Presentation Of Foreign Body Research Articles

Organic Foreign Body in the Eye, a Diagnostic Challenge: A Case of a Wooden, Intra-orbital Foreign Body Presenting at the Emergency Department

Organic Foreign Body in the Eye, a Diagnostic Challenge: A Case of a Wooden, Intra-orbital Foreign Body Presenting at the Emergency Department

Bronchial foreign body presenting as pneumothorax and pneumomediastinum in a young child.

Pneumomediastinum (PM) and subcutaneous emphysema (SCE) following foreign body aspiration are very rare. Pneumomediastinum (PM) occurs due to alveolar rupture, whereas subcutaneous emphysema occurs if air leak persists. It is benign in nature, but in some cases, it might be fatal. Therefore, proper assessment and management are required to limit the life-threatening complications and FB should always be suspected whenever spontaneous PM and SCE is seen. PM and SCE are very rare presentations of foreign body aspiration in children of age less than 3 years and in such circumstances, the possibility of foreign body should be considered. There is also a rare possibility of spontaneous expectoration of a foreign body dislodged in the trachea.

Nasal foreign body presenting as pansinusitis with superior orbital fissure syndrome

No abstract available

A typical presentation of a laryngeal foreign body in an infant

Background: A 1-year-old boy presented with a one-day history of fever and cough, potentially linked to an episode of aspiration during homemade rice feeding. Following the incident, he refused to feed, displaying irritability. The detection of neutrophil leucocytosis and dehydration prompted IV antibiotics and fluid. Persistent symptoms led to a lateral neck x-ray, revealing a radiopaque material near the epiglottis. Fibre optic laryngoscopy identified a metallic wire lodged in the right arytenoid cartilage and posterior pharyngeal wall, possibly a fragment from a rice polishing machine. Extraction under general anaesthesia resulted in minimal mucosal injury, and the child quickly recovered postoperatively.Conclusion: This report serves as a reminder to consider foreign body ingestion in the differential diagnosis, particularly in cases with subtle or unrelated symptoms in the paediatric age group. The multidisciplinary approach emphasises prompt intervention to prevent life-threatening complications in paediatric patients. Furthermore, employing awake fibre-optic laryngoscopy in the context of a suspected respiratory tract infection to confirm the presence of a foreign body is considered a clinically safer approach than immediately resorting to examination under anaesthesia.

Imaging presentations of foreign bodies that make for a challenging diagnosis: pictorial essay.

Foreign bodies (FBs) can pose a diagnostic dilemma because a wide range of objects, comprising items incidentally detected or deliberately retained in the body, can be discovered on imaging investigations. Single or multiple FBs may be retained at different sites including the gastrointestinal tract, the genitourinary system, the respiratory tract, and the soft tissues, all of which warrant medical attention. More importantly, ensuing, serious complications related to harmful positioning of these objects can significantly hamper normal function of any involved organ system. Because various FBs may be detected throughout the body, it is important that radiologists are also familiar with a myriad of life-threatening complications associated with retained items, including impaction, obstruction, perforation, hemorrhage, embolization, chemical dissolution, poisoning, and sepsis. Imaging plays a key role in the detection, localization, and characterization of FBs. Radiologists need to describe in exhaustive detail suspected items with regard to the anatomical location, type, shape, and composition of the object under investigation. Clinicians can then predict whether the foreign object(s) will pass through the body uneventfully or need to be addressed in a surgical procedure.

Double coin ingestion in a child: a rare occurrence

Foreign bodies in the esophagus pose a common ENT emergency, often involving a single coin that typically passes without harm. However, the occurrence of paired coin foreign bodies is exceptionally rare. A notable case involves a 3-year-old child who presented to the ENT emergency department with sudden dysphagia and vomiting. A plain X-ray of the soft tissue in the neck and chest revealed a unique finding-a double circular opacity in the cervical esophagus, indicating the ingestion of two foreign bodies in perfect radiological alignment. Given the rarity of such cases, coupled with the challenges in diagnosis when a comprehensive history is unavailable, this instance stands out. The child underwent a rigid esophagoscopy under general anesthesia to address the situation. This case underscores the importance of considering uncommon scenarios in clinical practice and the necessity for thorough diagnostic approaches, especially in the absence of a detailed patient history. The presentation of dual foreign bodies in precise radiological alignment adds a layer of complexity to the diagnosis, highlighting the need for a nuanced and vigilant approach in managing such infrequent but potentially serious cases in the ENT emergency setting.

Unusual presentation and management of a penetrating foreign body in the pyriform fossa: a case report

Foreign body impaction in the upper aerodigestive tract is considered an emergency that necessitates extraction within 24 hours to prevent adverse events. Rigid oesophagoscopy is crucial in managing sharp, penetrating, and large foreign bodies lodged in the pharynx or at the cricopharyngeus muscle level. In this case report, a 15-year-old male patient presented with throat pain after consuming a chicken meal. He experienced dysphagia and odynophagia but no vomiting, drooling, or hematemesis. Initial video direct laryngoscopy did not reveal any foreign body, and subsequent rigid oesophagoscopy under general anaesthesia was inconclusive. However, a post-operative X-ray of the neck confirmed the presence of a foreign body. A contrast-enhanced computed tomography scan showed the foreign body penetrating the right pyriform fossa. With the assistance of a medical gastroenterologist, a flexible upper gastrointestinal endoscopy was performed, and the foreign body was successfully removed from the right pyriform fossa. Prompt endoscopic removal under conditions of minimal trauma and maximum safety is the preferred treatment approach for foreign bodies in the upper aerodigestive tract, necessitating a multidisciplinary team involving radiologists, otorhinolaryngologists, medical gastroenterologists, and anesthesiologists to develop tailored treatment plans for each patient.

Impacted ear drop dispenser cap: A rare cause of recurrent otitis externa

: To report a case of an elderly male with aural foreign body presenting as recurrent otitis externa and to highlight the fact that aural foreign bodies may be an underlying cause in such recurrent cases.: Case report: Aural foreign body with recurrent otitis externa.: Tertiary care center.: Surgical removal of foreign body. : The granulations and recurrent otitis externa resolved after removal of foreign body.: Suspicion of an aural foreign body should be maintained in a child or even adult presenting with recurrent otitis externa.

Varied Manifestations of Sharp Penetrating Foreign Bodies in the Aerodigestive Tract: Our Experience.

Introduction Foreign bodyingestion or aspiration is an emergency dealt by otorhinolaryngologists. It is most common among children and the geriatric population. It paves the way for critical morbidity when prompt treatment is not initiated. Therefore, in the absence of strong evidence to guide decision-making, all suspicious presentations of the ingested sharp foreign body needto be kept in mind while making a diagnosis. Hence, our study is aimed to document the varied manifestations of sharp penetrating foreign bodies in the aerodigestive tract. Materials and methods The medical records of 40 patients who presented with sharp foreign body ingestion/aspiration in the department of otorhinolaryngologyin our centre from September 2012 to September 2022were reviewed retrospectively. Results In all 40 patients, we were able to retrieve the foreign body as such without crushing or breaking it.In our study, the most common foreign body retrieved among middle-aged and elderly were chicken bone (22.5%) or fish bone (25%), and the most common foreign body following accidental ingestion in children were stapler pins (20%). Conclusion The findings of our study concluded thatrelevant clinical history, atypical presentation, and radiological imaging of sharp penetrating foreign bodies in the neck should be addressed with the utmost caution, as foreign bodies migrate to deep neck space and bronchus and can result in untoward complications. Hence, we need to be suspicious of the varied manifestation of aerodigestive tract foreign bodiesfor early diagnosis and prompt treatment.

An unusual case of nasal foreign body presenting as recurrent otitis media

Otitis media (OM) is a common problem involving children. In the majority, the cause is related to dysfunction of the Eustachian tube due to bacterial or viral rhinitis and less commonly due to nasopharyngeal tumors. We present a case of recurrent OM which was evaluated and incidentally found a nasal foreign body for which the patient was asymptomatic. This nasal body was the cause of recurrent OM which is very unusual.

Case - Identification and management of a retained foreign body presenting with obstruction.

Case - Identification and management of a retained foreign body presenting with obstruction.

Esophageal foreign bodies: our experience

<p class="abstract"><strong>Background:</strong> The objective of this prospective study was to report our experience of presentation and management of esophageal foreign bodies at GMC Doda.</p><p class="abstract"><strong>Methods:</strong> This prospective study was conducted in the department of ENT at GMC Doda from January 2019 to October 2022. During this time period 43 patients of foreign body ingestion were admitted in the department of ENT. Of the 43 patients 27 were male and 16 were female patients. 34 were children and 9 patients were adults. After doing through examination, plain radiograph was done on admission in all patients. Age appropiate rigid endoscope was used for foreign body extraction under general anaesthesia.</p><p class="abstract"><strong>Results:</strong> In children the coin was the most common type of foreign body (28 patients, 82.3%), with about 39% managed conservatively after overnight observation,as the coin passed on spontaneously. In adults chicken bone was the most common type of foreign body (5 patients, 55%). Upper esophagus (cricopharynx) was the most common site of foreign body impaction in both adults and pediatric patients. Rigid endoscope was used in all patients requiring intervention.</p><p class="abstract"><strong>Conclusions:</strong> Our study suggests that pediatric patients have higher incidence of foreign body ingestion as compared to adults. Management depends on the type of foreign body ingested as many can pass on spontaneously without requiring any invasive intervention. Also the rigid endoscope is a safe, effective and cheaper instrument that is used for removal of foreign body from esophagus.</p>

Endometritis as a result of a foreign body reaction to an anti-adhesive barrier: a report of two cases

Background: We present two patients who suffered from endometritis as a result of a foreign body reaction to an anti-adhesive barrier positioned during hysteroscopic surgery. Case: The first case—who had previously undergone hysteroscopic lysis of intrauterine adhesions—presented with persistent abdominal pain and vaginal discharge. Ultrasound revealed an irregularly shaped strip of hyperechoic lesion. On diagnostic hysteroscopy, a foreign body presenting as a flattened bundle was observed and identified as the anti-adhesive barrier positioned during her previous surgery. The second patient—who had previously undergone laparoscopic surgery and hysteroscopic polypectomy—presented with abdominal pain in the left lower quadrant. Ultrasound revealed an intrauterine hyperechoic avascular lesion, while hysteroscopy identified a piece of crumpled plastic wrap. Both patients showed clinical improvement after removal of the extraneous material. Conclusion: Intrauterine positioning of anti-adhesive barriers during hysteroscopic surgery can give rise to endometritis as a result of foreign body reactions.

An Unprecedented Presentation of Foreign Body

An Unprecedented Presentation of Foreign Body

Combined Extraction (Cystourethroscopy and Suprapubic Cystotomy) of A Selfinserted Hairpin Located In The Posterior Urethra - A 7-Year-Old Boy

Self-inserted urethrovesical foreign bodies are rare in children. A 7-year-old boy inserted a hairpin into the urethra seven days before admission, a diagnosis that was made on the basis of the appearance of blood in the urine, palpation of the base of the penis and two directional X-ray imaging. Cystourethroscopy and suprapubic cystotomy were used to remove the foreign body.The presentation of urethrovesical foreign bodies can vary widely, as can the type of object inserted. Definitive treatment is usually the endoscopic removal, however occasionally surgical intervention may be required. Our novel approach enabled less traumatic removal of the hairpin

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.

Clinical Presentation and Treatment Outcomes of Foreign Bodies in the Ear among Patients Attended at Bugando Medical Centre, Mwanza, Tanzania

Background: Globally, foreign bodies (FBs) in the ear are commonly encountered by otolaryngologists and its removal can result in complications if attempts of removal are made outside the healthcare setting by untrained personnel. This study describes the clinical presentation and treatment outcomes among patients presenting with FB s in the ear at Bugando Medical Centre (BMC). Methods: This was a cross sectional study that was conducted at BMC between May 2019 and October 2019. Results: A total of 70 patients (M: F ratio = 1.3:1) were studied. The mean age at presentation for children was 5.1[±2.2] years, whereas that of adults was 28.9 [±16.1] years. The FBs were found in the right ear in 44(62.9%) patients, left ear in 25(35.7%) patients and in both ears in 1(1.4%) patient. Cotton was the most common FB in 34.3% of cases. Previous history of failed attempted ear FB removal by peripheral hospitals was reported in 15(21.4%) patients. Methods used in the removal of ear FB were ear syringing in 42(60.0%) patients, forceps extraction in 15(21%) cases, FB removal by suctioning 4(6%) and hooks in 9(15%) patients. Complications observed were external ear canal laceration (n=13; 50.0%), tympanic membrane perforation (n=9; 34.6%), otitis externa (n=3; 11.5%) and chronic otitis media (n=1; 3.8%) and were significantly associated with late presentation (≥ 7 days) (p-value =0.021) and previous history of failed attempted ear FB removal (p-value < 0.001). The outcome of treatment was excellent as all of the ear FBs were successfully removed with good improvement in hearing and clinical relief of symptoms. Conclusion: Ear FBs are common at BMC with the highest incidence in children less than 10years. Removal attempts by peripheral hospitals and delayed attending to specialized hospitals predisposes to complications. Parental education on close monitoring of their children to avoid such incidences and the need to immediately seek otorhinolaryngologists to prevent ..............

An Open Safety Pin in an 8-month-old Child: A Rare Delayed and Unusual Presentation of This Dangerous Foreign Body

An Open Safety Pin in an 8-month-old Child: A Rare Delayed and Unusual Presentation of This Dangerous Foreign Body

Ear, Nose, and Throat Foreign Bodies in Children: A Retrospective Study.

Background: This study analyzed the presentation, characteristics, and management of foreign bodies in different age groups of pediatric patients with ear, nose, and throat foreign bodies. Methods: A retrospective study was performed using data from October 2012 to September 2020. A total of 1285 patients with ear, nose, and throat foreign bodies who were less than 12 years of age and who presented to the emergency room were included in this study. Their biographical data, clinical presentations, foreign body types and locations, and management outcomes were obtained from medical records and analyzed as three age groups (infancy: <2 years old; early childhood: 2–5 years old; and late childhood: 6–12 years old). Results: The early childhood group had the highest number of patients (n = 672; 52.2%). Throat was the most common location (59.2%), and bone was the most common type of foreign body. Among the children who visited our hospital, foreign bodies were actually found in only 657 patients (51.1%) and removed by an otolaryngologist in 625 (95.1%) cases. Conclusion: Our study could provide guidance for the diagnosis and management of pediatric patients who present to emergency departments with foreign bodies.

Retained intraocular foreign body presenting 19 years after the injury as intraocular inflammation

Retained intraocular foreign body presenting 19 years after the injury as intraocular inflammation