scholarly journals Unexpected Radiologic Findings for a Casting Type of Radiolucent Colorectal Foreign Body Composed of Polyurethane Foam

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Emi Sanjo ◽  
Fumihiko Tamamoto ◽  
Shoichi Ogawa ◽  
Maiko Sano ◽  
Tetsunori Yoshimura ◽  
...  
Keyword(s):  
Foreign Body ◽  
Polyurethane Foam ◽  
Foreign Bodies ◽  
Abdominal Radiograph ◽  
Radiologic Diagnosis ◽  
Careful Evaluation ◽  
Plain Abdominal Radiograph ◽  
Radiologic Findings ◽  
Diagnostic Difficulties ◽  
Abdominal Radiographs

Radiologic diagnosis of colorectal foreign bodies is usually not very difficult, because inserted materials are often clearly visible on plain abdominal radiographs. However, when they are radiolucent, a plain abdominal radiograph has been reported to be useless. As radiolucent colorectal foreign bodies appear as radiolucent artificial contours or air-trapped materials in the pelvis, almost always the diagnosis itself can be made by careful evaluation of plain abdominal radiographs. We encountered a case of casting type of radiolucent colorectal foreign body formed from polyurethane foam. It presented us with unexpected radiologic findings and led to diagnostic difficulties.

scholarly journals Plain Abdominal Radiographs: Can we Interpret Them?

2006 ◽  
Vol 88 (1) ◽  
pp. 23-26 ◽  
Author(s):  
C Beverly B Lim ◽  
Vivian Chen ◽  
Allon Barsam ◽  
Jeremy Berger ◽  
Richard A Harrison
Keyword(s):  
Small Bowel ◽  
Large Bowel ◽  
Correct Diagnosis ◽  
Abdominal Radiograph ◽  
Junior Doctors ◽  
Plain Abdominal Radiograph ◽  
Upper Limit ◽  
Diagnostic Role ◽  
Abdominal Radiographs ◽  
Normal Dimension

INTRODUCTION Plain abdominal radiographs commonly form a part of medical assessments. Most of these films are interpreted by the clinicians who order them. Interpretation of these films plays an important diagnostic role and, therefore, influences the decision for admission and subsequent management of these patients. The aim of this study was to find out how well doctors in different specialties and grades interpreted plain abdominal radiographs. MATERIALS AND METHODS A total of 76 doctors from the Departments of Accident & Emergency, Medicine, Surgery and Radiology (17, 32, 23 and 4, respectively) participated in the study which involved giving a diagnosis for each of 14 plain abdominal radiographs (5 ‘normal’ and 9 ‘abnormal’). They were also asked the upper limit of normal dimensions of small bowel and large bowel. One point was awarded for correctly identifying whether a radiograph was normal/abnormal, 1 point for the correct diagnosis and 1 point for the correct bowel dimensions, giving a total score of 30. RESULTS Mean scores out of 30 for specialties were as follows: Accident & Emergency 13.1 (range, 2–22), Medicine 11.2 (range, 2–23), Surgery 15.0 (range, 8–24) and Radiology 17.0 (range, 14–20; P = 0.241). Mean scores out of 30 for different grades of doctors were as follows: pre-registration house officers 10.8 (range, 4–20), senior house officers 13.0 (range, 2–22), registrars/staff grades 13.8 (range, 2–23) and consultants 17.3 (range, 12–24; P = 0.028). Fifteen out of 76 (19.7%) doctors correctly identified the upper limit of normal dimension of small bowel; 24 out of 76 (31.6%) correctly identified the upper limit of normal dimension of large bowel. DISCUSSION The level of seniority positively correlated with skills of plain abdominal radiograph interpretation. A large number of doctors were unable to give the correct upper limit of normal dimensions for small and large bowel. CONCLUSIONS All doctors could benefit from further training in the interpretation of plain abdominal radiographs. This could perhaps take place as formal teaching sessions and be included in induction programmes. Until then, plain abdominal films should ideally be reported by radiologists where there are clinical uncertainties; important management decisions made by junior doctors based on these films should at least be confirmed with a registrar, if not a consultant.

scholarly journals Occult Foreign Body Aspirations in Pediatric Patients: 20-years of Experience

2020 ◽  
Author(s):  
Bo Liu ◽  
Fengxia Ding ◽  
Yong An ◽  
Yonggang Li ◽  
Zhengxia Pan ◽  
...  
Keyword(s):  
Foreign Body ◽  
Medical Records ◽  
Foreign Bodies ◽  
Pediatric Patients ◽  
Previous History ◽  
Rigid Bronchoscopy ◽  
Diagnostic Difficulties ◽  
History Of ◽  
Male Patients ◽  
Symptoms And Signs

Abstract Background: The purpose of our study was to assess the frequency of occult foreign body aspiration (FBA) and to evaluate the diagnostic difficulties and therapeutic methods for these patients. Methods: Between May 2000 and May 2020, 3557 patients with the diagnosis of FBA were treated in our department. Thirty-five patients with occult FBA were included in this study. A retrospective analysis of medical records was performed. Results: Twenty-three male patients (65.7%) and 12 female patients (34.3%) were hospitalized due to occult FBA. The average age was 3.60 years (range 9 months-12 years). Most of the patients were younger than 3 years old (n=25, 71.4%). Coughing (n=35, 100%) and wheezing (n=18, 51.4%) were the main symptoms and signs. All the patients were found to have a FBA under the fiberoptic bronchoscope. The most common organic foreign bodies were peanuts (n=10) and the most common inorganic foreign bodies were pen caps (n=5). The extraction of foreign bodies under rigid bronchoscopy was applied successfully in 34 patients. Only one patient needed a surgical intervention. Conclusions: Occult FBA should always be considered in the differential diagnosis of chronic or recurrent respiratory diseases that are poorly explained, even in the absence of a previous history of aspiration.

scholarly journals Rectal Foreign Body in a 30 Year Old Male- A Case Report

2018 ◽  
Vol 9 (1) ◽  
pp. 35-37
Author(s):  
Md Monoarul Islam Talukdar ◽  
Quamrul Akter ◽  
Md Abdullah Al Mamun ◽  
Abdullah Md Abu Ayub Ansary
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Young Male ◽  
College Hospital ◽  
Rectal Pain ◽  
Medical College ◽  
Post Operative Period ◽  
Abdominal Radiographs ◽  
Early Decision ◽  
Surgery Department

Though anorectal foreign body cases are rare, they have become increasingly frequent in recent years. Although entrapped foreign bodies are most often related to sexual behavior, they can also result from ingestion or sexual assault. The diagnosis may be made by rectal examination and metallic objects can be confirmed by plain abdominal radiographs. Transanal removal is only possible for very low-lying objects, while patients with high-lying foreign bodies usually require an operative intervention. An early decision of laparotomy should only be made after subjecting the patient to suitable investigations to determine exact location of the object, in order to avoid any inadvertent damage to the adjoining vasculature as well as anal incontinence. . We report the case of a young male who presented at surgery department of Shaheed Suhrawardy medical college hospital with severe rectal pain due to insertion of an apple into rectum by some eunuchs. It was successfully removed transanally under spinal anesthesia. Post operative period was uneventful and referred for psychiatric consultation.J Shaheed Suhrawardy Med Coll, June 2017, Vol.9(1); 35-37

Retained Wooden Foreign Body in a Child's Parotid Gland: A Case Report

1998 ◽  
Vol 77 (2) ◽  
pp. 140-143 ◽  
Author(s):  
Audie L. Woolley ◽  
Lee T. Wimberly ◽  
Stuart A. Royal
Keyword(s):  
Foreign Body ◽  
Parotid Gland ◽  
Foreign Bodies ◽  
Interesting Case ◽  
Radiologic Diagnosis ◽  
Diagnostic Challenge ◽  
Experienced Surgeon ◽  
Wooden Foreign Body ◽  
Current Guidelines ◽  
Review Current

Foreign bodies can present a diagnostic challenge to even the experienced surgeon. In one review of 200 surgical cases involving retained foreign bodies, one-third of the cases had been initially missed.1 Wooden foreign bodies in particular pose a challenge to the physician. In the review cited above, only 15% of wooden foreign bodies were well visualized on plain radiographs.1 Acutely, on computed tomography (CT) scans, wooden foreign bodies will usually mimic air.2 However, with time, the attenuation value of a wooden foreign body may increase as moisture is absorbed from the surrounding tissues.3 Once this occurs, the wooden foreign body may mimic fat, water or muscle.2 We present an interesting case of a wooden foreign body in the parotid gland in order to illustrate a common presentation of such a foreign body, to review current guidelines for their clinical and radiologic diagnosis, and to suggest strategies for the management of their unique complications.

scholarly journals Hashish Body Packing: A Case Report

2009 ◽  
Vol 2009 ◽  
pp. 1-3 ◽  
Author(s):  
Manuel Jesus Soriano-Perez ◽  
Jose Luis Serrano-Carrillo ◽  
Inmaculada Marin-Montin ◽  
Alfonso Cruz-Caballero
Keyword(s):  
Emergency Department ◽  
Law Enforcement ◽  
Foreign Bodies ◽  
Law Enforcement Officers ◽  
Abdominal Radiograph ◽  
Body Packing ◽  
Plain Abdominal Radiograph ◽  
International Borders ◽  
Contrast Enhanced ◽  
Body Packers

A 42-year-old African male was brought by the police to the emergency department under suspicion of drug smuggling by body-packing. Plain abdominal radiograph showed multiple foreign bodies within the gastrointestinal tract. Contrast-enhanced abdominal CT confirmed the findings, and the patient admitted to have swallowed “balls” of hashish. Body-packing is a recognized method of smuggling drugs across international borders. Body packers may present to the emergency department because of drug toxicity, intestinal obstruction, or more commonly, requested by law-enforcement officers for medical confirmation or exclusion of suspected body packing.

scholarly journals Case series of retained rectal foreign body. A Malaysian experience.

2021 ◽  
Vol 16 (2) ◽  
pp. 78-82
Author(s):  
Wei Soon Pang ◽  
Jih Huei Tan ◽  
Henry Chor Lip Tan ◽  
Jonathan Khee Ghee Tan
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Medical Condition ◽  
Abdominal Mass ◽  
Age Groups ◽  
Case Series ◽  
Abdominal Radiograph ◽  
Delayed Presentation ◽  
Elderly Male ◽  
Proximal Migration

Retained rectal foreign body, with its associated social stigma, is a medical condition that is infrequently reported in Malaysia. We report the surgical management of five cases of retained foreign objects in the rectum seen over a one-year period. There were three young and two elderly male patients. One of the elderly patients presented with altered bowel habits and an abdominal mass that mimicked a symptomatic colonic tumor. All patients had an abdominal radiograph which clinched the diagnosis of a retained foreign rectal body. Successfully retrieved objects included two bottles, one bidet device, and two sex toys. Open surgery for retrieval of the impacted rectal foreign body was required in one patient. All underwent successful retrievals without any adverse postoperative complications. In our case series, retained rectal foreign bodies were observed only in the male gender. The age presentation was bimodal, with age groups in the twenties and sixties. The treatment options used for the retrieval of these impacted foreign bodies included transanal extraction or explorative laparotomy. Proximal migration and delayed presentation are possible indications for the latter approach.

scholarly journals Occult Foreign Body Aspirations in Pediatric Patients: 20-years of Experience

2020 ◽  
Author(s):  
Bo Liu ◽  
Fengxia Ding ◽  
Yong An ◽  
Yonggang Li ◽  
Zhengxia Pan ◽  
...  
Keyword(s):  
Foreign Body ◽  
Medical Records ◽  
Foreign Bodies ◽  
Pediatric Patients ◽  
Previous History ◽  
Rigid Bronchoscopy ◽  
Diagnostic Difficulties ◽  
History Of ◽  
Male Patients ◽  
Symptoms And Signs

Abstract Background: The purpose of our study was to assess the frequency of occult foreign body aspiration (FBA) and to evaluate the diagnostic difficulties and therapeutic methods for these patients.Methods: Between May 2000 and May 2020, 3557 patients with the diagnosis of FBA were treated in our department. Thirty-five patients with occult FBA were included in this study. A retrospective analysis of medical records was performed.Results: Twenty-three male patients (65.7%) and 12 female patients (34.3%) were hospitalized due to occult FBA. The average age was 3.60 years (range 9 months-12 years). Most of the patients were younger than 3 years old (n=25, 71.4%). Coughing (n=35, 100%) and wheezing (n=18, 51.4%) were the main symptoms and signs. All the patients were found to have a FBA under the fiberoptic bronchoscope. The most common organic foreign bodies were peanuts (n=10) and the most common inorganic foreign bodies were pen caps (n=5). The extraction of foreign bodies under rigid bronchoscopy was applied successfully in 34 patients. Only one patient needed a surgical intervention.Conclusions: Occult FBA should always be considered in the differential diagnosis of chronic or recurrent respiratory diseases that are poorly explained, even in the absence of a previous history of aspiration.

scholarly journals Multiple Colonic Radiopaque Foreign Bodies in a 7-Year-Old Child: The Plain Radiographic Features and a Case Report

2021 ◽  
Vol 5 (4) ◽  
pp. 01-03
Author(s):  
Sule MB ◽  
Gele IH ◽  
Shirama YB ◽  
Abacha M ◽  
Ribah MM
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Body Cavity ◽  
The Body ◽  
Abdominal Radiograph ◽  
Behavioral Abnormality ◽  
History Of ◽  
Males And Females

Foreign bodies are uncommon and may be ingested, inserted into a body cavity or deposited in the body by traumatic or iatrogenic injury. Foreign body ingestion is more common in children with equal incidence in males and females, and has a peak incidence in the ages between six months to three years. This is a case of a seven-year-old male child with behavioral abnormality and long history of ingestion of foreign bodies who presented with abdominal pain and discomfort with passage of hard solid stone like particles in feaces. The patient had a conventional abdominal radiograph that showed multiple radiopaque structures of varying sizes, some of which are clump-like in the peripheral abdomen; the large colon and region of the rectum.

scholarly journals Rectal foreign body: a case report

2017 ◽  
Vol 4 (3) ◽  
pp. 1119
Author(s):  
Robin George Cheereth ◽  
George Abraham Ninan
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Foreign Body ◽  
Computerized Tomography ◽  
Anal Incontinence ◽  
Foreign Bodies ◽  
Primary Repair ◽  
Abdominal Radiographs ◽  
Early Decision ◽  
Emergent Laparotomy

Colorectal foreign bodies are infrequently encounteredand present a dilemma for management. The diagnosis may be confirmedby plain abdominal radiographs and rectal examination, butabdominal computerized tomography with 3-D reconstruction can be decisive in thefurther management and must be advised without reconsideration. Transanal removal is only possible for very low-lying objects, while patients with high-lying foreign bodiesusually require anoperative intervention. An early decision of laparotomy should only be madeafter subjecting the patient to suitable investigations to determineexactly the localization of the object, in order toavoid any inadvertent damage to the adjoining vasculatureas well as anal incontinence. We report the case of a youngadult male who presented in the emergency department with a Hand Held Bidet Shower inserted per rectum. Transanal removal was unsuccessful and Emergent laparotomy with colotomy and primary repair was necessary for safe removal of the same.

scholarly journals Occult Foreign Body Aspirations in Pediatric Patients: 20-years of Experience

2020 ◽  
Author(s):  
Bo Liu ◽  
Fengxia Ding ◽  
Yong An ◽  
Yonggang Li ◽  
Zhengxia Pan ◽  
...  
Keyword(s):  
Foreign Body ◽  
Medical Records ◽  
Foreign Bodies ◽  
Pediatric Patients ◽  
Previous History ◽  
Rigid Bronchoscopy ◽  
Diagnostic Difficulties ◽  
History Of ◽  
Male Patients ◽  
Symptoms And Signs

Abstract Background: The purpose of our study was to assess the frequency of occult foreign body aspiration (FBA) and to evaluate the diagnostic difficulties and therapeutic methods for these patients. Methods: Between May 2000 and May 2020, 3557 patients with the diagnosis of FBA were treated in our department. Thirty-five patients with occult FBA were included in this study. A retrospective analysis of medical records was performed. Results: Twenty-three male patients (65.7%) and 12 female patients (34.3%) were hospitalized due to occult FBA. The average age was 3.60 years (range 9 months-12 years). Most of the patients were younger than 3 years old (n=25, 71.4%). Coughing (n=35, 100%) and wheezing (n=18, 51.4%) were the main symptoms and signs. All the patients were found to have a FBA under the fiberoptic bronchoscope. The most common organic foreign bodies were peanuts (n=10) and the most common inorganic foreign bodies were pen caps (n=5). The extraction of foreign bodies under rigid bronchoscopy was applied successfully in 34 patients. Only one patient needed a surgical intervention. Conclusions: Occult FBA should always be considered in the differential diagnosis of chronic or recurrent respiratory diseases that are poorly explained, even in the absence of a previous history of aspiration.

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