Case report of extensive foreign body of esophagus with spread to laryngopharynx and larynx

2021 ◽  
Vol 20 (4) ◽  
pp. 79-82
Author(s):  
B. B. Uraskulova ◽  
◽  
A. O. Gyusan ◽  
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Clinical Observation ◽  
Irregular Shape ◽  
Air Bubbles ◽  
X Ray ◽  
Excessive Salivation ◽  
Difficulty Breathing ◽  
Short Time

Foreign bodies of the respiratory tract and esophagus remain one of the pressing problems in medicine, which is associated with the possibility of developing complications that can end in death. We present our clinical observation that demonstrates the long-term presence of a large foreign body fixed in the area of the pharyngeal narrowing of the esophagus and extending into the larynx and the vestibule of the larynx. Patient T., 57 years old, went to the emergency department of the Karachay-Cherkessia Republican Clinical Hospital with complaints of severe sore throat, inability to swallow, excessive salivation, increased body temperature to 37,5 °C, difficulty breathing, mixed shortness of breath, which persist for 3 days. The examination revealed: the epiglottis is mobile, the mucous membrane of the larynx is hyperemic, edematous, with an abundance of saliva, at the level of the vestibular part of the larynx, in the area of the arytenoid cartilage and aryepiglottic folds, an irregular shape was visualized, with smooth edges, a thin, hard whitish plate. Computed tomography of the cervical spine: in the esophagus, at the level of C4-C5 vertebrae, a foreign body with a metallic density of +2900 hU units, elongated, irregular shape, measuring 2.2 by 3.3 cm, with perifocal air bubbles is determined. A preliminary diagnosis was made: Foreign body of the esophagus, laryngopharynx with a spread to the vestibule of the larynx. 3 days after the retention of the foreign body under intubation anesthesia, it is captured using forceps with serrated cups and removed during direct laryngoscopy. There were no complications during the manipulation. The combination of X-ray and endoscopic examinations with the help of innovative medical and diagnostic equipment made it possible to establish a diagnosis in a short time, choose the most effective treatment tactics and remove a foreign body through natural pathways.

scholarly journals Esophageal Foreign Body - Banta (glass ball) A simple maneuver for removal

2016 ◽  
Vol 9 (1) ◽  
Author(s):  
Muhammad Mujeeb ◽  
Mubarik Ali ◽  
,Waseem Ahmed
Keyword(s):  
Foreign Body ◽  
Digestive Tract ◽  
Foreign Bodies ◽  
Interesting Case ◽  
Glass Ball ◽  
Esophageal Foreign Body ◽  
X Ray ◽  
Excessive Salivation

Impaction of foreign bodies in the digestive tract is usually at upper end of the oesophagus. Patient presents with dysphagia and excessive salivation. X-Ray Neck AT and Lateral are essential before oesophagoscopy. We are presenting an interesting case of ,a child who had impacted Banta (Glass Ball) at the upper end of the oesophagus and was removed with unique maneuver.

scholarly journals Use of Scheimpflug imaging in the management of intra-lenticular foreign body

2015 ◽  
Vol 7 (1) ◽  
pp. 82-84 ◽  
Author(s):  
R Singh ◽  
J Ram ◽  
R Gupta
Keyword(s):  
Foreign Body ◽  
Intraocular Lens ◽  
Foreign Bodies ◽  
Case Reports ◽  
Slit Lamp ◽  
Traumatic Cataract ◽  
X Ray ◽  
Scheimpflug Imaging ◽  
History Of ◽  
Post Traumatic

Introduction: Asymptomatic traumatic intra-lenticular foreign body is very uncommon and few case reports have been published.Objective: To report a case of post-traumatic intra-lenticular foreign body and use of Scheimpflug imaging in its management. Case: A 41-year-old male with history of injury to right eye during hammering a chisel 1 year back presented with decreased vision since 6 months. An intra-lenticular foreign body was found on slit lamp bio-microscopy and was confrmed by Scheimpflug imaging. Posterior capsule was intact on Scheimpflug imaging. Thus, Scheimpflug imaging helps in exact localization of the foreign body in the intralenticular space or behind the iris. We ruled out other foreign bodies by x-ray and ultrasonography of the orbit. The foreign body with post-traumatic cataract was removed using phacoemulsification and three piece foldable intraocular lens was implanted in the bag. Conclusion: An intra- lenticular foreign body may remain asymptomatic for months. Scheimpflug imaging can be useful in its localization. It can be removed during phacoemulsification.

Persistent foreign body sensation and pharyngeal pain due to retention of staples: an interesting sequelae of endoscopic stapling procedure

2001 ◽  
Vol 115 (5) ◽  
pp. 425-427 ◽  
Author(s):  
P. S. Arunachalam ◽  
D. S. Cameron
Keyword(s):  
Surgical Treatment ◽  
Foreign Body ◽  
Foreign Body Sensation ◽  
Long Term Results ◽  
Barium Swallow ◽  
Pharyngeal Pouch ◽  
X Ray ◽  
Repeat Endoscopy ◽  
Body Sensation

The surgical treatment of a pharyngeal pouch with endoscopic stapling diverticulotomy is a relatively new concept. Long-term results and complications are yet to be fully studied. We describe a patient who developed persistent pharyngeal pain and foreign body sensation due to retention of a clump of staples at the cricopharyngeal sphincter. This complication has not been reported before. This case highlights the need for repeat endoscopy rather than a barium swallow X-ray if the patients are symptomatic after stapling procedures.

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 STOMACH FISH BONE PERFORATION.CLINICAL CASE

2020 ◽  
Vol 46 (3) ◽  
pp. 64
Author(s):  
N.V. Rudik ◽  
A. S. Sementsov ◽  
D. B. Fedchuk
Keyword(s):  
Computed Tomography ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Clinical Observation ◽  
Fish Bone ◽  
Specific Location ◽  
Fish Bones ◽  
Life Threatening ◽  
Wall Perforation ◽  
Tomography Data

Abstract Stomach foreign bodies take second place after foreign bodies of the esophagus and can be both harmless as well as life-threatening. The shape, size, and time of the swallowed foreign body to get deposited in the specific location determine the type of treatment. The article presents a clinical observation – the stomach wall perforation of fish bones, principles of examination of the patient, computed tomography data and surgical treatment. Keywords: stomach, foreign body, perforation, computed tomography, treatment.

scholarly journals The foreign bodies in lower respiratory tract in pediatric patients treated in referral academic department of pediatric otolaryngology

New Medicine ◽  
2020 ◽  
Vol 24 (1) ◽  
Author(s):  
Irina Drogobytska ◽  
Maciej Pilch ◽  
Lidia Zawadzka-Głos
Keyword(s):  
Foreign Body ◽  
Respiratory Tract ◽  
Physical Examination ◽  
Lower Respiratory Tract ◽  
Foreign Bodies ◽  
Pediatric Patients ◽  
Academic Department ◽  
Diagnostic Process ◽  
X Ray ◽  
Pediatric Otolaryngology

Introduction. Foreign bodies in lower respiratory tract for many years are big challenge for otolaryngologists. These objects could present variability of clinical symptoms. Increase of infection and mortality due to delay of accurate diagnosis. Interview is the most important part of examination of patient with suspected foreign body in airways. Any suspicion of aspiration is qualification to diagnostic bronchoscopy. Aim. This paper refers occurrence assessment, clinical course, diagnostic process and treatment of the pediatric patients with suspected foreign body in lower respiratory tract hospitalized in referral Academic Department of Pediatric Otolaryngology. Material and methods. Retrospective analysis of 74 patients with suspected foreign body in lower respiratory tract, who were hospitalized in Clinical Department of Pediatric Otolaryngology in Warsaw Medical University in 2016-2018. Analysis includes demographic data, occurrence frequency, localization and the type of foreign body, diagnostic process and treatment. Results. This study includes 42 boys (57%) and 32 girls (43%) in age of 8 months to 16-year-old. The episode of choking occurs in interview in 71 patients (96%). Foreign bodies in lower respiratory tract were confirmed and evacuated in bronchoscopy procedure in 44 cases (59.5%). In 30 cases (40.5%) there were any foreign body in airways. The most common group of patients admitted to Clinic with suspected foreign body in airways was children in age between 1 to 3-year-old, which accounted for 22 cases (50%). Coughing was the most commonly reported symptom (54.5%), wheezing (27.5%) and dyspnea (15.9%). Twenty-three patients were presenting wheezing and whirring in physical examination. Air trap found in thorax x-ray were in 22 patients (45%). The right main bronchus was the most common place of foreign body retention – 22 patients (50%). The organic foreign bodies were in 32 cases (72.7%) and non-organic in 12 (27.3%). The nuts were the most common foreign body aspirated to airways. Conclusions. Foreign body aspiration should be suspected in every patient, not only those with choking episode but also with patients who presents ambiguous change in physical examination and x-ray scan. In pediatric patient with suspected foreign body in lower respiratory tract, in every time the bronchoscopy is needed to be done, even in patients with no abnormalities in physical examination and x-ray scan.

scholarly journals Early Super Soft Source Spectra in RS Oph

2015 ◽  
Vol 2 (1) ◽  
pp. 222-225
Author(s):  
J.-U. Ness
Keyword(s):  
Neutral Hydrogen ◽  
Emission Lines ◽  
X Ray ◽  
Hydrogen Column Density ◽  
Recurrent Nova ◽  
Source Spectra ◽  
Short Time ◽  
First Time ◽  
Shell Ionization

Recent Swift X-ray monitoring campaigns of novae have revealed extreme levels of variability during the early super-softsource (SSS) phase. The first time this was observed was during the 2006 outburst of the recurrent nova RS Oph which was also extensively covered by grating observations with XMM-Newton and Chandra. I focus here on an XMM-Newton observation taken on day 26.1, just before Swift confirmed the start of the SSS phase, and a Chandra observation taken on day 39.7. The first observation probes the evolution of the shock emission produced by the collision of the nova ejecta with the stellar wind of the companion. The second observation contains bright SSS emission longwards of 15°A while at short wavelengths, the shock component can be seen to have hardly changed. On top of the SSS continuum, additional emission lines are clearly seen, and I show that they are much stronger than those seen on day 26.1, indicating line pumping caused by the SSS emission. The lightcurve on day 39.7 is highly variable on short time scales while the long-term Swift light curve was still variable. In 2007, we have shown that brightness variations are followed by hardness variations, lagging behind 1000 seconds. I show now that the hardness variations are owed to variations in the depth of the neutral hydrogen column density of order 25%, particularly affecting the oxygen K-shell ionization edge at 0.5 keV.

PS01.091: A DANGEROUS FOREIGN BODY IN ESOPHAGUS: ALKALINE BATTERIES

2018 ◽  
Vol 31 (Supplement_1) ◽  
pp. 75-75
Author(s):  
Yener Aydin ◽  
Atila Eroglu ◽  
Atila Turkyilmaz ◽  
Fatma Genc ◽  
Ali Ulas
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Conflicts Of Interest ◽  
Length Of Hospital Stay ◽  
Morbidity And Mortality ◽  
Esophageal Injury ◽  
Alkaline Batteries ◽  
X Ray ◽  
Alkaline Battery ◽  
Rigid Esophagoscopy

Abstract Background Esophageal foreign bodies are an important clinical condition leading to serious morbidity and mortality. Foreign body swallowing is most common in the group of 6 months to 6 years. Although smooth edges have a lower morbidity in foreign bodies, alkaline batteries are very dangerous. In this study, we aimed to evaluate the results of patients who ingested alkaline batteries. Methods We conducted a retrospective single-center study of 20 patients who were diagnosed with esophageal foreign objects following alkaline battery ingestion between January 2001 and February 2018. All cases were evaluated with posteroanterior chest X-ray and lateral X-ray. Age and sex of the patients, symptoms, localization of foreign body, the method of removing the foreign body, the passing time, length of hospital stay and morbidity and mortality rates were reviewed. Results The cases were 12 males and 8 females. The mean age was 3.2 years (1 month to 14 years). Five cases within 4 hours, 8 cases within 12 hours, 5 cases within 24 hours and 2 cases after 24 hours were referred to our clinic. The foreign body was located in the cervical esophagus in 10 cases, in the midthoracic esophagus in 8 cases, and in distal esophagus in two cases. All cases were quickly taken to the operating room. All cases underwent rigid esophagoscopy under general anesthesia and foreign body was removed. Sixteen cases of esophageal mucosal injury and burns were seen. Perforation and mortality were not observed in any of the cases. Conclusion Severe esophageal injury can occur in a short time after interaction with alkaline battery. Alkaline battery; electrolyte leak, pressure necrosis, mercury toxicity, or alkaline environment. Concentrated potassium hydroxide release has a corrosive effect. In this case, mediastinitis or tracheoesophageal fistula may ocur. Alkaline battery ingestion may result in persistent sequelae with perforation and corrosive esophagitis leading to mediastinitis. For this reason, the battery should be immediately removed by rigid esophagoscopy to prevent the development of these complications. Disclosure All authors have declared no conflicts of interest.

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.

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