Unusual Foreign Body Research Articles

Unusual Foreign Body in the Middle Ear: Surgical Removal of a Live Ant Entering the Tympanic Cavity Through an Ear Drum Perforation

This case report details the unusual occurrence of a live ant invading the middle ear cavity through a pre-existing perforation in the tympanic membrane of a 42-year-old female patient. She presented to an outpatient clinic with symptoms of sudden-onset tinnitus (“ringing”) and a foreign body sensation in her left ear. Otomicroscopy revealed an oval-shaped perforation in the posterior part of the left tympanic membrane, through which a dark, moving foreign object was observed in the middle ear. The object was identified as a live ant. Initial attempts to remove the insect under local anesthesia were unsuccessful, necessitating the patient’s admission for surgery. Under general anesthesia, an endoscopic tympanotomy was performed, and the ant was successfully removed without complications. The patient recovered and was discharged the following day. At her follow-up appointment, she remained symptom-free. This case highlights the rare yet possible occurrence of live foreign bodies entering the middle ear through tympanic perforations and the need for timely surgical intervention to prevent complications.

Perianal Pulse Granuloma Induced by Plant-Derived Baby Wipes.

Pulse granulomas are unusual foreign body reactions to exogenous plant material, featuring the presence of hyaline ring structures and granulomatous inflammation. Pulse granulomas have been reported to occur in the oral cavity, gastrointestinal tract, and respiratory tract. Cutaneous pulse granulomas are exceedingly rare. All reported cases have been closely associated with underlying pathology such as chronic inflammatory conditions, trauma, or surgical procedures which likely facilitated implantation of exogenous plant material. We report a novel case of a cutaneous pulse granuloma presenting in the perianal region of an otherwise healthy man. The authors propose that the source of the exogenous plant material is plant-derived baby wipes, which the patient had been using daily to the perianal region.

Unusual Airway Foreign Bodies in Children: Demographics and Management.

The aim is to study the demographics and management of unusual airway foreign bodies (UAFBs) in children. A retrospective observational study (2000-2020) of children with UAFBs, who underwent bronchoscopic removal. The demographics, types of foreign bodies, clinical and radiological features, management, and outcomes were collated and analyzed. Common foreign bodies, such as nuts, seeds, and vegetable aspirations, were excluded. Among 531 children who had bronchoscopic retrieval of airway foreign bodies, 74 (59 males/15 females) had unusual foreign bodies. These included pen caps, whistles, plastic objects, pins, coal piece, stones, clay, pencil, gold ornament, and glass bangle. Thirty-one children presented within 1 day of aspiration, 37 within 1 month and 6 till 6 months. Thirty-nine were below 5 years, and the rest were between 5 and 15 years. Cough, respiratory distress, fever, choking, and noisy breathing were common presentations. Others are stridor, whistling, cyanosis, loss, and change of voice. Chest X-ray showed ipsilateral hyperinflation (23), haziness (21), radio-opaque foreign body (17) and was normal in 14. The left main bronchus, followed by the right main bronchus and trachea, were the sites of impaction. Four children required additional procedures (tracheotomy and thoracotomy). There was one mortality in the study cohort. Aspiration of unusual foreign bodies is not uncommon in children. Most aspirations are witnessed and predominant in boys. The left bronchus is the common site of impaction, and X-ray clinches the diagnosis. Presentation is delayed, and bronchoscopic retrieval, though challenging, has favorable outcome.

Case report of unusual foreign body in the rectum

Encountering a foreign object in the rectum is rare; however, the incidence has greatly increased in recent years. Treatment of these patients requires a multidisciplinary approach because this condition may have serious complications. The review of diagnosis and treatment process in a case of intrarectal foreign object is presented.

An Unusual Case of Teeth in Neck: An Interesting Case Report

Abstract Background Foreign bodies of neck are a common occurrence after trauma and road traffic accidents. Foreign bodies can get lodged in the neck especially after open wound. These could range from a piece of glass, wood, pebble pieces, or the part of tool used for trauma. Case Presentation We report a case of an unusual foreign body in the neck. Posttrauma, patient had mandibular fracture with dislodgement of teeth in the neck masquerading as foreign body. Patient required surgical intervention for removal of teeth from the neck via an external incision and recovered uneventfully. Conclusion The aim of the article was to highlight the importance of complete clinical and radiological examination in a patient of trauma. Missing teeth especially in cases of mandibular fracture must be searched for carefully.

Retrieval of an unusual fishhook foreign body from the esophagus in a buffalo

A four-year-old female buffalo was presented with a complaint of accidental ingestion of fishhook along with fodder. The owner tried to pull out the fishhook thread during ingestion, accidentally the thread broke and, the fishhook was ingested by the buffalo. The clinical examination revealed hypersalivation and the animal was anxious to observe. Radiography on a standing animal revealed fishhook shape metallic opacity just below the 4 to 5th cervical vertebrae within the esophagus. The fishhook was removed manually without any surgical intervention with the help of the right hand under deep sedation. Recovery was uneventful and soon after the intervention the animal was observed to be almost back to normalcy.

Over-the-counter and into the Airway: A Case Report of an Unusual Foreign Body

Over-the-counter and into the Airway: A Case Report of an Unusual Foreign Body

Complex-Type Foreign Body Penetrating Injuries of the Craniofacial Region and Surgical Management: A Report of Three Cases.

Craniofacial penetrating injuries are not a rare sight in the career of oral and maxillofacial surgeons and trainees, but bizarre craniomaxillofacial sharp injuries caused by peculiar foreign bodies to the head and neck region, complicating and obscuring the vital structures, are seldomfound. Foreign bodies such as lunch boxes, wooden branches or twigs are peculiarly associated with penetrating/perforating craniofacial severe impaled injuries with dramatic consequences. Three cases are reported, with elaborate descriptions of the site, kind, and severity of the injuries. Cases 1 and 3, wooden impalement injuries into the neck region and sensitive orbital region, respectively, necessitating immediate surgical retrieval as in both cases. In case 2, 4-year old sustained an injury with a sharp rim of the lunch box, obscuring the entire craniofacial region and impeding the primary care and assessment.Cases represent the peculiarity of the injuries caused by unusual foreign bodies and how their uniqueness demanded a different surgical intervention.The need for a multidisciplinary approach is crucial to managing these injuries in areas with a high degree of specialization overlap, such as the craniofacial region. We give an overview of the diagnosis and treatment of penetrating foreign body trauma encountered in our department. Every foreign bodypenetrating trauma demands a formulation of a different surgical plan and stands as a challenge for the treating surgeons. Adequate radiology knowledge, detection, vigilant clinical assessment, and tension-free closure are a few of the important aspects for the ideal management of penetrating foreign body trauma.

Small Bowel Perforation Due to an Unusual Foreign Body

Gastrointestinal perforation is one of the most common causes of acute abdomen presenting to the casualty. However, gastrointestinal perforation due to ingestion of foreign body is rare and is usually encountered in children, psychiatric patients and in alcoholics. Most of the foreign bodies pass through the GI tract without any complications. Only about 1% are known to cause complications such as perforation. Fish or chicken bones, dentures, toy parts, coins, toothpicks are the most commonly encountered foreign bodies. In this report, we present a case of a 60-year-old male who presented to the emergency department with acute abdomen secondary to ingestion of an unusual foreign body that lead to perforation and underwent exploratory laparotomy for removal of the foreign body.
 Gastrointestinal perforation is one of the most common causes of acute abdomen presenting to the casualty that needs a timely surgical intervention.[1] Important sites of gastrointestinal perforation are stomach, duodenum, small bowel (jejunum, small intestine), appendix, colon and rectum.
 The most common causes of gastrointestinal perforation include peptic ulcer disease, diverticulitis, carcinomas, IBD, ischemia of bowel wall and infrequently foreign bodies.[2]
 Foreign body ingestion as seen in children is unintentional and can be deliberate in psychiatric patients.[3] In general, many of these foreign bodies travel through the gastrointestinal tract without causing complications. Only about 1% cases of ingested foreign bodies cause complications such as hollow viscus obstruction and/ or perforation which are usually life threatening and have poorer outcomes if diagnosis is delayed.[4,5] CT is the imaging tool of choice. Such conditions require immediate surgical intervention such as exploratory laparotomy or laparoscopic or endoscopic removal can be attempted in case of stomach or duodenal foreign bodies.
 Here in the following case report, we present an atypical case who arrived at the emergency room with acute abdomen following a foreign body consumption and underwent exploratory laparotomy for retrieval of foreign body.

Unusual Tracheobronchial Foreign Bodies: Clinical Presentation and Management in Adults

Unusual Tracheobronchial Foreign Bodies: Clinical Presentation and Management in Adults

Successful endoscopic management of an unusual bladder foreign body using a novel technique

Successful endoscopic management of an unusual bladder foreign body using a novel technique

Unusual foreign bodies in upper aero digestive tract – Our experience at tertiary care centre

Foreign bodies ingestion is especially common in the pediatric age group, whereas in adults occur accidently or among those with psychiatric disorders, mental retardation, prisoners and alcoholics, Preexisting GI tract abnormalities, such as previous surgery, strictures, or functional abnormalities, increases the risk of a swallowed foreign body becoming lodged at the site of the abnormality.This retrospective study was conducted in 32 patients with upper aero digestive tract unusual foreign bodies presenting to our department on emergency basis in a duration of one year. This Study was conducted in ENT department tertiary care Centre in duration of 2021-2022, 32 patients presented with unusual FB in upper aero digestive tract were treated in our department on an emergency basis. There were 14 male (43.75%) and 18 female (56.25%) ranging in age from 2 to 62 years. The main symptoms patients complained were difficulty in swallowing and pain. Detailed history with examination of nasal cavity, oral cavity and pharynx by indirect laryngoscopy and finally X-ray or CT scan were the diagnostic tools as required. The location of the FB was in the esophagus, Pyriform sinus, hypopharynx in decreasing order.The treatment consisted of rigid endoscopy and foreign body removal under general anesthesia or sedation. No major complications occurred in procedure except one in with iatrogenic esophageal perforation that was managed conservatively. Endoscopy is a reliable method in the treatment of upper aero digestive tract foreign body (FB) impaction.

An unusual foreign body nose: a case report

Nasal foreign bodies constitute an emergency and are more common in children with insertion generally via anterior nares. Case presentation: We present a case of 57-year-old-man with unusual entry site foreign body nose after external trauma to face, confirmed by 3D computed tomography and extracted through nasal route without any complication. Thus, nasal foreign bodies, a frequent accident in medical practice, usually harmless, but if neglected may cause complications hence prompt extraction is important.

Endoscopic Extraction of an Unusual Foreign Body at the Somine Dolo Hospital in Mopti

The esophagus is the most common site of impaction of an ingested foreign body. The main initial symptom is acute dysphagia; Patients with complete esophageal obstruction produce excessive amounts of saliva and are unable to swallow oral secretions. Complete obstruction can cause pressure necrosis and increases the risk of perforation if present for more than approximately 24 hours. Emergency endoscopy is necessary for sharp objects, disc or button batteries, and any obstruction causing symptoms that suggest complete obstruction. We report through this observation the extraction of an unusual esophageal foreign body at the Sominé Dolo hospital in Mopti. This was a 60-year-old patient, a farmer, with no known medical or surgical history to date, and no particular psychiatric disorder. The accidentally ingested foreign body was a cap from a recycled vinegar bottle. An attempt at extraction in the ENT department was made without success, then subsequently sent to the Hepato-gastroenterology unit. The endoscopic extraction of the foreign body was carried out without incident and the evolution was favorable after the endoscopy procedure.

Unusual Foreign Body: Ant Lodged in Vocal Cords after Incentive Spirometer Use

Unusual Foreign Body: Ant Lodged in Vocal Cords after Incentive Spirometer Use

Spectacle Frame: An Unusual Aural Foreign Body in an Adult Patient

Foreign body in the ear in adults mostly consists of animate objects. However, sometimes isolated cases of weird objects are reported in literature. A case is being reported where the patient had used a piece of spectacle frame for scratching the ear to relieve itching and it got lodged in the medial end of the external auditory canal.

Unusual Intra-Orbital Foreign Body Removed by a Unique Surgical Approach

INTRODUCTION
 A retained intra-orbital foreign body can give rise to serious complications. This case report highlights an interesting case where a metallic foreign body remained lodged inside the orbit for over a year, unbeknownst to the patient, and was eventually detected and surgically extracted.
 CASE REPORT
 We report a case of a 57-year-old female who presented with mild pain of the left orbit following an injury with an umbrella after a fall one year ago. Following a near normal physical examination, on radiological evaluation we found a linear, presumably metallic foreign body lodged into the orbit, without piercing the globe. An inferolateral orbitotomy approach was used to gain adequate exposure and facilitate the removal of a 3.5 cm metallic remnant of an umbrella stick.
 DISCUSSION
 The management of intra-orbital foreign bodies poses several challenges. The choice between conservative and surgical management is one of them. CT scan is the diagnostic tool of choice. When surgical removal is indicated, a suitably planned approach facilitates extraction of the foreign body with minimal morbidity. This rare case is testament to the fact that although it may not be part of their conventional realm, carefully selected intra-orbital foreign bodies can be efficiently managed surgically by ENT professionals.

Peculiar challenges of a glass object retained in rectum: review of current options

Rectal foreign bodies are rare and often challenging. It can vary from soft toys to hard glass or wooden objects. Patients are mostly habitual offenders who generally present to emergency due to retained foreign body or complications like perforation or bleeding. Proper history with a plain X-ray is often enough for the diagnosis and position of the foreign body. However, management can be varied from a simple trans-anal retrieval to an exploratory laparotomy. Minimal invasive techniques also have a role in current scenario. We report an unusual glass foreign body with its opening placed caudally.

A Case Report on Unsual Foreign Body in Rectum

We present a case report of unusual foreign body (FB) which was retrieved successfully with help of peglec (laxative,purgative). Our patient presented to ER with history of retained foreign body after self insertion for sexual pleasure Patient was then evaluated and foreign body retrieved.

Rhinolith in a 37-year-old lady: a case report of an unusual presentation

Rhinoliths are uncommon nasal masses. They are mineralized masses found within the nasal cavity. Their clinical presentation can be varied. We presented a 37-year-old lady with previous history of lymphoma presented with 6 months history of left sided nasal blockage associated with purulent nasal discharge and cacosmia. Rigid nasoendoscopy showed irregular hard mass along the floor of nasal cavity. Computed tomography (CT) scan was performed and showed left intranasal mass with calcification. Subsequently the rhinolith was removed endoscopically under general anesthesia. Unusual foreign body was found within the rhinolith. Following the removal, she had uneventful recovery. This case has to be treated carefully as with previous history of lymphoma it might suggest recurrence. However, it also illustrates the importance of rigid nasoendoscopy and the radiological assessment in establishing the diagnosis and management of rhinolith.