scholarly journals Multiple esophageal foreign bodies in an infant: a rare case of serious parental neglect

2016 ◽  
Vol 6 (3) ◽  
Author(s):  
Arunabha Chakravarti ◽  
Sunil Garg ◽  
Rahul Bhargava
Keyword(s):  
Foreign Body ◽  
Rare Case ◽  
Foreign Bodies ◽  
Foreign Body Ingestion ◽  
Parental Neglect ◽  
Rigid Esophagoscopy ◽  
The Family ◽  
History Of ◽  
Esophageal Foreign Bodies

A case of multiple esophageal foreign bodies, which were retrieved successfully by rigid esophagoscopy in a 1-year old child is being reported. There are few cases of multiple esophageal foreign bodies in children reported in the literature; this case was unique in presentation as there was no history of foreign body ingestion. This case also highlights the serious neglect present in our society towards children of lower socio-economic strata despite this child being the 1<sup>st</sup> child in the family.

CLINICAL AND PARACLINICAL CHARACTERISTICS AND RESULTS FROM TREATMENT OF FOREIGN BODIES INGESTION

2016 ◽  
pp. 63-69
Author(s):  
Hoang Cuong Vo ◽  
Thanh Dang ◽  
Phuong Nam Tran ◽  
Thanh Thai Le
Keyword(s):  
Foreign Body ◽  
Clinical Characteristics ◽  
Foreign Bodies ◽  
University Hospital ◽  
Age Group ◽  
Central Hospital ◽  
Results Of Treatment ◽  
Rigid Esophagoscopy ◽  
Flexible Esophagoscopy ◽  
Esophageal Foreign Bodies

Background: Foreign bodies ingestion is a emergency in otology, knowledge of people about foreign bodies ingestion is not enough. Objective: To study the clinical characteristics, paraclinical characteristics and results of treatment from foreign bodies ingestion in Hue Central Hospital and Hue University Hospital. Methods and patiens: A cross descriptive and prospective study over the period from 6/2014 to 5/2016, total are 137 patients come to be diagnosised and treatmented. Results: the average age is 35 years old. Gender: male (51.8%) and women (48.2%). Adults (84.7%) having more than children (15.3%). Age group from 16-30 years is highest (32.8%). There are 95.7% of organic foreign bodies, 4.3% are inorganic foreign bodies. There are 90.5% of patients on diagnosis and treatment in stages less inflammation, arthritis 8.0% in the period and 1.5% in the period complications. Foreign body in the throat problems (73.7%), esophageal foreign bodies (26.3%). Pick up directly foreign bodies 54%, indirectly by the mirror 11.7% and endoscopy 8%, rigid esophagoscopy is 17.5%, flexible esophagoscopy is 7.3%, cervicotomy is 1.5%. Conclusion: Practing direction with in the oropharynx foreign body, using the larynx mirror or endoscopy with in the laryngopharynx for the esophagus foreign bodies, rigid esophagoscopy is better. Key words: Foreign bodies ingestion

Aerodigestive Tract Foreign Bodies in the Older Child and Adolescent

1996 ◽  
Vol 105 (4) ◽  
pp. 267-271 ◽  
Author(s):  
Paul S. Lemberg ◽  
David H. Darrow ◽  
Lauren D. Holinger
Keyword(s):  
Foreign Body ◽  
Children And Adolescents ◽  
Foreign Bodies ◽  
Distinct Group ◽  
Aerodigestive Tract ◽  
Older Children ◽  
Patients At Risk ◽  
History Of ◽  
Group 5 ◽  
Esophageal Foreign Bodies

This study was undertaken in order to establish the incidence of aerodigestive tract foreign body accidents among older children and adolescents, and to investigate the circumstances surrounding these events. A review of patients treated over a 5-year period identified 367 children from whom aerodigestive tract foreign bodies were removed. Seventeen percent of these patients were 5 years of age or older. Among these children, 88% aspirated nonfood items, half of which were school supplies; 78% of the group 5 years old and under aspirated food items. Among older children with esophageal foreign bodies, 31 % had food impactions, compared with 7% in the younger group; 70% of these children had a history of some anatomic abnormality of the esophagus. These data suggest that older children and adolescents represent a distinct group of patients at risk for foreign body accidents. Pediatricians and parents of children in this age group should discourage the practice of using the oral cavity as a repository for school supplies, and should stress the need for adequate preparation and mastication of food, particularly among children with esophageal abnormalities.

scholarly journals Tendency to Ingest Foreign Bodies in Mentally Retarded Patients: A Case with Ileal Perforation Caused by the Ingestion of a Teaspoon

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
İhsan Yıldız ◽  
Yavuz Savaş Koca ◽  
Gökhan Avşar ◽  
İbrahim Barut
Keyword(s):  
Mental Retardation ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Mentally Retarded ◽  
The Body ◽  
Foreign Body Ingestion ◽  
Emergency Laparotomy ◽  
Ileal Perforation ◽  
History Of ◽  
The Right

Introduction. Unintentional foreign body ingestion commonly occurs accidentally in children aged between 3 months and 6 years and at advanced ages or results from psychiatric disorders such as hallucination in patients with mental retardation. Most of the ingested foreign bodies are naturally discharged from the body but some of them may require surgical intervention.Presentation of Case. A 29-year-old mentally retarded female patient was admitted to the emergency service with a two-day history of abdominal pain, nausea, and vomiting. Physical examination revealed abdominal tenderness, defense, and rebound on palpation. Radiological examination revealed diffuse air-fluid levels and a radiopaque impression of a metal object in the right upper quadrant. The metal teaspoon causing ileal perforation was extracted by emergency laparotomy. On postoperative day 7, the patient was uneventfully discharged following a psychiatric consultation.Discussion. Foreign body ingestion can occur intentionally in children at developing ages and old-age patients, or adults and prisoners, whereas it may occur unintentionally in patients with mental retardation due to hallucination. However, repeated foreign body ingestion is very rare in individuals other than mentally retarded patients.Conclusion. Mentally retarded patients should be kept under close surveillance by surgeons and psychiatrists due to their tendency to ingest foreign bodies.

scholarly journals Esophageal foreign bodies: Retrospective study in 203 cases

2010 ◽  
Vol 63 (3-4) ◽  
pp. 254-257 ◽  
Author(s):  
Goran Pudar ◽  
Ljiljana Vlaski
Keyword(s):  
Retrospective Study ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Structure Type ◽  
Animal Origin ◽  
Age Group ◽  
Rigid Esophagoscopy ◽  
Male Patients ◽  
Esophageal Foreign Bodies ◽  
Group 1

Introduction A retrospective study of Rigid Esophagoscopy, with the suspect of foreign body, was performed in General Hospital Zrenjanin 'Djordje Joanovic', at the Department of Otorhinolaryngology during the period of 1988 - 2007. Results and discussion The result of 517 esophagoscopies performed in the above period was 203 (39.26%) foreign bodies, with the average of 7,8 annually per 100.000 inhabitants. The patients age ranged from 1 to 91 years, (X = 48.98). Considering the gender, there were 95 male patients (46,79%), and 108 female patients (53.21%). The highest number of foreign bodies was found in the patients from the age group 60-69, (43/22.15%). According to the structure type of foreign bodies the most frequent were bones of animal origin (86/42.36%), followed by meat bolus (67/33%), metal coins (23/11.33%), and bodies of vegetable origin (14/6.89%). Metal coins were most frequently found in the age group 1-9. In regard to the level at which a foreign body was found (described in 157 cases, (77.30%)), 94 (59.87%) were found at the pharyngoesophageal junction, 58 (36.94%) were found in middle constriction of oesophagus, and in the area of diaphragmatic constriction and cardia there were 5 (3.18%) cases. The efficiency of removing foreign bodies by rigid esophagoscopy in the above mentioned sample was 99.01% (201/203). In 2 cases (0.99%), due to the impaction of foreign body, the patients were referred to the higher referent tertiary unit institution. Conclusion Foreign bodies represent a constant casuistics in Zrenjanin Municipality, dominantly connected to work of an otorhinolaryngologist on duty. Rigid esophagoscopy is safe and efficient diagnostic and therapeutic method.

scholarly journals Foreign Body Ingestion in Pediatrics: Distribution, Management and Complications

Medicina ◽  
2019 ◽  
Vol 55 (10) ◽  
pp. 686 ◽  
Author(s):  
Khorana ◽  
Tantivit ◽  
Phiuphong ◽  
Pattapong ◽  
Siripan
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Foreign Body Ingestion ◽  
Common Symptom ◽  
Distribution Management ◽  
Common Location ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
International Statistical Classification ◽  
History Of

Background and Objectives: Foreign body (FB) ingestion is a common problem in children, causing serious complications. This study aimed to identify the distribution of types and locations of these foreign bodies and create Chiang Mai University (CMU) Guidelines. Materials and Methods: A retrospective descriptive study was conducted. All patients under 15 years old with foreign body ingestion (International Statistical Classification of Diseases and Related Health Problems; ICD-10 codes T18) treated in CMU Hospital from January 2006 to December 2017 were included. The data were analyzed using descriptive statistics. The guidelines were created, which paralleled the standard guidelines. Results: In total, 194 episodes of FB ingestion were recorded. These included 53.6% males and 46.4% females with a median age of 43.5 months. A history of foreign body ingestion complaints occurred in 77.8% of cases. Presentation was divided into asymptomatic (44.3%) and symptomatic (55.7%). The most common symptom was vomiting (23.2%). In the majority of cases, foreign bodies were located in the esophagus (37%). The most common type of foreign body was a coin (41.2%). Management included spontaneous passing (60.3%), endoscopy (35.6%), and others (3.1%). Complications before treatment were recorded in 9.3% of cases and after treatment in 2.1% of cases. Conclusions: Foreign body ingestion is common among children younger than four years old. Coins are the most common foreign body found, and the esophagus is the most common location. We recommend our created CMU Guidelines for management.

scholarly journals Ingestion of Bell Clappers by a Shaman in Jumla, Nepal: A Case Report

2019 ◽  
Vol 57 (215) ◽  
Author(s):  
Niresh Thapa ◽  
Subi Basnyat ◽  
Muna Maharjan
Keyword(s):  
Foreign Body ◽  
Psychiatric Illness ◽  
Foreign Bodies ◽  
Surgical Intervention ◽  
Interesting Case ◽  
Foreign Body Ingestion ◽  
Ileocecal Junction ◽  
Post Operative Period ◽  
History Of ◽  
Significant Injury

Accidental foreign body ingestion is a common problem encountered in Emergency. Deliberate foreign body ingestion may result due to an act of insanity or an act of daring. A shaman locally known as Dhami was brought to Emergency with the history of ingestion of bell clappers. He denied the history of psychiatric illness or substance abuse. On physical examination, there were signs of peritonitis. Laparotomy was done to remove the foreign bodies. Post-operative period was uneventful. Apart from the surgical intervention, psychological counselling was given to him. This is a rare interesting case due to the fact that the 15 cm long foreign bodies passing all the way through without significant injury and finally causing obstruction in ileocecal junction and perforation in the distal ileum.

Getting a Better Grip: A Novel Modification to the Dual Snare Technique for Removing Long Esophageal Foreign Bodies

2020 ◽  
Vol 86 (5) ◽  
pp. 541-543
Author(s):  
Joshua Judge ◽  
Anh Le ◽  
Jacek Wecowski
Keyword(s):  
Foreign Body ◽  
General Surgery ◽  
Foreign Bodies ◽  
Gastroesophageal Junction ◽  
Foreign Body Ingestion ◽  
Emergency Setting ◽  
Endoscopic Removal ◽  
Esophageal Foreign Body ◽  
Common Indication ◽  
Esophageal Foreign Bodies

Foreign body ingestion is a common indication for general surgery consultation in the emergency setting. We report a case of large esophageal foreign body ingestion involving a metallic butter knife lodged at the gastroesophageal junction that required endoscopic removal. Furthermore, we report a novel modification to the dual snare technique of retrieval incorporating a snare placed through a nasogastric tube to facilitate introduction and manipulation of the second snare.

scholarly journals Chronic retained esophageal foreign body: a case report

2021 ◽  
Vol 8 (2) ◽  
pp. 383
Author(s):  
Gurpreet Singh Chhabra ◽  
Anumeet Singh Grover ◽  
Gagandeep Kaur
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Respiratory Symptoms ◽  
Foreign Bodies ◽  
Gastrointestinal Symptoms ◽  
Esophageal Foreign Body ◽  
High Incidence ◽  
History Of ◽  
Foreign Body Impaction ◽  
Esophageal Foreign Bodies

Chronic esophageal foreign bodies (CEFB) are associated with a high incidence of morbidity and mortality in adults. However, the presentation, management and outcome of chronic esophageal foreign bodies in children are not well described. Seventy-six percent of patients presented with a primary complaint of respiratory symptoms, with respiratory distress being the most common followed by asthmatic symptoms and cough. Twenty-two percent of patients had primarily gastrointestinal symptoms including nausea, vomiting and dysphagia. We present a case report of 2year 6month old male with 3 months history of cough and vomiting later diagnosed to be a case of upper esophageal foreign body impaction.

scholarly journals Unique Pattern of True Foreign-Body Ingestion in the Valley of Kashmir; Sharp Foreign Bodies Outnumbering the Blunt Ones

2019 ◽  
Vol 10 (01) ◽  
pp. 028-032
Author(s):  
Nisar Ahmad Shah ◽  
Showkat Ahmad Kadla ◽  
Asif Iqbal Shah ◽  
Bilal Ahmad Khan ◽  
Inaam Ul Haq ◽  
...  
Keyword(s):  
Foreign Body ◽  
Success Rate ◽  
Foreign Bodies ◽  
Foreign Body Ingestion ◽  
Young Females ◽  
The People ◽  
Early Endoscopy ◽  
Normal Individuals ◽  
Structural Abnormalities ◽  
The Impact

ABSTRACT Background and Aims: Foreign-body ingestion is a common phenomenon, especially in children. In normal adults, foreign-body ingestion is usually accidental and mostly ingestion occurs with food and impaction is a result of structural abnormalities of the upper gastrointestinal tract (UGIT). However, accidental ingestion of nonfood products is unusual; especially ingestion of pins (scarf or safety pins) and needles is unknown. We come across ingestion of these unusual/sharp foreign bodies routinely from the past few years. The aim of this study was to observe, over a period of 1 year, the spectrum of nonfood or true foreign-body ingestion in our community and to see the impact of an early endoscopy on outcome or retrieval of the ingested objects. Materials and Methods: In a prospective observational study, we studied the profile of foreign-body ingestion in normal individuals of all ages and both sexes, excluding the individuals with any structural abnormalities of the gut and the people with psychiatric ailment. Results: Of total 51 patients with foreign-body ingestion, 42 (82%) were 20 or <20 years of age with females constituting 86.3% of the total and males constituting only 13.7%. Foreign bodies ingested included 38 pins (74.5%), seven coins (13.7%), four needles (7.8%), and one denture and a nail (2%) each. Overall 26 (51%) foreign bodies were seen in UGIT (within reach of retrieval) at the time of endoscopy and all of them were retrieved. Nineteen (37.3%) patients reported within 6 h of ingestion, and majority of them (16 = 84.2%) had foreign bodies within UGIT and all of them were removed. Those patients (n = 32; 62.7%) who reported beyond 6 h, only 10 (31.25%) had foreign bodies in UGIT as a result of which the success rate of removal in these patients was only 32%. Conclusion: Most of our patients were young females and the common foreign bodies ingested were sharp including scarf pins followed by coins and needles. The success rate of retrieval was high in those who reported within 6 h of ingestion of foreign body. The rate of retrieval was 100% if foreign body was found on esophagogastroduodenoscopy. Hence, we recommend an early endoscopy in these patients and some alternative to use of scarf pins.

scholarly journals Endobronchial Foreign Body Presenting as Exacerbation of Asthma

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
James E. Tsang ◽  
June Sun ◽  
Gaik C. Ooi ◽  
Kenneth W. Tsang
Keyword(s):  
Foreign Body ◽  
Respiratory Distress ◽  
Foreign Bodies ◽  
Main Bronchus ◽  
Fiberoptic Bronchoscopy ◽  
Clinical History ◽  
Medical Personnel ◽  
History Of ◽  
Normal Chest ◽  
Low Dose Computed Tomography

Airway foreign bodies are a leading cause of death among children and require urgent recognition by medical personnel. While most cases are diagnosed readily from a clinical history of acute respiratory distress, some cases remain more indolent and present later. We report the case of a 7-year-old boy who aspirated a “LEGO” toy and presented with a week history of increasing respiratory distress compatible with known asthma. Despite a normal chest X-ray, a low-dose computed tomography showed the presence of a foreign body in the left main bronchus, which was subsequently removed by fiberoptic bronchoscopy. Our case serves to reemphasize the importance of considering airway foreign bodies as a cause of respiratory distress, especially in young children.

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