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4.
Ned Tijdschr Tandheelkd ; 128(2): 79-86, 2021 Feb.
Artigo em Holandês | MEDLINE | ID: mdl-33605256

RESUMO

Accidental aspiration or ingestion of foreign bodies in a dental setting is a rare occurrence. Taking preventive measures plays an important role. Ingestion is more common, but aspiration leads to complications in a larger number of cases. The most feared complications of ingestion and aspiration are bowel perforation and respiratory compromise, respectively. After taking initial measures to remove the object, adequate imaging is indicated. In cases of aspiration, a bronchoscopy is needed. In cases of ingestion, endoscopic intervention is only required if a large, sharp or irregularly shaped object is involved or if the patient displays symptoms that might indicate perforation. In other cases, conservative management using serial radiology and stool check-ups is sufficient. If after 7 days there is no evidence of the object having left the body, imaging is necessary, possibly supplemented with endoscopic or surgical removal.


Assuntos
Deglutição , Corpos Estranhos , Corpos Estranhos/diagnóstico por imagem , Corpos Estranhos/cirurgia , Humanos , Radiografia
6.
Niger J Clin Pract ; 24(2): 295-298, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33605923

RESUMO

Tracheobronchial foreign body aspiration (FBA), a common pediatric presentation to emergency departments, is still a public healthcare problem affecting children all over the world. There are several types of foreign bodies reported from different parts of the world, including both organic or nonorganic substances. Pica, another interesting clinical entity, is characterized by persistent eating of nonnutritive substances, which is inappropriate for the maturation stage of the individual. A 3-year-old pediatric patient was admitted to our emergency department with a 3-day history of coughing and new onset respiratory distress. A chest X-ray was performed and it showed a suspicious radiopaque foreign body in the localization of left bronchi. Urgent rigid bronchoscopy was performed. The foreign body in the left main bronchi was, surprisingly, a 0.5-1 cm diameter, irregularly shaped stone particle. The laboratory evaluations and patient history revealed the diagnosis of severe iron deficiency anemia and accompanying pica. Stone aspiration, as an FBA, is a rare but potentially life-threatening complication of pica. Iron deficiency anemia accompanied by pica should be diagnosed and treated in the early stage of the disease because of their complications. According to our knowledge and literature search, this is the first case of stone aspiration as a complication of severe iron deficiency anemia and pica.


Assuntos
Corpos Estranhos , Brônquios/diagnóstico por imagem , Broncoscopia , Criança , Pré-Escolar , Corpos Estranhos/complicações , Corpos Estranhos/diagnóstico por imagem , Corpos Estranhos/cirurgia , Humanos , Lactente , Pica/complicações , Estudos Retrospectivos
8.
Orv Hetil ; 162(3): 112-115, 2021 01 17.
Artigo em Húngaro | MEDLINE | ID: mdl-33459606

RESUMO

Összefoglaló. Az appendectomia szövodményei a leggyakrabban a korai posztoperatív idoszakban jelentkeznek. A mutét után évekkel megjeleno szövodmény ritka. Egy 11 éves kislányt vizsgáltunk 2 hete fennálló hasi panaszok miatt. Anamnézisében 8 évvel ezelott hagyományos módon elvégzett appendectomia szerepel. Az Ausztriában készült elso hasi ultrahangvizsgálat eltérést nem talált. Az intézetünkben elvégzett képalkotó vizsgálatok - hasi ultrahang, MR-vizsgálat - ileocoecalisan elhelyezkedo szolid terimét igazoltak, és felvetették a folyamat gyulladásos eredetét. A szerteágazó klinikai tünetek, a laboratóriumi és a képalkotó diagnosztikai eltérések kapcsán differenciáldiagnosztikai szempontból a gyulladásos bélbetegség lehetosége is felmerült, és biztonsággal a tumoros folyamatot sem sikerült kizárni. A rosszabbodó status miatt mutét történt. Ennek során a colon ascendenssel összefüggo, makroszkóposan tumoros megjelenésu elváltozást távolítottak el. A szövettani vizsgálat malignitást nem igazolt, a folyamat idegen test okozta - varróanyag-granuloma - krónikus gyulladásos jellegét erosítette meg. A vizsgálatok kapcsán coeliakia is igazolódott. A hasi mutétek ritka szövodménye a Schloffer-tumor, melyet idegen test típusú - gyakran sebészi varróanyag-maradvány körüli - granulomatosus gyulladásos folyamat jellemez. Az entitás ismerete differenciáldiagnosztikai szempontból fontos. Nehezítette a diagnózist az elso hasi ultrahangvizsgálat negatív eredménye és az egyidejuleg manifesztálódó coeliakia. Orv Hetil. 2021; 162(3): 112-115. Summary. Generally, complications with appendectomy occur during the early postoperative stage and are quite rare years after the operation. In case of late manifestation of complications, the clinical signs are generally unspecific. We report a case of an 11-year-old girl - who underwent an appendectomy 8 years ago - with abdominal pain during the last 2 weeks. The first ultrasound examinations were carried out in Austria with normal results. In our department, the ultrasonography and the MR examinations showed an inhomogeneous abdominal mass which was connected to the abdominal wall and with the suspicion of inflammation. Because of the diversified results of radiology imaging and laboratory test, inflammatory bowel disease and tumor were considered in the differential diagnosis. During the operation, a tumor-like lesion related to the ascending colon was found. The histopathological examination revealed a foreign body type suture granuloma with a central abscess. Malignancy was not found. The clinical investigation proved celiac disease, too. The Schloffer tumor is a rare complication after abdominal surgery. This is a foreign body type inflammatory granuloma mainly around a surgical thread. The knowledge of the entity is important in differential diagnostic aspect. The presence of celiac disease in combination with the negative result of the first ultrasound examination made the exact diagnosis more difficult. Orv Hetil. 2021; 162(3): 112-115.


Assuntos
Apendicectomia/efeitos adversos , Corpos Estranhos/diagnóstico por imagem , Ultrassonografia/métodos , Áustria , Criança , Feminino , Corpos Estranhos/cirurgia , Humanos , Complicações Pós-Operatórias
9.
Medicina (Kaunas) ; 57(1)2021 Jan 08.
Artigo em Inglês | MEDLINE | ID: mdl-33430107

RESUMO

Foreign body (FB) aspiration occurs less frequently in adults than in children. Among the complications related to FB aspiration, pneumothorax is rarely reported in adults. Although the majority of FB aspiration cases can be diagnosed easily and accurately by using radiographs and bronchoscopy, some patients are misdiagnosed with endobronchial tumors. We describe a case of airway FB that mimicked an endobronchial tumor presenting with pneumothorax in an adult. A 77-year-old man was referred to our hospital due to pneumothorax and atelectasis of the right upper lobe caused by an endobronchial nodule. A chest tube was immediately inserted to decompress the pneumothorax. Chest computed tomography with contrast revealed an endobronchial nodule that was seen as contrast-enhanced. Flexible bronchoscopy was performed to biopsy the nodule. The bronchoscopy showed a yellow spherical nodule in the right upper lobar bronchus. Rat tooth forceps were used, because the lesion was too slippery to grasp with ellipsoid cup biopsy forceps. The whole nodule was extracted and was confirmed to be a FB, which was determined to be a green pea vegetable. After the procedure, the chest tube was removed, and the patient was discharged without any complications. This case highlights the importance of suspecting a FB as a cause of pneumothorax and presents the possibility of misdiagnosing an aspirated FB as an endobronchial tumor and selecting the appropriate instrument for removing an endobronchial FB.


Assuntos
Brônquios , Neoplasias Brônquicas/diagnóstico , Diagnóstico Diferencial , Corpos Estranhos/diagnóstico por imagem , Ervilhas , Derrame Pleural/diagnóstico por imagem , Pneumotórax/diagnóstico por imagem , Idoso , Broncoscopia , Corpos Estranhos/complicações , Corpos Estranhos/cirurgia , Humanos , Masculino , Derrame Pleural/etiologia , Derrame Pleural/terapia , Pneumotórax/etiologia , Pneumotórax/terapia , Aspiração Respiratória
11.
BMJ Case Rep ; 14(1)2021 Jan 18.
Artigo em Inglês | MEDLINE | ID: mdl-33462029

RESUMO

Dry socket or alveolar osteitis is one of the most common complication following tooth extraction. Patients usually reports of pain, which typically starts on third or fourth postoperative day and responds to simple irrigation and placement of zinc oxide eugenol (ZOE) pack, which provides an obtundent effect. The pack should be loosely kept in the extraction socket and should be changed periodically to allow healing. This report presents a case of retrieval of foreign body, which actually was a ZOE pack from maxillary sinus, 6 months after the patient underwent extraction of upper left maxillary first molar.


Assuntos
Alvéolo Seco/terapia , Corpos Estranhos/diagnóstico por imagem , Corpos Estranhos/etiologia , Seio Maxilar , Extração Dentária/efeitos adversos , Adulto , Alvéolo Seco/etiologia , Corpos Estranhos/cirurgia , Humanos , Masculino , Dente Molar , Radiografia Panorâmica
13.
BMJ Case Rep ; 14(1)2021 Jan 05.
Artigo em Inglês | MEDLINE | ID: mdl-33402370

RESUMO

A 67-year-old man presented with a 2-month history of pain in his right buttock and lower limb. MRI depicted right L5/S1 lateral recess stenosis requiring surgical treatment; however, preoperative CT showed an approximately 7 cm long, thin, rod-shaped structure in the rectum, which was ultimately determined to be an accidentally ingested toothpick. It was removed surgically 6 days after diagnosis, because right leg pain worsened rapidly. The pain disappeared thereafter, and the symptoms have not recurred since. The pain might have been localised to the right buttock and posterior thigh in the early stages because the fine tip of the toothpick was positioned to the right of the anterior ramus of the S2 spinal nerve. Although sacral plexus disorder caused by a rectal foreign body is extremely rare, physicians should be mindful to avoid misdiagnosis.


Assuntos
Corpos Estranhos/diagnóstico por imagem , Corpos Estranhos/cirurgia , Plexo Lombossacral , Doenças do Sistema Nervoso Periférico/diagnóstico por imagem , Doenças do Sistema Nervoso Periférico/etiologia , Reto , Idoso , Corpos Estranhos/complicações , Humanos , Masculino , Doenças do Sistema Nervoso Periférico/cirurgia
14.
Clin Imaging ; 69: 150-157, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32745894

RESUMO

Accidental ingestion of fish bone is a common occurrence in populations that consume unfilleted fish. Although most ingested foreign bodies pass through the gastrointestinal tract uneventfully within a week, less than 1% of patients unfortunately develop gastrointestinal perforation. Occasionally, some patients who are unaware of an episode of fish bone ingestion may present sub-acutely with symptoms mimicking inflammatory conditions or pyrexia of unknown origin. Computed tomography (CT) is the definitive imaging modality in the diagnosis of fish bone foreign body and its complications. This pictorial essay aims to illustrate the various complications related to fish bone ingestion, broadly divided into gastrointestinal related complications and extra-gastrointestinal complications related to migration of fish bone. Radiologists should be familiar with the myriad of possible complications, and take heed that a relevant history of fish bone ingestion is often absent.


Assuntos
Corpos Estranhos , Gastroenteropatias , Animais , Osso e Ossos/diagnóstico por imagem , Ingestão de Alimentos , Corpos Estranhos/complicações , Corpos Estranhos/diagnóstico por imagem , Humanos , Masculino , Alimentos Marinhos/efeitos adversos
15.
AJR Am J Roentgenol ; 216(2): 542-551, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-33356431

RESUMO

OBJECTIVE. The purpose of this article was to determine whether the radiographic and CT appearance of ballistic projectiles predicts their composition and to characterize the translational, rotational, and temperature effects of a 1.5-T MRI magnetic field on representative bullets. MATERIALS AND METHODS. Commercially available handgun and shotgun ammunition representing projectiles commonly encountered in a clinical setting was fired into ballistic gelatin as a surrogate for human tissue, and radiographs and CT images of these gelatin blocks were obtained. MR images of unfired bullets suspended in gelatin blocks were also obtained using T1- and T2-weighted sequences. Magnetic attractive force, rotational torque, and heating effects of unfired bullets were assessed at 1.5 T. RESULTS. Fired bullets were separated into ferromagnetic and nonferromagnetic groups based on the presence of a debris trail and deformation of the primary projectile in the gelatin blocks. Whereas ferromagnetic bullets showed mild torque forces and marked imaging artifacts at 1.5 T, nonferromagnetic bullets did not have these effects. Heating above the Food and Drug Administration limit of 2°C was not observed in any of the projectiles tested. CONCLUSION. Patients with ballistic embedded fragments are frequently denied MRI because the bullet composition cannot be determined without shell casings. We found that radiography and CT can be used to identify nonferromagnetic projectiles that are safe for MRI. We also present an algorithm for determining the triage of patients with retained bullets.


Assuntos
Corpos Estranhos/diagnóstico por imagem , Balística Forense , Imagem por Ressonância Magnética , Ferimentos por Arma de Fogo/diagnóstico por imagem , Algoritmos , Artefatos , Armas de Fogo , Humanos , Modelos Biológicos , Valor Preditivo dos Testes , Tomografia Computadorizada por Raios X
19.
J Oral Maxillofac Surg ; 79(3): 537.e1-537.e7, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33358721

RESUMO

Surgical removal of third molars is a common procedure undertaken by both general dentists and oral and maxillofacial surgeons. Although rare, iatrogenic displacement of the tooth or root fragments into adjacent fascial spaces is a known complication. This case report details the retrieval of displaced root tips from a mandibular third molar into the sublingual space using intraoperative navigation to minimize surgical exploration. Oral-maxillofacial surgeons should consider using 3-dimensional navigation during scheduled retrieval of displaced teeth, fragments, or foreign objects to minimize the risk of surgical complications.


Assuntos
Corpos Estranhos , Dente Impactado , Corpos Estranhos/diagnóstico por imagem , Corpos Estranhos/cirurgia , Humanos , Dente Molar , Dente Serotino/diagnóstico por imagem , Dente Serotino/cirurgia , Soalho Bucal , Extração Dentária
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