact swallowing function, airway stability and the vital structures contained within the neck.

Endovascular Removal of Foreign Bodies: Single Center Experience

Catheter rupture or displacement is a serious and rare complication of central venous catheterization, with an incidence of approximately 1%. Once the intravascular foreign body is found, it should be removed as soon as possible. This study investigated the safety and efficacy of endovascular techniques for the removal of intravascular foreign bodies. This was a retrospective analysis of 23 patients with intravascular foreign bodies admitted to our hospital from January 2009 to June 2019 summarizing the types and locations of foreign bodies and the removal techniques. Overall Twenty-three cases of intravascular foreign bodies were successfully treated with endovascular techniques, for a technical success rate of 100%. The types of foreign bodies included 14 infusion port catheters (60.9%), 6 peripherally inserted central catheters (26.1%), 2 temporary deep vein catheters (8.7%), and 1 intravenous stent (4.3%). The most common orientation of foreign body displacement was one end of the foreign body in the inferior vena cava and the other end in the right atrium (14/23, 60.9%). In terms of technique, all patients underwent removal procedures with only one venous access point. The operative time ranged from 6 to 153 min, with an average of 28.7 min. This study preliminarily demonstrates the safety and efficacy of percutaneous interventional intravascular foreign body removal. Endovascular techniques are minimally invasive and reliable and can be used to safely and effectively remove intravascular foreign bodies.

A case of mediastinal foreign body caused by esophageal magnetic beads

本文报道1例发生于28个月儿童的多发食道磁珠异物（esophageal magnetic beads）。患者，女，28个月，因“误咽异物致吞咽不适5 d”就诊。术前胸片提示多发磁珠异物嵌顿于食道上端，遂急诊全身麻醉下行食道异物取出术，术中发现磁珠异物已致食道穿孔并形成胸腔异物。在多科协作下，最终经胸外径路取出磁性异物。术后22 d出院，出院1个月随访无明显不适，预后良好。.

Rubber tree fruit in the eye

Orbital foreign bodies are seen commonly, but the presence of an unusually large organic foreign body in-toto in the orbital cavity is rare. Here, we are discussing a case of the organic orbital foreign body following a fall. A 22-year-old gentleman with a history of fall presented to us with a large organic foreign body in his right orbit with the collapsed globe. Following thorough history and evaluation, the foreign body was removed and the globe was repaired. The eye became phthisical. A custom-fit prosthesis was applied a month after surgery. We are highlighting the importance of surgical intervention and follow-up to achieve good cosmetic outcomes and the importance of protective gear in the workplace.

Successful removal of metallic foreign body in the neck-mediastinum via the parapharyngeal space approach.

Neck-mediastinum foreign body (FB) is a common emergency in otorhinolaryngology head and neck surgery departments, and it can be lethal. We present a case of an uncommon foreign body in the neck-mediastinum. The FB was metallic and about 12 cm long. A 74-year-old male accidentally swallowed a metallic FB that lodged in his throat for > 3 days. The intake of the object was associated with smoking a peace pipe, and was an indication for surgery. Aerodermectasia was observed in the neck upon physical examination, and a high-density foreign body was found in the neck-mediastinum through cervicothoracic computed-tomography (CT) scan. Electronic laryngoscopy showed a white pseudo-membrane adhering to the surface of the bilateral piriform fossa in the right laryngeal vestibule, and the root of the tongue, and mucosa were swollen. Cervicothoracic CT revealed dense shadows in the neck-mediastinum. However, electronic laryngoscopy showed no FB in the larynx or piriform fossa. The metal FB was removed by surgery via the parapharyngeal space approach instead of endoscopy. After preoperative assessment and preparation, we successfully removed the metal FB from the neck-mediastinum via the parapharyngeal space approach. The patient was doing well at one-month follow-up. Neck-mediastinum FB is an emergency but rare case necessitating otorhinolaryngology head and neck surgery. It can easily lead to mediastinal and lung infection; given its location in the body, it may lead to aortic arch rupture if not handled promptly.

Unusual glass foreign body in the urinary bladder: a COVID-19 lockdown effect

A variety of foreign bodies/objects have been recovered from the urinary bladder and urethra. However, trauma may also be a cause of delayed intravesical foreign body presentation. Delayed presentation with minimal bothersome symptoms and with no other associated organ injury is very unusual. As per available literature on urinary bladder FBs, this is the rare case in which isolated glass foreign body was recovered from urinary bladder. A 38-year-old male presented with complaints of pain in the lower abdomen after passing urine and occasional terminal haematuria after straining on stools, for 5-6 months. Patient gave history that he had a fall over glass table while dusting a ceiling fan 6 months ago. He had glass piece injury to left buttock. Due to COVID-19 lockdown he was unable to contact nearby health facility, so, he self-removed a glass piece from buttock wound. Patient was planned for cystoscopy with exploration and removal of foreign body under spinal anaesthesia. Detailed history and examination are of paramount importance in intravesical foreign body cases. Cross-sectional imaging should be done to rule out associated adjacent organ injury and retained foreign body parts. Sharp glass foreign body in urinary bladder should be removed via cystotomy in order to avoid mucosal injury by sharp edges.

Rare case of small-bowel foreign body in peritoneal dialysis (with video)

Rare case of small-bowel foreign body in peritoneal dialysis (with video)

Diagnostic and therapeutic role of bronchoscopy in suspected cases of foreign bodies in tracheobronchial tree in pediatric age group

<p class="abstract"><strong>Background: </strong>Aim and objectives were to review the importance and benefits of bronchoscopy in suspected foreign body aspiration in tracheobronchial tree, prompt diagnosis and early management, and correlation between clinical and bronchoscopic findings.</p><p class="abstract"><strong>Methods: </strong>A retrospective study was conducted. Total 50 pediatric patients were enrolled in our study who were giving strong history of foreign body aspiration with sudden respiratory symptoms. Chest X-ray PA view was performed in all the patients. All the bronchoscopy done under general anesthesia.</p><p class="abstract"><strong>Results: </strong>In our study, children between 6 months to 3 years of age are the commonest victims, males are more affected than females. Classic triad of unilateral wheeze, coughing, and ipsilateral reduced air entry-is observed in less than 50% of cases.</p><p class="abstract"><strong>Conclusions: </strong>Bronchoscopy is essential in all cases of bronchial foreign body known or suspected and rigid bronchoscopy has proven over time to be safest and most efficacious to therapy. Although X-ray examination is essential for diagnosis and management, CT thorax with virtual bronchoscopy is advisable before bronchoscopy procedure in suspected cases (if general condition permits), it gives better idea about exact location, nature and type of foreign body. </p>

A case of prolonged stay of a foreign body in orbit

Cases of finding foreign bodies in orbit are not common in the practice of an ophthalmologist. They acquire particular interest when they go beyond the bounds of the template.

A case of foreign body in the left tonsil caused by Palaemon paucidens that required tonsillectomy

A case of foreign body in the left tonsil caused by <i>Palaemon paucidens</i> that required tonsillectomy

A case of intracranial foreign body perforated through the nasal cavity

A case of intracranial foreign body perforated through the nasal cavity

A Longstanding Foreign Body In The Oral Cavity: An Unusual Presentation

The oral cavity can be a site for foreign body entrapment either via accidental traumatic injury or due to an iatrogenic error. Diagnosis of the same could be a challenge, especially when the patient is unaware and asymptomatic. The present case study intended to highlight a case of a longstanding iatrogenic foreign body in the oral cavity with an intriguing radiographic presentation indicating the importance of (i) thorough history taking and clinical examination and (ii) checking for integrity of surgical instruments post usage.

A rare case of esophageal foreign bodies.

A rare case of esophageal foreign bodies.

A Case of Bronchial Foreign Body (Fish Bone) with Complete Atelectasis of the Middle Lobe

A Case of Bronchial Foreign Body (Fish Bone) with Complete Atelectasis of the Middle Lobe

UNUSUAL FOREIGN BODY IN THE RESPIRATORY TRACT OF CHILDREN

Objective: By "foreign bodies" should be understood all objects of external or internal origin that may block partially or completely the lumen of some parts of the respiratory system - nasal passages, larynx, trachea, bronchi. Most often foreign bodies in the respiratory tract occur in children under 4 y.о. They represent 80% of cases. Twice as often in boys. In 65% of cases, foreign bodies are food particles. 50% of them are accounted for: peanuts, walnuts, hazelnuts, chickpeas, and sunflower seeds. Methods: The author demonstrates a case of an unusual foreign body in the upper airway in a 2 y.o. child. He presented at ENT Clinic in the University Hospital of Stara Zagora with sudden paroxysms of coughing and difficulty swallowing, which started during hugging his mom. Results: It was performed an X-ray examination and visualized an object with a metal consistency that corresponded to a safety pin. Immediately was realized pediatric and anesthesiologist consultation and the patient was taken to the operating theatre and under general anesthesia, the foreign body was removed. Conclusions: Aspiration of foreign bodies in the airways is accompanied by dramatic moments and often fatal and it is still a serious problem in Otorhinolaryngological and pediatric practice. This imposes the serious need to strengthen preventive actions in this direction by increasing the consumer culture of the people.

Impacted dentures in the pharynx and esophagus - Implication for advocacy.

Impaction of dentures has potentially significant morbidity and management challenges. This study sought to leverage on the occurrence of swallowed dentures to advance discussions on its management and prevention. A 5-year retrospective review of patients seen on account of impacted dentures at the Ear, Nose, and Throat Department of the Korle-Bu Teaching Hospital was done. Variables obtained included age, sex, location of impacted denture, treatment done, denture type, number of teeth, and complications. Variables were analyzed, and descriptive summaries were reported. There was a record of 898 cases of impacted foreign bodies which presented to the department. Fifty-five (6.1%) records were on account of impacted dentures. These consisted of 25 (45%) males and 30 (55%) females. Ranging from 23 to 98 years, the mean and median ages were 55.7 (±18.1) years and 56.5 years respectively. There were no complications, and no identifiable predisposing patient conditions. All prostheses were removable acrylic dentures, and some observations included worn-out and loose dentures, while several had their prostheses dislodging in the process of swallowing tablet medications with water. Swallowed dentures are not rare occurrences in Ghana. Denture wearers should, therefore, be encouraged to get professional reviews, especially when prostheses get unretentive, while dental professionals are urged to incorporate measures in their fabrication to reduce the occurrence of swallowed dentures.

A migratory sharp foreign body from the hypopharynx to the deep neck space – A case report

Foreign body (FB) ingestion is a common emergency managed by otorhinolaryngologists. The clinical manifestations and management vary as per the site of FB and its complications. The diagnosis of FB ingestion is often challenging and depends on its clinical presentations and imaging. One of the rare complications of FB ingestion is migration, which has the potential to result in morbidity and mortality. Migration of FB is said to have occurred in the presence of negative rigid esophagoscopy and positive radiography. Migration of FB to the neck requires neck exploration for its successful removal. Here, we report a case of sharp FB ingested, which penetrated through the hypopharyngeal wall by its sharp end and migrated into the deep space of the neck.

A Case of Foreign Body of Fish Bone in the Tongue Mimic Malignant Tumor

A Case of Foreign Body of Fish Bone in the Tongue Mimic Malignant Tumor