• Title/Summary/Keyword: foreign body

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A Case of Retropharyngeal Abscess Caused by Esophagal Foreign Body (후인두 농양을 초래한 식도이물 1례)

  • 박병원;김명구
    • Korean Journal of Bronchoesophagology
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    • v.4 no.2
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    • pp.254-257
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    • 1998
  • Esophageal foreign body are not uncommon problems in the otolaryngologic field. Esophageal foreign body may cause severe complications such as esophageal ulceration, esophageal perforation, periesophagitis, tracheo-esophageal fistula, mediastinitis, pneumothorax pyothorax according to the kinds, shape, size, duration of lodgement of foreign body. The majority of esophageal foreign U which lodge in the esophagus can be removed endoscopically, but the following type of foreign body may require removal by external route. 1. an impacted foreign body 2. a foreign body producing esophagitis after unsuccessful attempts at removal through the esopahgoscope 3. a periesophageal abscess with a foreign body lodging in the abscess itself. Recently, we experienced a case of esophageal foreign body (fish bone) which penetrate the cervical esophageal wall and formed retropharyngeal abscess in 54-year old female. The foreign body are successfully removed and abscess was drained by external route through the lat neck.

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Ultrasonographic Diagnosis of Subcutaneous Wooden Foreign Body (피하 조직에 발생한 나무 이물의 초음파 진단)

  • Choi, Ji-Hye;Keh, Seo-Yeon;Kim, Sung-Soo;Kim, Hye-Jin;Jang, Jae-Young;Choi, Hee-Yeon;Yoon, Jung-Hee
    • Journal of Veterinary Clinics
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    • v.28 no.1
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    • pp.163-172
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    • 2011
  • Subcutaneous foreign body causes recurrent problems such as chronic soft tissue swelling and discharge. Wooden foreign body is one of the most common foreign bodies found in subcutaneous region including face, interdigit, and thoracic or abdominal area. This report demonstrated three dogs with wooden foreign body located in subcutaneous region of thoracic wall, abdominal wall and upper eyelid, respectively. Three dogs showed prominent soft tissue swelling adjacent the foreign body. A sinus or drainage tract was developed in two of these dogs. Ultrasonography revealed that hyperechoic linear structure accompanied acoustic shadow in all dogs, and which was diagnosed as a subcutaneous foreign body. Anechoic or hyperechoic fluid and hypoechoic tissue circumscribed the foreign body. A subcutaneous foreign body in case 3 was removed by clamp under ultrasound-guide with sedation. Sinography was performed in case 1 and clarified that the wooden foreign body did not perforate the thoracic wall and there was no direct communication into thoracic cavity. Ultrasonography and sinography can be used to identify the subcutaneous foreign body and evaluate the inflammatory reaction and relationship between foreign body and adjacent structures.

Mysterious Foreign Body in Transverse Sinus

  • Oh, Chang-Hyun;Hyun, Dong-Keun
    • Journal of Korean Neurosurgical Society
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    • v.51 no.3
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    • pp.167-169
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    • 2012
  • This case report describes a patient who had a foreign body in transverse sinus. A 35-year-old Korean-Chinese man visited the emergency room with lacerated wound in left eyelid and a foreign body which was stumbled upon in the skull. On examination, there was right side hemianopsia in his left eye, He did not complain any headache or show any abnormal neurological signs, but there was a foreign body at left transverse sinus in computed tomography which was taken at another hospital. There was no intracranial abnormality except the foreign body in computed tomography. Because of the financial problem, additional evaluations were not possible. We herein report a strange case in which the pathway of a foreign body to locate in transverse sinus was ambiguous, and suggest that the foreign body located in transverse sinus might have been the penetrated along the anterior fontanelle and passed through the superior sagittal sinus.

Detection of Foreign Body in Esophageal Foreign Body Model Using Three Dimensional Reconstruction Technique (식도 이물 모델에서 이물 탐색을 위한 삼차원 재구성법의 활용)

  • Woo, Kuk Sung;Yoo, Young Sam;Kim, Dong Won
    • Korean Journal of Bronchoesophagology
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    • v.18 no.1
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    • pp.13-18
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    • 2012
  • Objective This study was conducted to gather basic information of 3D CT in detecting and gaining information of esophageal foreign body (FB) models. Materials and Methods The chest model was made using PVC bottle, rubber balloon and plaster. Fish bone, Persimmon stone were used to mimic foreign bodies of esophageal model. The foreign body models were inserted into the balloon removing air from it and the balloon was sealed. The esophageal FB model was inserted into the chest model. The remaining space in the chest model was filled with fish paste and water to simulate soft tissue around esophagus. CT of chest model was reconstructed three-dimensionally by Rapidia software to make images of foreign body models. The axial CT, MPR image and VOI image were compared with real foreign body materials as to shape, size, location and orientation. Results Esophageal FB models were easily made. CT data gave good 3D images and showed realistic foreign body materials. Conclusion The results indicate the usefulness of 3D CT technique to help in diagnosis of esophageal foreign body models.

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A Bone-like Small Intestinal Wooden Foreign Body in a Dog (개의 소장에서 관찰된 뼈와 같은 형태의 나무 이물)

  • Jeoung, Seok-Young;Kim, Doo;Ahn, So-Jeo;Park, In-Chul;Woo, Heung-Myong;Pak, Son-Il
    • Journal of Veterinary Clinics
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    • v.23 no.3
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    • pp.375-379
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    • 2006
  • Detection of wooden foreign body represents a clinical challenge. Wood is typically radiolucent, so wooden foreign bodies are generally cannot be seen on survey radiography. Failure to locate and remove foreign bodies can lead the patient to the long-term secondary inflammatory reactions or infections. The dog described in the present report ingested a wooden foreign body(cotton swab stick) a year ago. The foreign body remained in the intestinal tracts which were attached to each other due to the prior abdominal operation. The wooden piece in the intestine functioned as a nidus and inorganic matters were gathered forming calculus on the outer layer of foreign body. In the radiograph, the foreign body appeared to be a chicken bone which of it's inner area was more radiolucent than the outer layer. Because the wooden foreign bodies that have remained for long time in the intestinal tract can be seen like a bone by mineralization, the diagnosis of the wooden foreign bodies should be done prudently.

Diagnostic Value of Pulmonary Perfusion Scan in Patients of Airway Foreign Body (기관지 이물 환자에서 폐장관류주사(pulmonary perfusion scan)의 적용 의의)

  • 최종욱;정광윤;민헌기;황찬승;김혜정
    • Korean Journal of Bronchoesophagology
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    • v.1 no.1
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    • pp.75-81
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    • 1995
  • To evaluate the diagnostic value of pulmonary perfusion scan, we obtained 99mTc MAA per-fusion lung scan from 25 cases of airway foreign bodies. The results were as follows. 1) Significant changes in blood gases were not observed after the establishment of regional hypoperfusion caused by airway foreign body. 2) Near total or total defect was noted on perfusion scan from most of the airway foreign body. 3) There was correspondance of findings of perfusion lung scan and duration of airway foreign body. 4) After the removal of airway foreign bodies, perfusion scan abnormalities were reversed in parallel with the recovery of pulmonary blood flow. We concluded that pulmonary perfusion scan may be valuable for detection of foreign body and reversible hypoperfusion.

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Two Cases of esophageal foreign body removal using Fogarty catheter (Fogarty 카테터를 이용한 식도 이물(바둑알) 제거 2예)

  • 박시내;박경호;박준욱;여상원;조승호
    • Korean Journal of Bronchoesophagology
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    • v.9 no.1
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    • pp.79-82
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    • 2003
  • Unintentional foreign body ingestion is common in children, and coins are the most common foreign body ingested. Foreign body remaining in the esophagus may be associated with mucosal ulceration or esophageal obstruction and can potentially lead to significant morbidity and even death. Removal of esophageal foreign body is therefore generally recommended. Several methods are utilized including esophagoscopy in operating room, flexible endoscopy in out patient setting, fluoroscopic Foley catheter technique, and advancement using bougienage. We report two cases of esophageal foreign body(paduk stone) which were hard to be removed by usual esophagoscopic removal. Successful removal was accomplished with the aid of Fogarty catheter under the general anesthesia.

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Esophageal Perferation with Foreign Body (이물에 의한 식도천공)

  • 장선문;전광수;박찬일
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1978.06a
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    • pp.3.2-3
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    • 1978
  • The esophageal perforation with foreign body is very rare. It is usually caused by sharp metallic foreign body or bone piece and rarely caused by long standing of foreign body. The authors observed 5 cases of esophageal perforation with foreign body among 48 cases of esophageal foreign body during the period from Jan. 1976 to Dec. 1977. There were two cases of esophageal foreign body with curved wire. a case with bone piece. a case with safty pin and a case with fish hook.

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Intraocular Foreign Body Entering the Anterior Chamber Through the Mouth: A Case Report

  • Kim, Joon-Young;Kim, Kyung-Hee;Jeong, Soon-Wuk
    • Journal of Veterinary Clinics
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    • v.34 no.1
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    • pp.58-60
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    • 2017
  • An 11-year-old, castrated Maltese dog presented with a 3-week history of periocular swelling, epiphora, and intermittent strabismus. On examination, a foreign body was observed in the anterior chamber, along with orbital cellulitis. Severe gingivitis and plaque accumulation were also diagnosed. The foreign body was surgically removed, and dental prophylaxis and dental extraction were performed. The foreign body entrance could not be found intraoperatively, and the foreign body, later identified as a feather, was removed through a clear corneal incision. The right maxillary molar, which had periodontal inflammation, was also extracted. One day postoperatively, severe hypopyon developed, although the periocular swelling was reduced. These signs persisted despite topical and systemic antibiotic and anti-inflammatory therapy; therefore, the right eye was enucleated 1 week later. Intraoperatively, a fistula was found connecting the orbital medial wall, right maxillary molar root, and sclera. The fistula entered the dorsomedial sclera approximately 7 mm behind the limbus. Enterobacteria were cultured from the area. Foreign bodies can enter the anterior chamber not only through the cornea, but also through the mouth. Therefore, when the entry point cannot be found in the cornea, a careful dental examination is required, and the foreign body must be removed through the sclera rather than the cornea.

Risk factors predicting development of complications in 72 dogs with esophageal foreign bodies

  • Shin, Bohye;Kim, Hakhyun;Chang, Dongwoo;Kang, Ji-Houn;Kang, Byeong-Teck;Yang, Mhan-pyo
    • Korean Journal of Veterinary Research
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    • v.59 no.1
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    • pp.25-31
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    • 2019
  • The aim of this study was to determine predictive risk factors implicated in complications in dogs with esophageal foreign bodies. Medical records of 72 dogs diagnosed with esophageal foreign bodies by endoscopy were reviewed retrospectively. Factors analyzed included age; breed; gender; body weight, location, dimension, and type of foreign body; and duration of impaction. To identify risk factors associated with complications after foreign body ingestion, categorical variables were analyzed using the chisquare or Fisher's exact tests and multivariate analysis, as appropriate. Complications secondary to esophageal foreign body ingestion included megaesophagus, esophagitis, perforation, laceration, diverticulum, and pleuritis. Univariate analysis revealed that the location and duration of impaction after foreign body ingestion were associated with an increased risk of esophageal laceration and perforation. Multivariate analysis showed that age, duration of impaction, and foreign body dimension were significant independent risk factors associated with the development of complications in dogs with esophageal foreign bodies. In conclusion, these results showed that longer duration of impaction and larger foreign body dimensions may increase the risks of esophageal laceration, perforation, and plueritis in dogs.