-
The Pan African Medical Journal 2015
Topics: Abdomen; Female; Flank Pain; Foreign Bodies; Humans; Middle Aged; Tomography, X-Ray Computed
PubMed: 26175822
DOI: 10.11604/pamj.2015.20.332.6609 -
Indian Pediatrics Aug 2007We report a rare case of appendicitis due to screw in the appendix in a 4-year old boy. An appendicectomy was done. Foreign body appendicitis should be treated with...
We report a rare case of appendicitis due to screw in the appendix in a 4-year old boy. An appendicectomy was done. Foreign body appendicitis should be treated with early surgical intervention.
Topics: Appendectomy; Appendicitis; Child, Preschool; Foreign Bodies; Humans; Male
PubMed: 17827638
DOI: No ID Found -
JPMA. the Journal of the Pakistan... Mar 2021
Topics: Esophagoscopy; Esophagus; Foreign Bodies; Humans; Retrospective Studies
PubMed: 34057980
DOI: 10.47391/JPMA.04-552 -
Annals of the Royal College of Surgeons... Nov 2021Insertion of foreign objects into the rectum is a well-described phenomenon and not an uncommon referral to the general surgeon on call. Although usually not...
INTRODUCTION
Insertion of foreign objects into the rectum is a well-described phenomenon and not an uncommon referral to the general surgeon on call. Although usually not life-threatening, there can be consequences following migration of the object or perforation of the large bowel. This study looks at the incidence of removal of foreign objects from the rectum over the last decade and the financial burden it presents to the NHS.
METHODS
Hospital Episode Statistics for 2010-2019 were used to calculate the number of rectal foreign bodies that required removal in hospital. Data for age groups and genders have been compared.
RESULTS
A total of 3,500 rectal foreign bodies were removed over the course of 9 years. Males accounted for 85.1% of rectal foreign bodies whilst 14.9% were females. This equates to 348 bed-days per annum. Admission peaks were observed in the second and fifth decades of life.
CONCLUSION
This study shows that the incidence of rectal foreign bodies is higher in men and has been increasing over the period studied. Most foreign bodies can be removed trans-anally with the use of anaesthesia, with only a small proportion of patients requiring hospital stay over 24 hours (mean length of stay = 24 hours). Nearly 400 rectal foreign body removals are performed each year with an annual cost of £338,819, illustrating the effect this has on NHS resources.
Topics: Adolescent; Adult; Age Factors; Aged; Aged, 80 and over; Child; Child, Preschool; Female; Foreign Bodies; Foreign-Body Migration; Health Care Costs; Humans; Infant; Length of Stay; Male; Middle Aged; Rectum; Sex Factors; State Medicine; United Kingdom; Young Adult
PubMed: 34719960
DOI: 10.1308/rcsann.2020.7129 -
American Family Physician Jun 2003Splinter injuries are common, but larger and deeper splinters are often difficult and painful to remove at home. These splinters often present as a foreign body embedded...
Splinter injuries are common, but larger and deeper splinters are often difficult and painful to remove at home. These splinters often present as a foreign body embedded in the superficial or subcutaneous soft tissues. Whenever possible, reactive objects like wood, thorns, spines, and vegetative material should be removed immediately, before inflammation or infection occurs. Superficial horizontal splinters are generally visible on inspection or easily palpated. A horizontal splinter is exposed completely by incising the skin over the length of the long axis of the splinter, and removed by lifting it out with forceps. A subungual splinter may be removed by cutting out a V-shaped piece of the nail. The point of the V is at the proximal tip of the splinter, which is grasped and removed, taking particular care not to push the splinter further into the nail bed. Removal of an elusive splinter can be challenging and may require the use of imaging modalities for better localization. Deeper splinters, especially those close to important structures such as nerves, tendons, blood vessels, or vital organs, should be referred for removal.
Topics: Foreign Bodies; Foreign-Body Reaction; Humans; Nails; Wound Healing
PubMed: 12825845
DOI: No ID Found -
Medicina (Kaunas, Lithuania) Jun 2023Foreign body aspiration (FBA) is a frequent diagnosis in children. In the absence of other lung conditions, such as asthma or chronic pulmonary infections, this...
Foreign body aspiration (FBA) is a frequent diagnosis in children. In the absence of other lung conditions, such as asthma or chronic pulmonary infections, this manifests as a sudden onset of cough, dyspnea, and wheezing. The differential diagnosis is based on a scoring system which takes into account the clinical picture as well as the radiologic aspects. The treatment that is considered the gold-standard for FBA in children remains to be rigid fibronchoscopy, however it comes with several potentially crucial local complications such as airway edema, bleeding, and bronchospasm, along inherent issues due to general anesthesia. : Our study is a retrospective study analyzing the medical files of the cases from our hospital over the span of 9 years. The study group consisted of 242 patients aged 0-16 years diagnosed with foreign body aspiration in the Emergency Clinical Hospital for Children "Sfânta Maria" Iași, between January 2010-January 2018. Clinical and imaging data were extracted from the patients' observation sheets. In our cohort, the distribution of children with foreign body aspiration was uneven, with the highest incidence being reported in children from rural areas (70% of cases), whereas the most affected age group was 1-3 years, amounting to 79% of all cases. The main symptoms which led to emergency admittance were coughing (33%) and dyspnea (22%). The most important factors that determined the unequal distribution were socio-economic status, which relates to a lack of adequate supervision by parents, as well as the consumption of food inappropriate for their age. Foreign body aspiration is a major medical emergency that may be associated with dramatic clinical manifestations. Several scoring algorithms designed to establish the need for bronchoscopy have been proposed, taking into account both the clinical and radiological results. The issue with asymptomatic or mild symptomatic cases, as well as difficulties managing cases with radiolucent foreign bodies, remains a challenge.
Topics: Child; Humans; Infant; Retrospective Studies; Bronchoscopy; Lung Diseases; Cough; Dyspnea; Foreign Bodies
PubMed: 37374317
DOI: 10.3390/medicina59061113 -
American Family Physician Jun 2020Foreign bodies may be introduced into the skin through lacerations and soft tissue wounds. Long-term complications of retained foreign bodies include chronic pain and... (Review)
Review
Foreign bodies may be introduced into the skin through lacerations and soft tissue wounds. Long-term complications of retained foreign bodies include chronic pain and neurovascular impairment. Wound exploration and initial imaging with radiography or ultrasonography should be considered before foreign body removal. Risks and benefits of removal should be discussed with the patient. Although some foreign bodies may be left in place, removal should be considered if the risk of complications is high. A cooperative patient and adequate wound visualization are important for successful foreign body removal. Adequate analgesia and judicious use of anxiolytics and sedation may be helpful. Wound irrigation with normal saline or tap water is recommended after foreign body removal. Antiseptic solutions for wound irrigation may impair healing and should be avoided. Although there is no consensus on the use of antibiotic prophylaxis, several indications exist. The patient's tetanus immunization history should be reviewed, and vaccine should be administered if indicated.
Topics: Foreign Bodies; Humans; Radiography; Risk Factors; Skin; Soft Tissue Injuries; Ultrasonography
PubMed: 32538598
DOI: No ID Found -
The Journal of International Medical... Jul 2018Oesophageal foreign bodies (OFBs) are a relatively common emergency in young children. OFBs are complicated by significant morbidity and mortality because their...
Oesophageal foreign bodies (OFBs) are a relatively common emergency in young children. OFBs are complicated by significant morbidity and mortality because their ingestion often occurs without witnesses, leading to a delay in diagnosis and treatment. We report an occult OFB in an 11-month-old infant who initially presented without any specific respiratory symptoms, mimicking a respiratory infection. Worsening of the patient's cough, which did not show any improvement, despite treatment, and progressive onset of gastrointestinal manifestations (dysphagia, vomiting, and drooling) led to the diagnosis of an OFB (metallic spring). The complex and long-term clinical course of the patient highlights the need of promptly recognizing the presence of an occult OFB. This is because rapid diagnosis and treatment are essential for preventing severe and sometimes irreversible complications.
Topics: Cough; Delayed Diagnosis; Dilatation; Esophageal Stenosis; Esophagoscopy; Esophagus; Female; Foreign Bodies; Humans; Infant; Recurrence; Reoperation; Respiratory Sounds
PubMed: 29785865
DOI: 10.1177/0300060518767775 -
Archivos Espanoles de Urologia Mar 2018
Topics: Foreign Bodies; Humans; Male; Middle Aged; Urinary Bladder
PubMed: 29521271
DOI: No ID Found -
JNMA; Journal of the Nepal Medical... Dec 2022The rectal foreign body is a rare presentation, often related to sexual gratification, sexual assault, or the result of ingestion and rarely accidental, and with rising...
UNLABELLED
The rectal foreign body is a rare presentation, often related to sexual gratification, sexual assault, or the result of ingestion and rarely accidental, and with rising incidence. We present a case of a 47-year-old heterosexual male with an alleged history of accidental insertion of a foreign body through the anus three days prior without peritonitis or obstipation. After investigations, the patient underwent a failed sigmoidoscopic removal followed by exploratory laparotomy, foreign body removal, and an uneventful post-operative period. It should be noted that early diagnosis and timely intervention are important to prevent complications in rectal foreign bodies. Assessment of the shape, size, nature, and location of the object through appropriate imaging is necessary. Exploratory laparotomy is inevitable in cases of failed manual extraction techniques and complicated cases.
KEYWORDS
case reports; foreign bodies; laparotomy; rectum; sigmoidoscopy.
Topics: Humans; Male; Middle Aged; Rectum; Laparotomy; Foreign Bodies
PubMed: 36705106
DOI: 10.31729/jnma.7905