Practical Imaging Evaluation of Foreign Bodies in Children

Laya, Bernard F.; Restrepo, Ricardo; Lee, Edward Y.

doi:10.1016/j.rcl.2017.02.012

Cited by 55 publications

(42 citation statements)

References 83 publications

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“…The history of coughing and choking, associated with respiratory distress, supported a diagnosis of foreign body (FB) aspiration . In addition, our patient was in a sniffing position and drooling, suggestive of a pharyngeal FB.…”

Section: Answermentioning

confidence: 57%

Lateral airways X‐ray with a history of choking

2019

J Paediatrics Child Health

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Section: Answermentioning

confidence: 57%

Lateral airways X‐ray with a history of choking

2019

J Paediatrics Child Health

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“…Although early diagnosis and prompt removal of foreign bodies are required to prevent complications, there is no consensus related in the approach of detecting of FBs. Recently a procedure is reported in the literature at identifying FBs [17,33,34]. Although radiography holds excellent sensitivities for radiopaque foreign bodies, the accuracy, sensitivity, and positive predictive value of ultrasound in detection of non-radiopaque FBs were found as 94%, 99% and 94%, respectively [35,36].…”

Section: Discussionmentioning

confidence: 99%

Retrospective evaluation of 377 patients with penetrating foreign body injuries: a university hospital experience (a present case of missed sponge foreign body injury)

et al. 2021

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Retrospective evaluation of 377 patients with penetrating foreign body injuries: a university hospital experience (a present case of missed sponge foreign body injury) Background/aim: This study aimed to analyze retrospectively patients with FB injuries in our hospital and to present a patient with missed penetrating sponge FB injury. Materials and methods: This study covered 12 years (2008-2020) and reviewed all patients with FB injury who were admitted to the emergency department of our hospital. Besides our total results, we also present a case with missed penetrating sponge FB injury in detail. Results: 377 patients were included in the study (age 28.3 ± 18.3 years, m/f 229/148). Foot (n = 148, 39.3%) and hand (n = 143, 37.9%) were most frequently injured body parts. Regarding to the FBs types sewing needle (n = 140, 37.1%), metal pieces (n = 91, 24.1%) and glass (n = 80, 21.2%) were frequently observed objects. Most of the patients had been injured at home often by needles or glass. Injury-admission mean time was 7.38 ± 2.5 days. FBs frequently were removed in the emergency department (n = 176, 46.7%). Plain radiography is the first line in identifying FBs. Soft tissue infection was the most common complication. The MRI was much useful than USG in detecting of the missed penetrating sponge injury of the patient. Conclusion: For diagnosis of FBs, besides taking history from a patient, obtaining two-sided radiogram are of great importance. For non-radiolucent or deeply located FBs further clinical or radiological investigation must be considered to avoid complications. Although most of the FBs can be removed in the emergency department, depending upon the site of FB and age of the patient may require hospitalization and operation for its removal.

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“…In our study, medical imaging was performed for half of the patients, as nearly half of the objects were radiopaque. Imaging is important to con rm the presence, type, number and localization of FBs as well as to detect complications and guide further management and follow-up if indicated [38]. X-ray of the chest and abdomen was frequently performed and detected and localized the FB in 86% of the patients.…”

Section: Ingestion Of Foreign Bodies or Chemical Substances Is Frequementioning

confidence: 99%

Increase in foreign body and harmful substance ingestion and associated complications in children: a retrospective study of 1199 cases from 2005 to 2017

Speidel

Woelfle

Mayer

et al. 2020

Preprint

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Background: Children with a history of caustic or foreign body ingestion (FBI) seem to be presenting more frequently to emergency departments. This study aims to elucidate the clinical presentation, diagnostic procedures, and complications associated with the ingestion of on different object categories over a 13-year time period.Methods: A structured retrospective data analysis of patients who presented in between January 2005 and December 2017 to the University Medical Centre Ulm was performed. Patients up to 17 years of age with food impaction or foreign body or harmful substance ingestion were included by selection of the corresponding International Statistical Classification of Diseases and Related Health Problems (ICD10-GM) codes. Descriptive statistics, parametric or non-parametric tests, and linear regression analysis were performed.Result: In total, 1199 patients were analysed; the mean age was 3.3 years (SD 3.12; range 7 days to 16 years), the male to female ratio was 1.15:1, and 194 (16.2%) were hospitalized. The number of patients seen annually increased from 66 in 2005 to 119 in 2017, with a rise in percentage of all emergency patients from 0.82% in 2010 to 1.34% in 2017. The majority of patients (n=619) had no symptoms, and 244 out of 580 symptomatic patients complained of retching or vomiting. Most frequently, ingested objects were coins (18.8%). Radiopaque objects accounted for 47.6%, and sharp objects accounted for 10.5% of the ingested foreign bodies, both of which were significantly more often ingested by girls (p<0.001 for both). Button battery ingestion was recorded for 63 patients with a significant annual increase (R2=0.57; β=0.753; p=0.003). The annual rate of complications also increased significantly (R2=0.42; β=0.647; p=0.017).Conclusion: We found an alarming increase in the number of children who presented to our emergency department with FBI and associated complications. A standardized diagnostic and therapeutic approach may reduce and prevent serious complications. Further preventive measures within the home environment are needed to stop this trend.

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Practical Imaging Evaluation of Foreign Bodies in Children

Cited by 55 publications

References 83 publications

Lateral airways X‐ray with a history of choking

Lateral airways X‐ray with a history of choking

Retrospective evaluation of 377 patients with penetrating foreign body injuries: a university hospital experience (a present case of missed sponge foreign body injury)

Increase in foreign body and harmful substance ingestion and associated complications in children: a retrospective study of 1199 cases from 2005 to 2017

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