Radiological diagnosis of aspirated foreign bodies in children: Review of 343 cases

1990 ◽  
Vol 104 (10) ◽  
pp. 778-782 ◽  
Author(s):  
Liancai Mu ◽  
Deqiang Sun ◽  
Ping He
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Correct Diagnosis ◽  
X Rays ◽  
Endoscopic Removal ◽  
X Ray ◽  
Abnormal Chest ◽  
Mediastinal Shift ◽  
Plain Chest ◽  
Chest X Ray

AbstractIn our series of 400 Chinese children with foreign body aspiration (FBA),343 cases were evaluated by fluoroscopy and/or plain chest X-rays before endoscopic removal of the foreign bodies. The majority of the foreign bodies (FBs) were organic (378/400, 94.5 per cent). The results showed that mainstem bronchial foreign bodies were diagnosed correctly in 68 per centof cases compared with 65 per cent correct diagnoses with segmental bronchial foreign bodies, but only 22 per cent correct diagnoses with tracheal, and 0 per cent correct diagnosis in those with laryngeal foreign bodies. Eighty per cent (32/40) of the children with laryngotracheal FBs had normal X-ray findings, whereas 67.7 per cent (205/303) of the children with bronchial FBs had abnormal chest X-ray findings. The most common positive radiological signs in the children with tracheobronchial FBs were obstructive emphysema (131/213, 62 per cent) and mediastinal shift (117/213, 55 percent). The incidence of major complications was related not only to the size of the foreign body and its location but also the duration since aspiration. The most common types of bronchial obstructions by airway FBs are discussed.

scholarly journals Karakteristik pasien benda asing trakeobronkial di bagian T.H.T.K.L Rumah Sakit Dr. Mohammad Hoesin Palembang

2018 ◽  
Vol 47 (2) ◽  
pp. 164
Author(s):  
Puspa Zuleika ◽  
Abla Ghanie
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Tracheobronchial Tree ◽  
Foreign Body Aspiration ◽  
The Body ◽  
X Rays ◽  
X Ray ◽  
Tracheobronchial Foreign Body ◽  
History Of ◽  
Chest X Ray

Latar belakang: Aspirasi benda asing ialah masuknya benda yang berasal dari luar atau dalam tubuh, ke saluran trakeobronkial. Aspirasi benda asing saluran trakeobronkial merupakan keadaan darurat yang memerlukan tindakan bronkoskopi segera untuk mencegah komplikasi yang lebih serius. Tujuan: Mengidentifikasi karakteristik klinis pasien aspirasi benda asing saluran trakeobronkial di bagian Telinga Hidung Tenggorok – Bedah Kepala Leher (T.H.T.K.L) Fakultas Kedokteran Universitas Sriwijaya/ Rumah Sakit Dr. Mohammad Hoesin Palembang. Metode: Penelitian ini merupakan penelitian observasional deskriptif. Sampel penelitian ini diambil dari data rekam medis pasien aspirasi benda asing pada saluran trakeobronkial di Rumah Sakit Dr. Mohammad Hoesin Palembang periode Januari 2012 - Desember 2016. Hasil: Didapatkan 20 pasien dengan riwayat teraspirasi benda asing di saluran trakeobronkial. Dijumpai 9 orang laki-laki dan 11 orang perempuan dengan perbandingan 1:1,2, di mana usia 0-15 tahun merupakan penderita terbanyak aspirasi benda asing ini. Benda asing yang paling banyak ditemukan adalah mainan dan benda plastik sebanyak 9 kasus, serta jarum pentul sebanyak 6 kasus. Sebanyak 19 pasien diketahui terdapat riwayat tersedak benda asing. Pemeriksaan foto toraks menunjukkan gambaran normal pada 12 pasien. Lokasi benda asing terbanyak ditemukan di trakea sebanyak 8 kasus. Kesimpulan: Aspirasi benda asing di saluran trakeobronkial sering terjadi pada anak-anak yang berusia kurang dari 15 tahun. Benda asing terbanyak adalah anorganik berupa mainan dan benda plastik. Pemeriksaan radiologi paru dalam 24 jam pertama setelah kejadian aspirasi pada umumnya menunjukkan gambaran normal. Lokasi benda asing di saluran trakeobronkial terbanyak pada penelitian ini adalah di trakea. Kata kunci: Aspirasi, bronkoskopi, foto toraks, benda asing, traktus trakeobronkial ABSTRACT Background: Foreign body aspiration is the entrance of foreign objects from outside or inside of the body into the tracheobronchial tract. Aspiration of foreign body in tracheobronchial tract is an emergency condition that needs immediate bronchoscopy procedure to prevent serious complications. Objectives: To identify clinical characteristics of foreign body aspiration patients in ENT Department Sriwijaya Medical Faculty / Dr. Mohammad Hoesin Hospital, Palembang. Method: This study was a descriptive observational study. The sample of this study was taken from the medical record of tracheobronchial foreign body aspiration patients at Dr. Mohammad Hoesin Hospital from January 2012 until December 2016. Result: There were twenty patients with the history of foreign body aspiration in tracheobronchial tract, consisted of 9 male and 11 female, with the ratio 1:1,2, in which 0–15 year-old children were the majority of the patients. The most common foreign bodies were toys and plastic objects in 9 cases and head veil pin in 6 cases. Nineteen cases of the patients had the history of choking as presenting symptom. Chest X-Ray showed normal imaging on twelve patients. The most common site in tracheobronchial tract where foreign bodies found was the trachea, in eight cases. Conclusions: Foreign body aspirations in tracheobronchial tract were most frequently happened in children less than 15 year-old. The most common foreign bodies were anorganic material, such as toys and plastic objects. Lung X-Rays on the first 24 hours commonly showed normal imaging. Foreign bodies in tracheobronchial tracts most frequently were found in the trachea. Keywords: Aspirations, bronchoscopy, chest X-Ray, foreign body, tracheobronchial tree

Portable Ventilation/Perfusion Scanning is Useful for Evaluating Clinically Significant Pulmonary Embolism in the ICU Despite Abnormal Chest Radiography

2018 ◽  
Vol 35 (10) ◽  
pp. 1032-1038 ◽  
Author(s):  
Aaron S. Weinberg ◽  
William Chang ◽  
Grace Ih ◽  
Alan Waxman ◽  
Victor F. Tapson
Keyword(s):  
Pulmonary Embolism ◽  
Chest Radiograph ◽  
High Probability ◽  
Hemodynamic Instability ◽  
X Rays ◽  
X Ray ◽  
Abnormal Chest ◽  
Chest X Ray ◽  
Low Probability ◽  
Clinically Significant

Objective: Computed tomography angiography is limited in the intensive care unit (ICU) due to renal insufficiency, hemodynamic instability, and difficulty transporting unstable patients. A portable ventilation/perfusion (V/Q) scan can be used. However, it is commonly believed that an abnormal chest radiograph can result in a nondiagnostic scan. In this retrospective study, we demonstrate that portable V/Q scans can be helpful in ruling in or out clinically significant pulmonary embolism (PE) despite an abnormal chest x-ray in the ICU. Design: Two physicians conducted chart reviews and original V/Q reports. A staff radiologist, with 40 years of experience, rated chest x-ray abnormalities using predetermined criteria. Setting: The study was conducted in the ICU. Patients: The first 100 consecutive patients with suspected PE who underwent a portable V/Q scan. Interventions: Those with a portable V/Q scan. Results: A normal baseline chest radiograph was found in only 6% of patients. Fifty-three percent had moderate, 24% had severe, and 10% had very-severe radiographic abnormalities. Despite the abnormal x-rays, 88% of the V/Q scans were low probability for a PE despite an average abnormal radiograph rating of moderate. A high-probability V/Q for PE was diagnosed in 3% of the population despite chest x-ray ratings of moderate to severe. Six patients had their empiric anticoagulation discontinued after obtaining the results of the V/Q scan, and no anticoagulation was started for PE after a low-probability V/Q scan. Conclusion: Despite the large percentage of moderate-to-severe x-ray abnormalities, PE can still be diagnosed (high-probability scan) in the ICU with a portable V/Q scan. Although low-probability scans do not rule out acute PE, it appeared less likely that any patient with a low-probability V/Q scan had severe hypoxemia or hemodynamic instability due to a significant PE, which was useful to clinicians and allowed them to either stop or not start anticoagulation.

scholarly journals Self-Inflicted Urethrovesical Foreign Bodies in Children

2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
Canan Ceran ◽  
Sema Uguralp
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Surgical Intervention ◽  
Skin Incision ◽  
Definitive Treatment ◽  
Endoscopic Removal ◽  
X Ray ◽  
History Of ◽  
Endoscopic Guidance ◽  
Lower Urinary

We present two cases of self-inflicted urethrovesical foreign body in children. Case 1 was a 6-year-old girl admitted with a history of self-introduction of a pin. The X-ray revealed the pin as 3.5 cm in length and in the bladder. The foreign body was removed endoscopically. Case 2 was a 13-year-old boy with a self-introduced packing needle, 13 cm in length, partially in the urethra. The end and the tip of the needle passed through the urethra to the surrounding tissues. Foreign body removed via a little skin incision with endoscopic guidance. Foreign bodies are rarely found in the lower urinary tract of children. Definitive treatment is usually the endoscopic removal; however, sometimes surgical intervention may require.

scholarly journals Disk Battery Ingestion A Malpractice Case that Results in Pneumonia

2016 ◽  
Vol 21 (3) ◽  
pp. 196-198 ◽  
Author(s):  
Cihat Şarkış ◽  
Selçuk Yazıcı ◽  
Muhammet Can
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Neck Trauma ◽  
Private Hospitals ◽  
Alkaline Batteries ◽  
X Ray ◽  
Clinical Impairment ◽  
Chest X Ray ◽  
Increasing Risk ◽  
Swallowed Foreign Bodies

Alkaline batteries have become the second most swallowed foreign bodies following coins. Most cases have an uncomplicated course, but some may lead to serious complications and even death.Here we report a 28 months old boy who had experienced discomfort, eating refusal, vomiting and slightly wheezing after falling from a sofa bed. He has been in three different county hospitals and two private hospitals due to complaints, has been examined by two pediatricians and a cranial surgeon. A cranial CT imaging, a cranial X-ray radiograph and a chest X-ray radiograph was obtained. Firstly, diagnosed as head and neck trauma, then diagnosed as acute bronchiolitis, and finally pneumonia. Hospitalized twice. Finally, a chest radiograph revealed a button battery in the esophagus. The foreign body was endoscopic removed. The child had a quick clinical impairment after removal of the battery.As a result, alkaline batteries with their increasing risk of engulfment poses very serious problems. The parents and physicians should be informed against increasing frequency of ingestion of alkaline batteries by infants and children. Also, clinicians should be careful about the risk of these batteries that they can cause pneumonia and infiltration which may make it difficult to detect the foreign body.

scholarly journals Data Augmentation using Auxiliary Classifier for Improved Detection of Covid 19

2021 ◽  
Vol 10 (3) ◽  
pp. 209-214
Author(s):  
Lakshmisetty Ruthvik Raj ◽  
◽  
Bitra Harsha Vardhan ◽  
Mullapudi Raghu Vamsi ◽  
Keerthikeshwar Reddy Mamilla ◽  
...  
Keyword(s):  
Data Augmentation ◽  
X Rays ◽  
Convolutional Network ◽  
X Ray ◽  
Learning Network ◽  
X Ray Imaging ◽  
Abnormal Chest ◽  
Short Period ◽  
Chest X Ray ◽  
Deep Learning Network

COVID-19 is a severe and potentially fatal respiratory infection called coronavirus 2 disease (SARS-Co-2). COVID-19 is easily detectable on an abnormal chest x-ray. Numerous extensive studies have been conducted due to the findings, demonstrating how precise the detection of coronas using X-rays within the chest is. To train a deep learning network, such as a convolutional neural network, a large amount of data is required. Due to the recent end of the pandemic, it is difficult to collect many Covid x-ray images in a short period. The purpose of this study is to demonstrate how X-ray imaging (CXR) is created using the Covid CNN model-based convolutional network. Additionally, we demonstrate that the performance of CNNs and various COVID-19 acquisition algorithms can be used to generate synthetic images from data extensions. Alone, with CNN distribution, an accuracy of 85 percent was achieved. The accuracy has been increased to 95% by adding artificial images generated from data. We anticipate that this approach will expedite the discovery of COVID-19 and result in radiological solid programs. We leverage transfer learning in this paper to reduce time complexity and achieve the highest accuracy.

scholarly journals Esophageal Foreign Bodies in Pediatric Patients: A Thirteen-Year Retrospective Study

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Beata Rybojad ◽  
Grazyna Niedzielska ◽  
Artur Niedzielski ◽  
Ewa Rudnicka-Drozak ◽  
Pawel Rybojad
Keyword(s):  
Retrospective Study ◽  
Foreign Bodies ◽  
Pediatric Patients ◽  
Clinical Symptoms ◽  
X Rays ◽  
Chi Square ◽  
X Ray ◽  
Rigid Esophagoscopy ◽  
Plain Chest ◽  
Esophageal Foreign Bodies

We discuss clinical symptoms and radiological findings of variable esophageal foreign bodies as well as therapeutic procedures in Caucasian pediatric patients. A retrospective study of 192 cases of suspected esophageal foreign bodies between 1998 and 2010 was conducted. Data were statistically analyzed by chi-square test. A foreign body was removed from a digestive tract of 163 children aged 6 months to 15 years (mean age 4.9). Most objects were located within cricopharyngeal sphincter. Dysphagia occurred in 43%, followed by vomiting (29%) and drooling (28%). The most common objects were coins. Plain chest X-rays demonstrated aberrations in 132 cases, and in doubtful situations an esophagram test was ordered. In the group of thirty-seven patients whose radiograms were normal, esophagoscopy revealed fifteen more objects, which were eventually successfully removed. No major complications occurred. Esophagram should be a second X-ray examination if an object is not detected in plain chest X-ray. We recommend a rigid esophagoscopy under general anesthesia in doubtful cases as a safe treatment for pediatric patients.

scholarly journals Unusual foreign bodies of the airway: a case series regarding their management

2018 ◽  
Vol 4 (4) ◽  
pp. 1089
Author(s):  
Aishwarya Ullal ◽  
Sanjeev Mishra ◽  
R. K. Mundra
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Case Series ◽  
Rigid Bronchoscopy ◽  
Lateral View ◽  
Virtual Bronchoscopy ◽  
X Rays ◽  
X Ray ◽  
Radiological Studies ◽  
Respiratory Reflexes

<p>Foreign bodies in the bronchi are a common problem seen by ENT surgeons. Bronchial foreign bodies are common in children because they have difficulty in swallowing hard foodstuffs such as nuts and have an inadequately developed protective respiratory reflexes, which makes them vulnerable to inhalation of foreign bodies This is a case series of four unusual cases of foreign body airway, that presented to our ENT OPD, after taking detailed history and clinical examination, these patients were subjected to radiological studies such as chest X-rays, X-ray soft tissue lateral view, virtual bronchoscopy and CT chest to confirm the foreign body, after taking informed consent rigid bronchoscopy was performed and foreign body extracted.</p>

scholarly journals A complication during endoscopic removal of a long esophageal foreign body in an eight-month-old girl

2018 ◽  
Vol 146 (7-8) ◽  
pp. 433-435
Author(s):  
Zlatko Djuric ◽  
Dragoljub Zivanovic
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Acute Onset ◽  
Endoscopic Removal ◽  
Esophageal Foreign Body ◽  
X Ray ◽  
Magill Forceps ◽  
Polypectomy Snare ◽  
Delayed Complications ◽  
Esophageal Foreign Bodies

Introduction. Esophageal foreign bodies can cause a wide array of acute and delayed complications. The aim of this paper was to report a complication during endoscopic removal of a long esophageal foreign body. Case outline. An eight-month-old girl was admitted to our hospital due to an acute onset of dysphagia, drooling, and vomiting. From the result of a plain anteroposterior X-ray, the patient was found to have a long hairpin retained in her esophagus. During endoscopic removal using a polypectomy snare, the hairpin was found to be stuck in the hypopharynx. It could not be removed by moving the scope and placing the patient in different positions. Finally, the hairpin was pulled out using a pair of Magill forceps under the control of a laryngoscope. Conclusion. The Magill forceps can be a very useful tool if a foreign body is stuck in the hypopharynx during an endoscopic removal and should be readily available in any setting where this kind of endoscopic procedure is being performed.

scholarly journals Chest X-Ray Findings and Temporal Lung Changes in Patients with COVID-19 Pneumonia

2020 ◽  
Author(s):  
Liqa A Rousan ◽  
Eyhab Elobeid ◽  
Musaab Karrar ◽  
Yousef Khader
Keyword(s):  
Ct Scan ◽  
Chest Ct ◽  
Common Finding ◽  
X Rays ◽  
Radiographic Findings ◽  
X Ray ◽  
Abnormal Chest ◽  
Chest X Ray ◽  
Chest Ct Scan

Abstract Background: Chest CT scan and chest x-rays show characteristic radiographic findings in patients with COVID-19 pneumonia. Chest x-ray can be used in diagnosis and follow up in patients with COVID-19 pneumonia. The study aims at describing the chest x-ray findings and temporal radiographic changes in COVID-19 patients.Methods: From March 15 to April 20, 2020 patients with positive reverse transcription polymerase chain reaction (RT-PCR) for COVID-19 were retrospectively studied. Patients’ demographics, clinical characteristics, and chest x-ray findings were reported. Radiographic findings were correlated with the course of the illness and patients’ symptoms.Results: A total of 88 patients (50 (56.8%) females and 38 (43.2%) males) were admitted to the hospital with confirmed COVID-19 pneumonia. Their age ranged from 3-80 years (35.2 ±18.2 years). 48/88 (45%) were symptomatic, only 13/88 (45.5%) showed abnormal chest x-ray findings. A total of 190 chest x-rays were obtained for the 88 patients with a total of 59/190 (31%) abnormal chest x-rays. The most common finding on chest x-rays was peripheral ground glass opacities (GGO) affecting the lower lobes. In the course of illness, the GGO progressed into consolidations peaking around 6-11 days (GGO 70%, consolidations 30%). The consolidations regressed into GGO towards the later phase of the illness at 12-17 days (GGO 80%, consolidations 10%). There was increase in the frequency of normal chest x-rays from 9% at days 6- 11 up to 33% after 18 days indicating a healing phase. The majority (12/13, 92.3%) of patients with abnormal chest x-rays were symptomatic (P=0.005).Conclusion: The chest x-ray findings were similar to those reported on chest CT scan in patients with COVID-19, Chest x-ray can be used in diagnosis and follow up in patients with COVID-19 pneumonia.

scholarly journals Unilateral Pulmonary Aplasia: A Case Report

2010 ◽  
Vol 30 (2) ◽  
pp. 116-118 ◽  
Author(s):  
Prabina Shrestha ◽  
Prakash Poudel ◽  
Panna Lal Sah
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Congenital Abnormalities ◽  
Rare Condition ◽  
Foreign Body Aspiration ◽  
Pulmonary Agenesis ◽  
X Ray ◽  
Mediastinal Shift ◽  
Chest X Ray ◽  
Mass Lesions

Chest X-Ray findings of unilateral lung or lobar collapse with a shift of mediastinal shift towards the affectedside may prompt differential diagnoses of suspected foreign body aspiration, mucus plug occlusion, andbronchial mass lesions. We must also consider the rare condition of pulmonary agenesis. It is one of therare congenital abnormalities in the development of the lungs in which there is complete absence of alung. We report a three month old child with right sided pulmonary aplasia.Key words: Agenesis lung; pulmonary aplasia; congenital abnormalityDOI: 10.3126/jnps.v30i2.2645J. Nepal Paediatr. Soc. May-August, 2010 Vol 30(2) 116-118

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