Presentation
Repeated ingestion of foreign objects presents a multidisciplinary endoscopic dilemma. [ncbi.nlm.nih.gov]
Medical records were reviewed, and information including age at presentation, type of foreign body, side of presentation, length of time in place, signs and symptoms at presentation, management practices, and outcomes was recorded. [doi.org]
Gastrointestinal
- Severe Abdominal Pain
A sharp object that pierces the stomach or intestines can cause severe abdominal pain, fever, fainting and shock. Foreign bodies in the airway: Most foreign bodies in the airway are usually expelled through coughing. [radiologyinfo.org]
Children should be strictly advised of the need to visit the hospital earlier if they develop signs of perforation or obstruction of the intestine, such as vomiting, severe abdominal pain, fever, or intestinal bleeding. [ncbi.nlm.nih.gov]
- Epigastric Pain
She has had vomiting and epigastric pain since then. The patient has a long history of similar behavior in the past. [web.archive.org]
As noted by Palta et al. [2], immediate clinical manifestations of foreign body ingestion range from epigastric pain (55%), vomiting (16%), dysphagia (7%), pharyngeal discomfort (4%), and chest pain (3%) to the absence of symptoms (30%). [ajronline.org]
- Rectal Pain
The object length varied between 6 and 15 cm, and larger objects were more prone for complications. [2] Abdominal and rectal pains, bleeding per rectum are the common presenting symptoms. [dx.doi.org]
Neurologic
- Dysphasia
PATIENT CONCERNS: A 55-year-old Chinese male was admitted to our hospital with a 10-day history chest and upper abdominal pain without dysphasia, cough or other symptoms. [ncbi.nlm.nih.gov]
- Myelopathy
A 50-year-old man underwent C5 corpectomy and instrumentation surgery due to cervical myelopathy. During the surgery, the cutting edge of a Kerrison rongeur was broken and the metal tip was retained behind C4 vertebra. [ncbi.nlm.nih.gov]
Urogenital
- Adnexal Mass
Subsequent computed tomography imaging of the pelvis revealed a vaginal foreign body, complex adnexal mass, and hydroureter. [ncbi.nlm.nih.gov]
- Nocturia
Presenting complaints in patients with a foreign body are urinary retention, dysuria, frequent urination, decreased urine volume, nocturia, hematuria, painful erection, as well as pain in the urethra and pelvis. [ncbi.nlm.nih.gov]
- Painful Erection
Presenting complaints in patients with a foreign body are urinary retention, dysuria, frequent urination, decreased urine volume, nocturia, hematuria, painful erection, as well as pain in the urethra and pelvis. [ncbi.nlm.nih.gov]
Workup
Further investigations/workup Radiological assessment is the key to further evaluation following a thorough history and clinical examination. [intechopen.com]
Diagnostic Imaging Diagnostic imaging is an essential component of the workup to determine the presence, location, material, size, and number of OrbFBs. [aao.org]
[…] from children spending more time indoors on rainy days, with greater opportunity to put a small toy in their ear or nose. [6] Differential Diagnosis Abrasions to ear canal Cerumen impaction Hematoma Otitis externa Tumor Tympanic membrane perforation Workup [emedicine.medscape.com]
Imaging exams are helpful, with routine radiography being the preferred imaging modality for the initial workup. However, several types of soft tissue foreign bodies are not radiopaque and therefore remain undetected. [scielo.br]
Treatment
Rectal Foreign Object Treatment 1. Go to a Hospital Emergency Room Do not try to remove foreign object. A hospital emergency room is most likely to have appropriate tools for removal. Delay in treatment could lead to serious injury or infection. 2. [web.archive.org]
MAIN LESSONS: An appendiceal foreign body is very rare in infant and there are currently no treatment guidelines. We report 2 cases of appendiceal foreign body including infant who gave us difficult decisions. [ncbi.nlm.nih.gov]
Treatment for foreign bodies in the ear The treatment for foreign bodies in the ear is prompt removal of the object by your child's physician. [stanfordchildrens.org]
Prognosis
Open eye injury is one of the commonest ophthalmic emergencies, and when accompanied by intraorbital foreign bodies, the condition carries a poor prognosis. [ncbi.nlm.nih.gov]
With increased awareness and advanced surgical techniques, the outcome and the prognosis for these potentially devastating injuries have substantially improved. [web.archive.org]
Post-operative RDs have a poor visual prognosis. [eyewiki.aao.org]
Local environments have an important influence on the types of objects aspirated, location in the tracheobronchial tree, and prognosis. [emedicine.medscape.com]
Etiology
Heavy, prolonged menstrual bleeding is common in adolescents and results from a variety of etiologies. [ncbi.nlm.nih.gov]
Pathology Etiology There are many ways in which a foreign body can be introduced into various parts of the human body. [radiopaedia.org]
Given the shared traumatic etiology, a corneal foreign body injury may seem like a likely source for RCE to develop from. The reality, however, is that foreign bodies rarely cause this condition. [reviewofoptometry.com]
That patient belongs to gender and age group (20–39 years) most affected by facial trauma, and the etiology of the trauma that attacked him (interpersonal violence) fits as the most frequent [20]. [hindawi.com]
MRI is impractical for routine foreign body detection in the ED but should be considered in cases of longstanding wounds or focal infections with unknown etiology in which the presence of a foreign body is being considered. [51, 52] Ultrasonography The [emedicine.medscape.com]
Epidemiology
Common removal methods include use of forceps, water irrigation, and suction catheter. [ 1 ] Epidemiology Foreign bodies of the ear are relatively common. [patient.info]
Aural and nasal foreign bodies in children - epidemiology and correlation with hyperkinetic disorders, developmental disorders and congenital malformations. Int J Pediatr Otorhinolaryngol. 2019 Mar. 118:165-9. [Medline]. [emedicine.medscape.com]
Epidemiology Most common in children, psychiatric patients and jail inmates IV. History Object swallowed How long ago was the ingestion V. [fpnotebook.com]
Pathophysiology
Pathophysiology The final resting place of and damage caused by an IOFB depend on several factors, including the size, the shape, and the momentum of the object at the time of impact, as well as the site of ocular penetration. [web.archive.org]
Because the respiratory tract does not participate in gas exchange, its total volume of the tidal volume is referred to as dead space. 5 Pathophysiological notes After the gastrointestinal tract, the respiratory tract has the highest germ count. [flexikon.doccheck.com]
Pathophysiology The final resting place of and damage caused by an IOFB depend on several factors, including the size, the shape, and the momentum of the object at the time of impact, as well as the site of ocular penetration. [1, 2] IOFBs transversing [emedicine.medscape.com]
Essential Treatment Considerations The pathophysiology and management of a foreign body wound is dependent upon the material that has punctured the foot, the location, depth and time of presentation, footwear and underlying medical conditions of the patient [podiatrytoday.com]
Prevention
In order to prevent such iatrogenic injuries, which could have fatal consequences, the hospital staff must give particular care in the handling of sharp FBs. [ncbi.nlm.nih.gov]