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1.
BMC Surg ; 22(1): 6, 2022 Jan 08.
Artigo em Inglês | MEDLINE | ID: mdl-34996410

RESUMO

BACKGROUND: Ingestion of fish bones leading to gastric perforation and inducing abscess formation in the caudate lobe of the liver is very rare. CASE PRESENTATION: A 67-year-old man presented to our hospital with a 2-day history of subxiphoid pain. There were no specific symptoms other than pain. Laboratory tests showed only an increase in the number and percentage of neutrophils. Contrast-enhanced Computerized tomography (CT) of the abdomen showed two linear dense opacities in the gastric cardia, one of which penetrated the stomach and was adjacent to the caudate lobe of the liver, with inflammatory changes in the caudate lobe. We finally diagnosed his condition as a caudate lobe abscess secondary to intestinal perforation caused by a fishbone based on the history and imaging findings. The patient underwent 3D laparoscopic partial caudate lobectomy, incision and drainage of the liver abscess, and fishbone removal. The procedure was successful and we removed the fishbone from the liver. The patient was discharged on the 9th postoperative day without other complications. CONCLUSIONS: Liver abscess caused by foreign bodies requires multidisciplinary treatment. Especially when located in the caudate lobe, we must detect and remove the cause of the abscess as early as possible. Foreign bodies that perforate the gastrointestinal tract can penetrate to the liver and cause abscess formation, as in this case. When exploring the etiology of liver abscesses, we should investigate the general condition, including the whole gastrointestinal tract.


Assuntos
Corpos Estranhos , Migração de Corpo Estranho , Laparoscopia , Abscesso Hepático , Idoso , Animais , Corpos Estranhos/complicações , Corpos Estranhos/diagnóstico por imagem , Corpos Estranhos/cirurgia , Migração de Corpo Estranho/complicações , Migração de Corpo Estranho/diagnóstico por imagem , Migração de Corpo Estranho/cirurgia , Humanos , Abscesso Hepático/diagnóstico por imagem , Abscesso Hepático/etiologia , Abscesso Hepático/cirurgia , Masculino
2.
Niger J Clin Pract ; 25(1): 118-120, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-35046206

RESUMO

Foreign body ingestion is a commonly encountered clinical challenge. Most of these objects pass spontaneously, but long objects could be retained leading to uncommon complications. There seem to be no record of percutaneous extrusion of ingested spoon in literature. We report a case of 20 year old lady who swallowed a long metallic spoon. It got retained in the stomach for a month without obstructive symptoms, until the tail end of it eroded onto the skin. It was retrieved through an open gastrotomy. Patient had an uneventful postoperative recovery. Clinicians should be mindful that ingested large foreign bodies may be delayed in presentation. Whereas our index patient had open surgery, minimally invasive retrieval approaches could be considered when comparable cases are encountered.


Assuntos
Corpos Estranhos , Abdome , Adulto , Feminino , Corpos Estranhos/diagnóstico por imagem , Corpos Estranhos/cirurgia , Humanos , Estômago , Adulto Jovem
3.
J Dent Child (Chic) ; 88(3): 202-205, 2021 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-34937631

RESUMO

Foreign bodies in the nasal cavity are common in children, possibly due to their curiosity to explore body openings. The purpose of this report was to describe a case of an undetected nasal foreign body in a 10-year-old girl who presented to a pediatric dentistry clinic for a routine dental examination. A foreign body in the nasal cavity was discovered during a panoramic radiographic examination. A prompt referral to the otorhinolaryngologist was critical to confirm the diagnosis and successfully remove the foreign body. This case report demonstrates that dentists can play a significant role in the diagnosis of foreign objects in children.


Assuntos
Corpos Estranhos , Nariz , Criança , Feminino , Corpos Estranhos/diagnóstico por imagem , Corpos Estranhos/cirurgia , Humanos , Cavidade Nasal , Nariz/diagnóstico por imagem
5.
Prim Care ; 48(4): 655-676, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34752276

RESUMO

Embedded fishhooks, digital ring entrapment, and foreign bodies of the ear, nose, and superficial eye and conjunctiva may present to primary care clinics and can often be managed there. This review is a guide for primary care clinicians for effective, pragmatic, and safe techniques to address these scenarios in the office and when to refer them to a surgeon.


Assuntos
Corpos Estranhos no Olho , Corpos Estranhos , Túnica Conjuntiva , Corpos Estranhos no Olho/diagnóstico , Corpos Estranhos no Olho/cirurgia , Corpos Estranhos/cirurgia , Humanos , Nariz , Atenção Primária à Saúde
6.
Ann Ital Chir ; 102021 Oct 25.
Artigo em Inglês | MEDLINE | ID: mdl-34738536

RESUMO

INTRODUCTION: Foreign body ingestions are one of the common reasons for Emergency Department applications. Although it is mostly seen in the pediatric age group, adult patients could be more complicated. The majority of swallowed foreign bodies could pass through the digestive system spontaneously. Only %1 of them needs surgical interventions. In this study, we present a case that swallowed his denture and needs surgical treatment. CASE PRESENTATION: A 59-year-old male patient was admitted to Emergency Department for swallowing his dental prosthesis accidentally. He had the feeling of being stuck in his chest while swallowing, and there were no additional symptoms. On the chest x-ray, it was detected in the middle part of esophagus. Upper Gastrointestinal System Endoscopy was performed to remove it. Foreign body was detected in the stomach during the endoscopy. However, it was not suitable for endoscopic extraction. Surgery was performed, and the foreign body was removed from the stomach laparoscopically. The patient was discharged from the hospital uneventfully on the fifth day after surgery. CONCLUSION: Although they have seemed in many cases, a small percentage of foreign body ingestions needs surgical treatment. Developments in recent years have increased the frequency of using minimally invasive techniques in emergency surgeries. Because of advantages such as fast recovery and small scars, laparoscopic surgery is recommended as an option that can be used safely in emergency cases. KEY WORDS: Foreign Body, Gastric, Laparoscopy, Surgery.


Assuntos
Corpos Estranhos , Laparoscopia , Adulto , Criança , Endoscopia do Sistema Digestório , Esôfago , Corpos Estranhos/diagnóstico por imagem , Corpos Estranhos/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Estômago/diagnóstico por imagem , Estômago/cirurgia
7.
Ann R Coll Surg Engl ; 103(10): 734-737, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34719960

RESUMO

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.


Assuntos
Corpos Estranhos/cirurgia , Custos de Cuidados de Saúde/estatística & dados numéricos , Reto , Medicina Estatal/economia , Adolescente , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Feminino , Corpos Estranhos/economia , Corpos Estranhos/epidemiologia , Migração de Corpo Estranho/economia , Migração de Corpo Estranho/epidemiologia , Migração de Corpo Estranho/cirurgia , Humanos , Lactente , Tempo de Internação/economia , Tempo de Internação/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Reto/cirurgia , Fatores Sexuais , Medicina Estatal/estatística & dados numéricos , Reino Unido/epidemiologia , Adulto Jovem
8.
Kyobu Geka ; 74(12): 1043-1046, 2021 Nov.
Artigo em Japonês | MEDLINE | ID: mdl-34795151

RESUMO

We experienced a case of a foreign body in the lung with granuloma by aspiration of watermelon seeds. A 72-year-old woman who had been diagnosed as having lung foreign body was admitted to our hospital for the treatment of the pulmonary shadow caused by the granuloma. A foreign body could not be identified by bronchoscopy, and the thoracoscopic partial resection of right S4 was performed. The postoperative course was uneventful, and the patient was discharged from our hospital on the second day after the operation.


Assuntos
Citrullus , Corpos Estranhos , Neoplasias Pulmonares , Idoso , Broncoscopia , Humanos , Pulmão
9.
Am J Case Rep ; 22: e934164, 2021 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-34780394

RESUMO

BACKGROUND Recurrent intentional foreign body (RIFB) ingestion is a complex and costly issue among patients in prison and those with psychiatric disorders. Risk factors for RIFB ingestion include male sex, incarceration, and the presence of a psychiatric disorder. Most patients can be managed with observation and endoscopy. Surgery is indicated in cases involving perforation or obstruction. The literature on preventative strategies for RIFB ingestion is scarce. CASE REPORT A 23-year-old man required 6 admissions in 1 calendar year for intentional foreign body ingestions. The patient was living in prison and had a history of bipolar I disorder, schizophrenia, and borderline personality disorder. He underwent 9 endoscopic procedures that retrieved a total of 64 objects. The primary imaging modalities were abdominal X-ray and abdominopelvic contrast-enhanced computed tomography scan. The patient was managed with endoscopy and, in 2 cases, with observation alone. Serial abdominal examinations and abdominal films were used to monitor the progress of foreign bodies that were difficult to retrieve. A bowel regimen with polyethylene glycol facilitated the passage of the objects. The patient never required surgical intervention. The mean length of stay was 4.17 days. The recurrent ingestions may have been related to compulsions and family stress. CONCLUSIONS Interdisciplinary collaboration is paramount in formulating effective treatment plans and limiting recurrence. Proposed strategies to prevent RIFB ingestion include the removal of ingestible objects from the environment, specialized prison units for close monitoring, early psychiatric intervention with appropriate pharmacologic/behavioral therapy, and limiting hospital admissions to prevent secondary gain. Further studies are needed to determine the most effective approach to manage and prevent RIFB ingestion.


Assuntos
Corpos Estranhos , Recidiva Local de Neoplasia , Adulto , Ingestão de Alimentos , Endoscopia , Corpos Estranhos/diagnóstico por imagem , Corpos Estranhos/cirurgia , Humanos , Masculino , Fatores de Risco , Adulto Jovem
10.
Cir Cir ; 89(S1): 106-108, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34762630

RESUMO

Penetrating injuries caused by needlefish are very uncommon. Most of them have been reported in the Indo-Pacific region. We report a case of an occipito-cervical penetrating injury that occurred in the Mexican Tropical Pacific, and we describe the treatment of this injury.


Assuntos
Beloniformes , Corpos Estranhos , Ferimentos Penetrantes , Animais , Corpos Estranhos/complicações , Corpos Estranhos/diagnóstico por imagem , Corpos Estranhos/cirurgia , Humanos , Pescoço , Ferimentos Penetrantes/etiologia , Ferimentos Penetrantes/cirurgia
11.
BMC Pregnancy Childbirth ; 21(1): 789, 2021 Nov 23.
Artigo em Inglês | MEDLINE | ID: mdl-34809587

RESUMO

BACKGROUND: Ureteral stents are commonly used in the field of urology to relieve ureteral obstruction. However, complications relating to ureteral stent use, such as encrustation continue to occur, especially with prolonged indwell time. CASE PRESENTATION: Here we present a 37-year-old postpartum woman with a foreign body in her bladder after removing a ureteral stent 1 month before. She insisted that the foreign body was the fragment of stent and asked for medical malpractice indemnity payments while the surgeon of her insisted that the stent was intact during the procedure. Finally, the foreign body was confirmed as an encrustation by cystoscopy and the patient received 10,000 yuan ($ 1500) as indemnity payments after encrustation removal. CONCLUSION: In the absence of guidelines, stent indwelling time vary with centers' habits, stent materials and patient's education. Early detection of stent encrustation and timely removal of the encrusted stent are still the best way to avoid stent retention. Violent stent removal is of danger and not recommended in any case.


Assuntos
Remoção de Dispositivo/efeitos adversos , Stents/efeitos adversos , Adulto , Feminino , Corpos Estranhos/cirurgia , Humanos , Período Pós-Parto , Ureter/cirurgia , Obstrução Ureteral/cirurgia
12.
BMJ Case Rep ; 14(11)2021 Nov 12.
Artigo em Inglês | MEDLINE | ID: mdl-34772686

RESUMO

Iliopsoas abscesses (IPA) are uncommon, with an associated mortality rate of up to 20%. We describe the case of a 55-year-old man war veteran who presented with an unusual cause of IPA secondary to retained foreign body (FB). His initial trauma 30 years before was a result of a blast injury with shrapnel penetration suffered after inadvertently driving over a landmine as an ambulance driver in a conflict region. A CT scan was performed, revealing a 13 mmx8 mm radio-opaque FB within the right psoas at the level of the fifth lumbar vertebra with a surrounding collection. Subsequent open surgical exploration removed two gravel fragments. Given the knowledge of a traumatic blast injury with retained FB and repeated episodes of sepsis, surgical exploration is warranted. To our knowledge, this is the first case of recurrent IPA secondary to a retained FB from a historical trauma.


Assuntos
Traumatismos por Explosões , Corpos Estranhos , Abscesso do Psoas , Traumatismos por Explosões/complicações , Traumatismos por Explosões/diagnóstico por imagem , Traumatismos por Explosões/cirurgia , Corpos Estranhos/complicações , Corpos Estranhos/diagnóstico por imagem , Corpos Estranhos/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Abscesso do Psoas/diagnóstico por imagem , Abscesso do Psoas/etiologia , Abscesso do Psoas/cirurgia , Tomografia Computadorizada por Raios X
13.
J Avian Med Surg ; 35(3): 361-366, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34677035

RESUMO

An Indian runner duck (Anas platyrhynchos domesticus) was presented for a second opinion after a linear, metallic foreign body was identified on radiographic images. The primary veterinarian performed diagnostic imaging while investigating the presenting complaint of the duck's left pelvic limb lameness. The images obtained from a computed tomography scan performed during the second-opinion visit revealed a linear, metallic foreign body with an associated migration tract originating from the ventriculus and terminating in the proximal left femur. Significant osteomyelitis was noted at the proximal left femur associated with the presence of the linear, metallic object. The foreign body and the adhesions associated with its migration were removed in 2, staged, surgical procedures. Although penetrating ventricular foreign bodies have been previously reported, migration through the cortex of a long bone is an unusual presentation. This case demonstrates that perforating, migrating, gastrointestinal foreign bodies can result in lameness refractory to analgesia and ancillary supportive care.


Assuntos
Patos , Corpos Estranhos , Animais , Corpos Estranhos/complicações , Corpos Estranhos/diagnóstico por imagem , Corpos Estranhos/cirurgia , Corpos Estranhos/veterinária , Moela das Aves , Tomografia Computadorizada por Raios X
14.
J Healthc Eng ; 2021: 3694664, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34630983

RESUMO

The objective is to study the application of spiral CT in the diagnosis of the trachea in children. In this study, the effect of 64-slice multislice spiral CT in diagnosing infant bronchial bridge was studied based on an artificial neural network. From June 2020 to December 2020, 100 cases of children with the trachea in the outpatient department of our hospital were selected as the research object. They were divided into the study group and the control group, with 50 cases in each group. The results showed that among the 50 cases in the control group, 42 cases were found to have a bronchial foreign body and 8 cases were missed; the detection rate was 84%. There were 7 cases of trachea foreign body, 15 cases of left bronchial foreign body, 14 cases of right bronchial foreign body, and 6 cases of medium bronchial foreign body. The detection rate of the study group was significantly higher than that of the control group, with a statistical significance (P < 0.05). Conclusion. The detection rate of neural networks in MSCT is higher than that of X-ray, and the MSCT based on the artificial neural network can clearly show the morphology, position, and the relationship between the foreign body and trachea, which is worthy of clinical promotion and application.


Assuntos
Brônquios , Corpos Estranhos , Brônquios/diagnóstico por imagem , Criança , Corpos Estranhos/diagnóstico por imagem , Humanos , Lactente , Redes Neurais de Computação , Tomografia Computadorizada Espiral , Traqueia/diagnóstico por imagem
15.
Compend Contin Educ Dent ; 42(9): e5-e8, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34606294

RESUMO

The displacement or invasion of a foreign object (eg, amalgam, dental bur, dental cement, dental implant) into the maxillary sinus can lead to various negative sequelae. Several techniques have been described for the removal of such objects, but although all of them require correct diagnosis and accurate determination of the exact size and location of the foreign object before the removal procedure is performed, high postoperative complication rates often result from these invasive procedures. The authors propose the categorization of two different types of maxillary sinus areas that can be invaded by dental implants and/or foreign objects; diagnosis and treatment are predicated on differentiating and/or identifying these two spaces. The clinical implications of these classifications include the ability to select from and execute appropriate and minimally invasive removal techniques, which are described and demonstrated in three presented case reports.


Assuntos
Implantes Dentários , Corpos Estranhos , Implantes Dentários/efeitos adversos , Corpos Estranhos/diagnóstico por imagem , Corpos Estranhos/cirurgia , Humanos , Seio Maxilar/diagnóstico por imagem , Seio Maxilar/cirurgia , Complicações Pós-Operatórias
16.
J Cardiothorac Surg ; 16(1): 291, 2021 Oct 09.
Artigo em Inglês | MEDLINE | ID: mdl-34627308

RESUMO

BACKGROUND: Esophageal perforation and rupture (EPR) is a serious, potentially life-threatening condition. However, no treatment methods have been established, and data concerning factors affecting mortality are limited. This report presents the prognostic factors of mortality in EPR based on experience in the management of such patients. METHODS: For this retrospective analysis, 79 patients diagnosed as having EPR between 2006 and 2016 and managed at Gyeongsang National University Hospital were examined. The management method was determined in accordance with the location and size of the EPR, laboratory findings, and radiological findings. Thirty-nine patients were treated with surgery; and 40, with nonsurgical management. RESULTS: The most common cause of EPR was foreign body (fish bone or meat bone), followed by vomiting, iatrogenic causes, and trauma. Thirty-nine patients underwent primary repair of EPR, of whom 4 patients died. Forty patients underwent nonsurgical management, of whom 3 patients died. The remaining patients were discharged. Mortality correlated with the size of the EPR (> 25 mm) and the segmented neutrophil count percentage (> 86.5%) in the white blood cell test and differential. CONCLUSIONS: The mortality risk was increased when the EPR size and the segmented neutrophil count percentage in the white blood cell test and differential was high. Delayed diagnosis, which was considered an important predictive factor in previous investigations, was not statistically significant in this study. TRIAL REGISTRATION: Not applicable.


Assuntos
Perfuração Esofágica , Corpos Estranhos , Perfuração Esofágica/diagnóstico , Perfuração Esofágica/etiologia , Humanos , Prognóstico , Estudos Retrospectivos , Ruptura
20.
BMC Gastroenterol ; 21(1): 385, 2021 Oct 19.
Artigo em Inglês | MEDLINE | ID: mdl-34666708

RESUMO

BACKGROUND: Ingested foreign objects frequently require emergency removal. This study aimed to investigate the clinical outcomes of endoscopic removal of foreign bodies from the upper gastrointestinal tract and the risk factors for adverse events. METHODS: Adults (> 18 years) who underwent endoscopic management of ingested foreign bodies at two centers, one inland and one on the coast, between January 2008 and December 2017 were eligible. Clinical characteristics and procedure-related outcomes were retrospectively reviewed. Patients were divided into two groups, based on whether the foreign bodies were sharp or blunt in shape. RESULTS: A total of 853 patients aged 19-96 years were analyzed. Ingestion of fish bones was more common in the coastal area, whereas ingestion of food boluses was more common in the inland area. The duration of impaction ranged from 1 h to over 1 month and was significantly longer in patients who ingested blunt than sharp foreign bodies (15 vs. 5 h, p < 0.001). Most (98.9%) foreign bodies were successfully removed. Adverse events occurred in 31.2 % of patients, including ulcers (4.0%) and perforations (3.3 %). Multivariate analysis showed that age (odds ratio [OR] 1.015, p = 0.012), sharp foreign bodies (OR 5.133, p < 0.001), location in the esophagus (OR 2.723, p = 0.018), and duration of impaction (OR 1.431, p < 0.001) were factors associated with adverse events. CONCLUSIONS: Early recognition and timely endoscopic removal of ingested foreign bodies, particularly in elderly patients and those with sharp foreign bodies, may improve clinical outcomes.


Assuntos
Corpos Estranhos , Trato Gastrointestinal Superior , Adulto , Idoso , Animais , Endoscopia , Esôfago/cirurgia , Corpos Estranhos/cirurgia , Humanos , Estudos Retrospectivos , Trato Gastrointestinal Superior/cirurgia
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