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1.
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
2.
J Int Med Res ; 49(10): 3000605211049923, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34648362

RESUMO

Most nail gun injuries involve the extremities and result from work-related accidents. Injuries to the brain or thorax are relatively rare, and cases with injuries to both regions are even rarer and often lethal. Initial evaluation, resuscitation, and surgical planning can be challenging for emergency physicians and surgeons. We present the details of a man with multiple nail gun injuries to the brain, lung, and heart following a suicide attempt. The patient presented to the emergency department in shock. After immediate resuscitation, emergent sternotomy, and subsequent craniotomy, he was discharged without significant morbidity. According to the literature, this is the only reported case involving multiple nail gun injuries to the brain, lungs, and heart. The mortality rate of multiple nail gun injuries involving the head and chest is approximately 20%. Rapid evaluation, immediate resuscitation, and appropriate imaging and surgery are crucial for increasing survival and achieving a good prognosis. Emergency sternotomy for cardiac injury is the foremost priority, and the timing of craniotomy depends on the patient's vital sign status and whether brain injury is evident.A preprint of this article is available online: DOI: 10.21203/rs.3.rs-35448/v1.


Assuntos
Corpos Estranhos , Traumatismo Múltiplo , Ferimentos Penetrantes , Encéfalo , Corpos Estranhos/diagnóstico por imagem , Corpos Estranhos/cirurgia , Humanos , Pulmão , Masculino , Tomografia Computadorizada por Raios X
3.
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
4.
J Med Case Rep ; 15(1): 533, 2021 Oct 20.
Artigo em Inglês | MEDLINE | ID: mdl-34670611

RESUMO

INTRODUCTION: With early diagnosis, fiberoptic or rigid bronchoscopy methods are the gold standard in the management of tracheobronchial foreign body. Otherwise, nonrecognized bronchial foreign bodies cause irreversible damage to the airways and lungs. The deficiency of the health system noted in many developing countries such as Madagascar, combined with the fundamental problem relating to children's conditions, which are determined by social and educational factors, makes it almost impossible to provide early and appropriate management of the penetration syndrome. CASE PRESENTATION: An 11-year-old Malagasy female patient was referred to our hospital for an investigation of the etiology of the patient's hemoptysis. The investigations revealed a localized bronchiectasis and atelectasis due to a foreign body obstructing the left main bronchus. Based on the hemoptysis and left lung almost destroyed by an occlusive lesion within, we decided to proceed with left pneumonectomy. A retrospective interrogation revealed a choking episode 4 years prior in elementary school after the child sucked on a pen cap and involuntarily aspirated it. Two years after the pneumonectomy, our patient was doing well and was asymptomatic. CONCLUSION: In this case report, we describe a rare case of a late presentation of foreign body aspiration that resulted in a left pneumonectomy in a child. Despite our favorable results, pneumonectomy must be the preferred last option. Preventive actions remain the optimal approach.


Assuntos
Corpos Estranhos , Pneumonectomia , Brônquios/diagnóstico por imagem , Brônquios/cirurgia , Broncoscopia , Criança , Feminino , Corpos Estranhos/diagnóstico por imagem , Corpos Estranhos/cirurgia , Humanos , Estudos Retrospectivos
5.
Vestn Otorinolaringol ; 86(4): 46-49, 2021.
Artigo em Russo | MEDLINE | ID: mdl-34499447

RESUMO

OBJECTIVE: Of this study is to determine the optimal algorithm for active verification and treatment of children with foreign bodies of the esophagus, analysis of the causes and development of related complications. PATIENTS AND METHOD: The results of examination and treatment of 320 children with foreign bodies of the esophagus for the period from 2011 to 2017 were analyzed. The vast majority of patients (79.4%) were between 1 and 5 years old. The period from the moment of accidental ingestion of a foreign body to hospitalization ranged from 3 hours to 2 months. It was found that the x-ray method made it possible to confirm the presence of a foreign body in the esophagus in 89.1% of cases, to identify the nature of the radiopaque foreign body and associated complications in 100% of cases. RESULTS: In order to remove a foreign body, 314 emergency endoscopic interventions were performed. In 79.6% of cases, a foreign body was localized in the upper third of the esophagus. Coins were the most frequently found foreign bodies of the esophagus (80.1%), the second place was taken by disk-type batteries (8.7%), and the third - by bones of various origin (4.5%). Among all foreign bodies, the most dangerous were disk batteries, causing serious complications in 72% of cases, the treatment of which requires the joint efforts of doctors of various specialties. The occurrence and severity of complications was directly dependent on the nature, size, location of fixation and the length of stay of a foreign body in the esophagus. CONCLUSION: Main conclusion of this study is that children with suspected foreign body of the esophagus need emergency examination and treatment exclusively in a multidisciplinary medical institution.


Assuntos
Esôfago , Corpos Estranhos , Criança , Pré-Escolar , Endoscopia , Esôfago/diagnóstico por imagem , Esôfago/cirurgia , Corpos Estranhos/diagnóstico por imagem , Corpos Estranhos/cirurgia , Humanos , Lactente , Radiografia , Estudos Retrospectivos
6.
Vestn Otorinolaringol ; 86(4): 111-115, 2021.
Artigo em Russo | MEDLINE | ID: mdl-34499458

RESUMO

The article presents a clinical example of the course of posttraumatic acute purulent sinusitis with reactive soft tissue phenomena due to the previous injury of the orbit by a foreign body, the introduction of the latter into orbit and the maxillary sinus result in a fracture of the lower wall of the orbit. A feature of the injury is the penetration of a foreign body through the conjunctiva of the lower eyelid and lower conjunctival fornix, without damaging the skin. This case is professionally interesting for both young doctors and experienced specialists in otolaryngology, ophthalmology, maxillofacial surgery and neurosurgery. Experts, analyzing this clinical example, will be able to correctly diagnose, effectively eliminate the inflammatory process in the maxillary sinus.


Assuntos
Corpos Estranhos , Sinusite Maxilar , Corpos Estranhos/complicações , Corpos Estranhos/diagnóstico , Corpos Estranhos/cirurgia , Humanos , Seio Maxilar/cirurgia , Sinusite Maxilar/diagnóstico , Sinusite Maxilar/etiologia , Sinusite Maxilar/cirurgia , Procedimentos Neurocirúrgicos , Órbita/diagnóstico por imagem
7.
JNMA J Nepal Med Assoc ; 59(237): 460-463, 2021 May 25.
Artigo em Inglês | MEDLINE | ID: mdl-34508437

RESUMO

INTRODUCTION: Foreign body is any object in a region it is not meant to be, where it can cause harm if immediate medical attention is not sought. Its removal by surgical procedure is one of the commonest surgeries done. The objective is to find out prevalence of the patients who underwent operation for foreign bodies obstruction in food passage in the Department of Otorhinolaryngology-Head and Neck Surgery in a tertiary care centre. METHODS: A descriptive cross-sectional study conducted among patients operated in the Department of Otorhinolaryngology and Head and Neck Surgery of a tertiary care center from August 2014 to May 2017. Ethical approval was received from the Institutional Review Committee of the Institute. Convenience sampling method was used. Statistical Package for the Social Sciences was used for analysis. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. RESULTS: Out of total 700 patients having operation in department, 115 (16.42%) (95% Confidence Interval = 13.67-19.16) had operation for foreign body obstruction in the food passage. Among 115 patients, 62 (53.90%) were males and 53 (46.10%) were females. Most common foreign bodies ingested in children was coin 17 (14.78%) and bone chips 40 (34.78%) in adults. Cricopharynx 90 (78.26%) is the commonest site for foreign body lodgement. CONCLUSIONS: Prevalence of the patients who underwent operation for foreign bodies obstruction in food passage in a tertiary care hospital is high. Their removal by rigid oesophagoscopy is one of the commonest surgical procedures done in tertiary care center.


Assuntos
Corpos Estranhos , Adulto , Criança , Estudos Transversais , Feminino , Corpos Estranhos/epidemiologia , Corpos Estranhos/cirurgia , Humanos , Masculino , Prevalência , Centros de Atenção Terciária
8.
JNMA J Nepal Med Assoc ; 59(239): 683-687, 2021 Jul 30.
Artigo em Inglês | MEDLINE | ID: mdl-34508501

RESUMO

INTRODUCTION: Most ingested foreign bodies pass through the gastrointestinal tract spontaneously. However, some foreign bodies may get impacted in the upper gastrointestinal tract. A variety of endoscopic techniques and instruments are indicated for the removal of such impacted foreign bodies. This study was conducted to find out the prevalence of successful endoscopic removal of foreign bodies. METHODS: This descriptive cross-sectional study was conducted among patients who presented at the Department of Gastroenterology with complaints of upper gastrointestinal foreign body ingestion from 2/11/2008 to 23/07/2020 after taking ethical approval of the research proposal was taken from Institutional Review Board (Reference no 13). Convenient sampling was done. The data were entered into Microsoft Excel and analyzed in Statistical Package of Social Sciences version 22. RESULTS: A total of 119 cases were identified with foreign bodies ingestion. In hundred patients, foreign bodies 100 (84 %) (77.41-90.58 at 95% Confidence Interval) were extracted completely. Complete extraction failed in 19 (16%) patients. Six (5%) patients were treated by push technique and 10 (8.4%) patients with failed retrieval, received surgical intervention for foreign body removal. CONCLUSIONS: Endoscopic removal technique of foreign bodies in the upper gastrointestinal tract was successful in most of the cases and is associated with few complications.


Assuntos
Corpos Estranhos , Trato Gastrointestinal Superior , Estudos Transversais , Endoscopia Gastrointestinal , Corpos Estranhos/epidemiologia , Corpos Estranhos/cirurgia , Humanos , Centros de Atenção Terciária , Trato Gastrointestinal Superior/diagnóstico por imagem , Trato Gastrointestinal Superior/cirurgia
9.
Pan Afr Med J ; 39: 186, 2021.
Artigo em Francês | MEDLINE | ID: mdl-34584611

RESUMO

Traumatic transfixed wounds of the limbs due to embedded foreign body are rare. Antebrachial segment involvement can lead to tissue damage, requiring specialized surgical treatment. Few studies have been reported, but surgical removal of the foreign body is indicated. We report the case of a 23-year-old patient, victim of physical violence, presenting with a transfixed wound due to the implantation of an atypical knife in the forearm. Clinical and radiographic tests showed significant muscle and neurovascular lesions. Surgical removal of the knife and lesion repair were performed. Surgical treatment of these traumas must be performed by an experienced surgical team to avoid the occurrence of iatrogenic lesions.


Assuntos
Traumatismos do Antebraço/diagnóstico por imagem , Corpos Estranhos/diagnóstico por imagem , Ferimentos Perfurantes/diagnóstico por imagem , Traumatismos do Antebraço/cirurgia , Corpos Estranhos/cirurgia , Humanos , Masculino , Ferimentos Perfurantes/cirurgia , Adulto Jovem
10.
J Med Case Rep ; 15(1): 452, 2021 Sep 12.
Artigo em Inglês | MEDLINE | ID: mdl-34509175

RESUMO

BACKGROUND: Impaction of foreign body is a common condition presented to ear, nose, and throat department among Asian population. The commonest foreign body seen among this population has been documented as fish bone. Fish bone can migrate to lateral neck space or related organs around the neck and chest. By presenting this case report, we aim to emphasize the importance of taking proper history and make clinicians aware of the possibility of a fish bone migrating into different spaces. This will help to prevent diagnosis delay leading to complications due to migrated fish bone. CASE PRESENTATION: A 50-year-old female Sinhalese patient presented to ear, nose, and throat department with right-sided neck pain for 2 days, who had a history of suspected fish bone impaction a few days ago that subsided without any investigations or treatments. She did not have any symptoms related to throat, and neck examination showed mild swelling and tenderness. Computer tomography revealed a migrated fish bone into the lateral neck close to carotid artery, and the fish bone was removed by neck exploration under general anesthesia without any complications. CONCLUSION: In conclusion, migrated fish bone should be suspected if patient is having persistent symptoms mainly in the neck without having difficulty swallowing and who gives a history of fish bone impaction and having negative laryngoscopic examination. Proper history taking is very important in the assessment of these patients to prevent misdiagnosis of the condition. Clinicians should aware that migrated fish bones are not uncommon and that early suspicion can prevent later diagnosis and complications.


Assuntos
Corpos Estranhos , Migração de Corpo Estranho , Animais , Feminino , Corpos Estranhos/complicações , Corpos Estranhos/diagnóstico por imagem , Corpos Estranhos/cirurgia , Migração de Corpo Estranho/diagnóstico por imagem , Migração de Corpo Estranho/cirurgia , Humanos , Pessoa de Meia-Idade , Pescoço/diagnóstico por imagem , Alimentos Marinhos , Tomografia Computadorizada por Raios X
11.
J Investig Med High Impact Case Rep ; 9: 23247096211040631, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34420403

RESUMO

Foreign body (FB) ingestion is a common occurrence in the United States with a reported incidence of 120 per 1 million people, accounting for up to 1500 fatalities annually. The majority of FB ingestions will pass through the gastrointestinal tract spontaneously, while in 10% to 20% of patients, intervention will be necessary. A variety of endoscopic devices can be utilized to facilitate FB removal from the gastrointestinal tract, including snares, retrieval nets, and grasping forceps. We report the case of a 58-year-old female who required utilization of endoscopic scissors for FB removal in the setting of multiple failed attempts with traditional methods. This case highlights a novel approach to gastric FB removal utilizing endoscopic scissor forceps, which should be considered in select cases to further improve the efficacy of endoscopic FB removal and reduce the need for surgical intervention.


Assuntos
Corpos Estranhos , Sistema Digestório , Feminino , Corpos Estranhos/diagnóstico por imagem , Corpos Estranhos/cirurgia , Humanos , Pessoa de Meia-Idade
13.
J Int Med Res ; 49(8): 3000605211040761, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34461768

RESUMO

Accidental ingestion of dental prostheses requires immediate emergency action. The authors report a case of accidental ingestion of a dental prosthesis in a patient with a disorder of consciousness. The accidental ingestion was diagnosed by imaging examination, and the location of the dental prosthesis was explored under general anesthesia according to the preoperative examination images. However, no dental prosthesis was found in the hypopharyngeal region. The operators found a radiopaque region in the nasopharynx that was suspicious of a dental prosthesis by X-ray examination of the head and neck region. According to the X-ray examination, the dental prosthesis was removed from the nasopharynx. The patient's postoperative course was uneventful. Postural change for cases of accidental ingestion of dental prostheses may be a simple and important lifesaving step in addition to traditional methods.


Assuntos
Prótese Dentária , Corpos Estranhos , Transtornos da Consciência , Ingestão de Alimentos , Corpos Estranhos/diagnóstico por imagem , Corpos Estranhos/cirurgia , Humanos , Hipofaringe , Radiografia
14.
Kyobu Geka ; 74(9): 660-663, 2021 Sep.
Artigo em Japonês | MEDLINE | ID: mdl-34446617

RESUMO

It is often difficult to remove long-standing bronchial foreign bodies by bronchoscopy. A 77-year-old male was referred to our department for removal of a foreign body. Chest computed tomography revealed a nail in the right S10b. A bronchoscopic examination could not detect the nail due to locating beyond the subsegmental tree, so thoracoscopic right S10 segmentectomy was performed. Intraoperative ultrasonography and X-ray fluoroscopy were useful in understanding the margin for resection.


Assuntos
Corpos Estranhos , Pneumonectomia , Idoso , Brônquios/diagnóstico por imagem , Brônquios/cirurgia , Broncoscopia , Corpos Estranhos/diagnóstico por imagem , Corpos Estranhos/cirurgia , Humanos , Masculino , Toracoscopia
15.
Medicine (Baltimore) ; 100(32): e26908, 2021 Aug 13.
Artigo em Inglês | MEDLINE | ID: mdl-34397925

RESUMO

RATIONALE: Successful removal of an airway foreign body (FB) in some intractable cases can be very challenging, because of tracheal anomalies, unstable respiratory status of the patients, and the location of FB. The use of cardiopulmonary bypass (CPB) support for the treatment of a FB is extremely rare. PATIENT CONCERNS: We present a case of a 39-month-old previously healthy girl who was admitted to our hospital for suspected FB aspiration (FBA). Initially, the attempt for removal of the FB by conventional bronchoscopy failed because of hypoxic intolerance. DIAGNOSES: Bronchoscopy revealed tracheal anomalies and subsequent computed tomography angiography demonstrated the presence of a pulmonary artery sling (PAS), which confirmed the diagnosis of PAS accompanied with FBA. INTERVENTIONS: With the assistance of CPB, multidisciplinary treatment involving the respiratory, cardiothoracic and anesthetic teams were involved and the bronchial FB was removed by flexible bronchoscopy successfully and then PAS was corrected by surgical intervention. OUTCOMES: The patient remained asymptomatic, without shortness of breath or wheezing during the 15 months follow-up. LESSONS: This case highlights that in a complicated case of FBA, bronchoscopy and computed tomography imaging are of great importance to achieve an accurate diagnosis, and a multidisciplinary treatment approach is essential for a satisfactory outcome. If the patient is unstable for bronchoscopy, CPB can be temporarily used in the stabilization of the patient to allow safe removal of the FB.


Assuntos
Brônquios , Broncoscopia/métodos , Ponte Cardiopulmonar/métodos , Corpos Estranhos/cirurgia , Artéria Pulmonar/anormalidades , Malformações Vasculares/cirurgia , Pré-Escolar , Feminino , Corpos Estranhos/complicações , Corpos Estranhos/diagnóstico , Humanos , Artéria Pulmonar/cirurgia , Tomografia Computadorizada por Raios X , Malformações Vasculares/complicações , Malformações Vasculares/diagnóstico
16.
Chirurgia (Bucur) ; 116(eCollection): 1-5, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34463247

RESUMO

Abdominal wall actinomycosis is a very rare infection caused by anaerobic Gram-positive bacteria Actinomyces. We present a case of a 72-year-old female with chronic pain located in the right hypochondriac region and anterior abdominal wall mass which had developed six months before. An ultrasonography (USG) and computed tomography (CT) scan of the abdomen were performed and showed an inflammatory change with a strong internal linear reflection in the right upper abdomen. The tumor was located inside the rectus abdominis muscle and connected with internal organs and subcutaneous tissue. The patient qualified for surgery. En block tumor excision was made with partial resection of the transverse colon. Postoperative study revealed fishbone-associated inflammatory actinomycosis tumor. The patient was successfully managed postoperatively with penicillin and discharged on the 11th day after the surgery.


Assuntos
Parede Abdominal , Actinomicose , Corpos Estranhos , Parede Abdominal/cirurgia , Actinomyces , Actinomicose/complicações , Actinomicose/diagnóstico , Actinomicose/tratamento farmacológico , Idoso , Feminino , Corpos Estranhos/complicações , Corpos Estranhos/diagnóstico por imagem , Corpos Estranhos/cirurgia , Humanos , Resultado do Tratamento
17.
Can Fam Physician ; 67(7): 503-505, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-34261710

RESUMO

QUESTION: A 2-year-old boy presented to my clinic after a caregiver witnessed him swallow a foreign body. The caregiver recalls seeing a small metallic object but is unsure exactly what was ingested. The child was asymptomatic upon examination. How should I identify and localize the foreign body? Do metal foreign bodies need to be removed endoscopically? ANSWER: Foreign body ingestion is very common in children. Considerations must be made for the type of foreign body and site of impaction. A clear patient history and radiographs should be used to localize and identify the object. Handheld metal detectors can also be used to localize known metallic foreign bodies. Most metallic objects that pass the esophagus and reach the stomach will continue to pass without complication. Bowel perforation, sepsis, and even death have been documented in extremely rare cases of multiple magnets, button batteries, and long, angular, or 2-pointed sharp objects. These objects must be removed. Other metallic foreign bodies including coins and single magnets can be managed conservatively with stool monitoring.


Assuntos
Corpos Estranhos , Gastroenteropatias , Pré-Escolar , Esôfago , Corpos Estranhos/diagnóstico por imagem , Corpos Estranhos/cirurgia , Humanos , Masculino , Radiografia , Estômago/diagnóstico por imagem , Estômago/cirurgia
18.
Emerg Med Clin North Am ; 39(3): 529-554, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34215401

RESUMO

Point-of-care ultrasound can improve efficacy and safety of pediatric procedures performed in the emergency department. This article reviews ultrasound guidance for the following pediatric emergency medicine procedures: soft tissue (abscess incision and drainage, foreign body identification and removal, and peritonsillar abscess drainage), musculoskeletal and neurologic (hip arthrocentesis, peripheral nerve blocks, and lumbar puncture), vascular access (peripheral intravenous access and central line placement), and critical care (endotracheal tube placement, pericardiocentesis, thoracentesis, and paracentesis). By incorporating ultrasound, emergency physicians caring for pediatric patients have the potential to enhance their procedural scope, confidence, safety, and success.


Assuntos
Medicina de Emergência Pediátrica , Sistemas Automatizados de Assistência Junto ao Leito , Ultrassonografia de Intervenção , Abscesso/diagnóstico por imagem , Abscesso/cirurgia , Artrocentese/métodos , Cateterismo Venoso Central/métodos , Cateterismo Periférico/métodos , Criança , Drenagem/métodos , Corpos Estranhos/diagnóstico por imagem , Corpos Estranhos/cirurgia , Articulação do Quadril/diagnóstico por imagem , Humanos , Intubação Intratraqueal/métodos , Bloqueio Nervoso/métodos , Paracentese/métodos , Nervos Periféricos/diagnóstico por imagem , Abscesso Peritonsilar/diagnóstico por imagem , Abscesso Peritonsilar/terapia , Punção Espinal/métodos
19.
BMJ Case Rep ; 14(7)2021 Jul 27.
Artigo em Inglês | MEDLINE | ID: mdl-34315744

RESUMO

The case report describes an extremely rare finding of fish bone migration from the aerodigestive tract causing a neck fistula 2 years after its ingestion. Detailed case study and surgical treatment is presented. This case highlights the need for further assessment in presence of a high clinical suspicion of foreign body ingestion with a normal physical examination of the upper aerodigestive tract, to avoid serious and potential life-threatening complications later on.


Assuntos
Fístula , Corpos Estranhos , Doenças do Colo do Útero , Animais , Feminino , Corpos Estranhos/complicações , Corpos Estranhos/diagnóstico por imagem , Corpos Estranhos/cirurgia , Humanos , Alimentos Marinhos
20.
Artigo em Inglês | MEDLINE | ID: mdl-34199186

RESUMO

Vascular injuries constitute a significant problem worldwide. Nearly 90% of arterial injuries concern the vessels in the limbs, of which the arteries of the lower limbs are most often damaged in military operations, while in other cases (mainly road accidents), the vessels of the upper limbs are damaged more often. In this report, the authors present a case of occupational brachial artery injury by a foreign body with subsequent soft tissue hematoma superinfection. The presented case emphasizes the importance of computed tomography angiography as a precise diagnostic tool facilitating the planning of a surgical procedure in patients with an occupational upper limb injury.


Assuntos
Corpos Estranhos , Superinfecção , Angiografia , Artéria Braquial/diagnóstico por imagem , Corpos Estranhos/diagnóstico por imagem , Corpos Estranhos/cirurgia , Hematoma/diagnóstico por imagem , Hematoma/etiologia , Humanos
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