Foreign Bodies

Smith, Milton T.; Wong, Roy K.H.

doi:10.1016/j.giec.2007.03.002

Cited by 142 publications

(155 citation statements)

References 50 publications

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“…10% -20% requires endoscopic removal and only less than 1% need surgical intervention. (8,9,10) In our case report, foreign body are concrete marbles which passes through stomach and present in terminal ileum and caecum. So, this presented with late complications, bilious vomiting, abdominal distension, constipation and subacute intestinal obstruction.…”

Section: Final Diagnosismentioning

confidence: 67%

Intestinal Obstruction in Paediatric Age Group Due to Foreign Body Ingestion

Saunakiya¹,

Rajput²,

Saroj³

et al. 2018

jemds

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Section: Final Diagnosismentioning

confidence: 67%

Intestinal Obstruction in Paediatric Age Group Due to Foreign Body Ingestion

Saunakiya¹,

Rajput²,

Saroj³

et al. 2018

jemds

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“…The addition of 3D rendering with CT can be very helpful [4]. A foreign body with a diameter of 2-2.5cm may be stopped in either the esophagus or by the pylorus [3,5]. An object greater than 5 cm in length can be halted in the stomach, duodenal sweep, or the ligament of Trietz [5].…”

Section: Discussionmentioning

confidence: 99%

“…A foreign body with a diameter of 2-2.5cm may be stopped in either the esophagus or by the pylorus [3,5]. An object greater than 5 cm in length can be halted in the stomach, duodenal sweep, or the ligament of Trietz [5]. If a foreign body traverses these normal anatomic narrowings, the ileocecal valve may be a final hurdle to passage.…”

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confidence: 99%

Accidental Foreign Body Ingestion Resulting in Detection of an Asymptomatic Colorectal Carcinoma

Jalaeian¹

2016

JCPCR

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Foreign body ingestion is a fairly common clinical problem. The clinical course and resultant management is typically uncomplicated and will usually be predicted from the characteristics of the foreign body itself. However, an abnormal gastrointestinal tract segment can result in a complicated outcome. This article demonstrates such an example when an ingested foreign body that should have passed uneventfully, instead caused colonic obstruction by obturating a previously asymptomatic colon carcinoma. A 70 year old gentleman presented to the emergency department with onset of abdominal pain a few days following accidental ingestion of his dental crown. An initial plain abdominal radiograph followed immediately by a contrast enhanced abdominal MDCT showed an intraluminal metallic density foreign body, compatible with the ingested crown, causing obstruction at the splenic flexure lodging at a 3cm focal "apple core" lesion. Rapid decompression via expedited colonoscopy and placement of a colonic stent was then facilitated. Acute colonic obstruction due to accidental ingestion of a foreign body is rare. Plain film radiography may suffice for imaging of the uncomplicated foreign body ingestion. However, CT scanning, with the added technical development of 3D reconstruction capability can provide critical information in certain circumstances. with an ileosigmoid anastomosis 2 weeks later. A total of 46 biopsied lymph nodes were negative for malignancy and the patient referred to oncology service for further cancer planning and treatment. Keywords:Figure 1: Upright abdominal radiograph demonstrates a metallic foreign body in the left upper quadrant (*). In addition, there is both distended colon (C) coursing back from the area of the splenic flexure as well as dilated small bowels loops all with air fluid levels. These findings point toward a colonic obstruction with the origin near the splenic flexure. DiscussionMost foreign body ingestion in the adult is accidental and usually related to some mental impairment, being edentulous, or having dentures. However, prisoners seeking secondary gain and drug smugglers will intentionally swallow foreign bodies. In general, the ingested material has a high likelihood of passage without significant intervention. Even so, the initial clinical management requires definition of the foreign body's physical characteristics and position [3] usually obtained by imaging. If the foreign body is very likely radiopaque, per history, plain radiographs can be used to assess the foreign body(s) appearance and also confirm its initial position. Subsequent radiographs can then be judiciously used to follow the object's travel and document its eventual elimination. CT may be necessary if the foreign body is less radiopaque (fish bones, chicken bones, thin metal or aluminum objects, plastic, or wood) or if there is question of possible complication (gastrointestinal tract impaction, obstruction or perforation) [3]. The addition of 3D rendering with CT can be very helpful [4]. A foreign body...

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“…There are many retrieval devices available, including rat-tooth and alligator forceps, polypectomy snares, polyp graspers, baskets, retrieval nets, magnetic probes, and friction-fit adaptors or banding caps [7]. An overtube or a retractable latex-rubber condom-type protector hood is recommended to protect the esophageal mucosa from lacerations during retrieval of sharp or pointed objects [8,9]. The diameter of the huge spring was approximately 2 cm, which was more than the diameter of the endoscopic overtube (US endoscopy 16.7mm) [10].…”

Section: Discussionmentioning

confidence: 99%

Lucky to Retrieve an Unusual Large Foreign Body by Endoscopy: A Case Report

Li¹,

Wenhui²,

Han³

et al. 2016

J Gastrointest Dig Syst

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Ingestion of foreign bodies that lodge in the upper gastrointestinal (GI) tract is a common clinical situation. A 34 year-old male who swallowed an unusual huge spring in a bet without any symptoms. There were no available endoscopic overtubes or devices for this kind of huge foreign object to protect the esophageal mucosa from laceration during the retrieval procedure. Fortunately, it was removed by endoscopy without severe complications. We present the case to arouse further concern about such as huge foreign bodies, how to be extracted more safely and less invasive.

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Foreign Bodies

Cited by 142 publications

References 50 publications

Intestinal Obstruction in Paediatric Age Group Due to Foreign Body Ingestion

Intestinal Obstruction in Paediatric Age Group Due to Foreign Body Ingestion

Accidental Foreign Body Ingestion Resulting in Detection of an Asymptomatic Colorectal Carcinoma

Lucky to Retrieve an Unusual Large Foreign Body by Endoscopy: A Case Report

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