1.Surgical treatment experience of different approaches in eight cases with parapharyngeal space foreign bodies.
Jing GAO ; Binghuang ZHANG ; Dongshu ZHENG ; Xianyang LUO
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2015;29(21):1903-1905
OBJECTIVE:
To analyze the surgical treatment of parapharyngeal space foreign body and to discuss feasibility of Endoscopic transoral approach.
METHOD:
Reviewing surgical treatment in eight cases of parapharyngeal space foreign body, nature and location of foreign body. surgical methods, and treatment results were analyzed.
RESULT:
Eight patients' foreign bodies were all removed by surgical treatment, there were no postoperative infection. Three cases of foreign body were removed through laterocervical approaches, one removed through submandibular approach. In four cases the foreign body were removed through Endoscopy, two of them were transoral approach and the other two were taken out after antiotomy.
CONCLUSION
Different approaches should be taken in the surgery treatment of parapharyngeal space foreign body according to imaging positioning.
Endoscopy
;
Foreign Bodies
;
surgery
;
Humans
;
Pharynx
;
pathology
;
surgery
;
Postoperative Complications
;
Treatment Outcome
3.A Rare Case of Ascending Colon Perforation Caused by a Large Fish Bone.
Jian-Hao HU ; Wei-Yan YAO ; Qi-Hui JIN
Chinese Medical Journal 2017;130(3):377-378
Colon, Ascending
;
injuries
;
Foreign Bodies
;
complications
;
Humans
;
Intestinal Perforation
;
diagnosis
;
etiology
;
surgery
;
Male
;
Middle Aged
;
Seafood
4.Fish Bone as a Nidus for Stone Formation in the Common Bile Duct: Report of Two Cases.
Young Hwan KIM ; Yong Joo KIM ; Won Kyu PARK ; Sang Kwon LEE ; Jung Hyeok KWON ; Seong Ku WOO
Korean Journal of Radiology 2004;5(3):210-213
We report two cases of common bile duct stone formed around a fish bone which migrated from the intestinal tract, along with their characteristic imaging findings. Two patients who had no history of previous operation were admitted because of cholangitis. Percutaneous transhepatic biliary drainage (PTBD) was performed and the cholangiogram showed filling defects with an unusually elongated shape in the common bile duct. After improvement of the cholangitic symptoms, the stones were removed through the PTBD tract under fluoroscopic guidance. A nidus consisting of a 1.5 cm sized fish bone was found in each stone removed.
Aged
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Animals
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Bone and Bones/*radiography/*ultrasonography
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Cholangiography
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Cholangitis/etiology
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Choledocholithiasis/*etiology/surgery
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Female
;
Fishes
;
Foreign Bodies/*complications/surgery
;
Humans
;
Male
5.A Common Bile Duct Stone formed by Suture Material after Open Cholecystectomy.
Kook Hyun KIM ; Byung Ik JANG ; Tae Nyeun KIM
The Korean Journal of Internal Medicine 2007;22(4):279-282
The use of non-absorbable suture materials for cystic duct ligation after cholecystectomy can expose patients to the risk of recurrent stone formation in the common bile duct (CBD). However, in Korea suture materials have rarely been found to act as a nidus for common bile duct calculus formation. Recently, we experienced a case in which suture material, that had migrated from a previous cholecystectomy site into the CBD, probably served as a nidus for common bile duct stone formation. The stone was confirmed by endoscopic retrograde cholangiopancreatography (ERCP) and removed successfully using a basket. The authors report a case of surgical suture migration and discuss its subsequent role as a stone forming nucleus within the CBD in a patient who underwent open cholecystectomy; and include a review of the literature.
Aged
;
Cholangiopancreatography, Endoscopic Retrograde
;
Cholecystectomy/*adverse effects
;
Foreign Bodies/*complications
;
Foreign-Body Migration/*complications
;
Gallstones/*etiology/surgery
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Humans
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Male
;
Risk Factors
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Surgical Instruments
;
Sutures/*adverse effects
6.Foreign body embolus to ophthalmic artery following penetrating trauma of the neck.
Jun FEI ; Hong-Jun YU ; Guo-Dong LIU ; Lian-Yang ZHANG
Chinese Medical Journal 2011;124(5):790-792
Migration of metallic foreign body into the cerebral circulation is rarely seen. Most of the cases reported were due to gunshot wounds and shotgun wounds to the neck and face. When the foreign body is near the great vessel, it must be removed immediately or will cause complications. This study reported a case of delayed metallic foreign body embolus to the ophthalmic artery resulting from an injury to the right neck, which arose from the presence of metallic emboli to the cerebral circulation.
Adult
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Embolism
;
diagnosis
;
surgery
;
Foreign Bodies
;
diagnosis
;
surgery
;
Humans
;
Male
;
Neck Injuries
;
complications
;
surgery
;
Ophthalmic Artery
;
injuries
;
pathology
;
surgery
;
Wounds, Penetrating
;
complications
7.Foreign Objects in Korean Prisoners.
Tae Hee LEE ; Young Woo KANG ; Hyun Jin KIM ; Sun Moon KIM ; Euyi Heog IM ; Kyu Chan HUH ; Young Woo CHOI ; Tae Hyo KIM ; Ok Jae LEE ; Un Tae JUNG
The Korean Journal of Internal Medicine 2007;22(4):275-278
BACKGROUND: Foreign objects in the gastrointestinal tract are usually the result of accidental swallowing. Yet foreign object ingestion is often seen in prisoners who mainly desire to leave prison. We report here on a series of 33 Korean prisoners with foreign object ingestion and they were treated endoscopically or surgically. METHDOS: We reviewed the medical records of 33 Korean prisoners (52 episodes) who were admitted due to ingestion of foreign objects between January 1998 and June 2004 to Konyang University Hospital and Gyeongsang National University Hospital. RESULTS: All the patients were male with a mean age of 35 years. The most common duration from ingestion to the visit to the ER was within 24 hours (25/52 episodes). Most of the foreign objects were located in the esophagus (42.3%) and stomach (42.3%). The number of foreign objects was one in 28 episodes, two in 12 episodes and three or more in twelve episodes. The most common foreign objects were metal wires (26/52 episodes). The mean size of the foreign objects was 11.9 centimeters long. Successful endoscopic treatment was performed in most patients (46/52 episodes, 88.5%). The remaining six cases were treated surgically. CONCLUSIONS: The foreign objects in prisoners were a variety of unusual things because of the prison environment, and endoscopy is a mainstay of treatment for foreign object removal in Korean prisoners.
Accidents
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Adult
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*Deglutition
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*Endoscopy, Gastrointestinal
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Foreign Bodies/*surgery
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Foreign-Body Migration/complications/*surgery
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Gastrointestinal Tract/*injuries
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Humans
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Korea
;
Male
;
*Prisoners
;
*Prisons
;
Risk Factors
8.Neglected foreign body in contralateral limb in a traumatic transfemoral amputee---radiographs can be misleading.
Atin JAISWAL ; Masood HABIB ; Yashwant-Singh TANWAR
Chinese Journal of Traumatology 2013;16(1):61-64
Missed or neglected foreign bodies are not infrequent in surgical practice. This case report highlights the fact that thorough clinical examination and detailed evaluation of trauma patients are very necessary so that any associated injuries or foreign bodies will not be missed and any unforeseen clinical or medico-legal complications can be prevented. We present a case of a 35-year- old male patient who had traumatic transfemoral amputation of the right lower limb with a clean laceration (size 2 cm multiply 1 cm) over the medial aspect of the left thigh. Radiographs suggested a single radioopaque foreign body which proved misleading, as during surgical removal multiple radiolucent and radiopaque foreign bodies were discovered. Postoperative ultrasound was performed and showed no retained foreign bodies. A secondary closure of the right thigh amputation was done and patient was discharged. At the last follow-up, 9 months after injury, the patient had no complaints, and both the amputation stump and the wound over the left thigh were healthy. Thus in the cases of retained foreign bodies, in addition to thorough clinical examination and radiography, ultrasonograpy should be supplemented. And if required, use of CT scan as well as MRI should be also considered.
Accidents, Traffic
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Adult
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Amputation
;
Diagnostic Errors
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Foreign Bodies
;
diagnostic imaging
;
Humans
;
Leg Injuries
;
complications
;
Male
;
Radiography
;
Thigh
;
surgery
;
Ultrasonography
9.Unilateral Hydronephrosis and Hydroureter by Foreign Body in Urinary Bladder: A Case Report.
Bum Sang CHO ; Kil Sun PARK ; Min Ho KANG ; Gi Seok HAN ; Seung Young LEE ; Sang Hoon CHA ; Sung Jin KIM
Journal of Korean Medical Science 2012;27(6):704-706
Foreign bodies inserted through the urethra are often found in the urinary bladder. We presently report the first case of hydronephrosis and hydroureter due to direct compression in the urinary bladder by silicon, which had been introduced by the patient himself 2 yr prior to presentation with severe right flank pain. Computed tomography indicated a convoluted, high-attenuation mass in the urinary bladder; unilateral hydronephrosis and hydroureter were also present due to direct compression by the mass. The foreign body was removed using a cystoscope. This foreign body was proven to be silicon.
Adult
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Cystoscopy
;
Foreign Bodies/complications/*radiography/surgery
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Humans
;
Hydronephrosis/*etiology
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Male
;
Silicon
;
Tomography, X-Ray Computed
;
Urinary Bladder
10.The clinical analysis of severe complications induced by esophageal foreign bodies.
Yitao MAO ; Zhiying NIE ; Fuwei YANG ; Weijing WU
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2012;26(24):1111-1115
OBJECTIVE:
To explore and analyze the clinical characteristics and treatment strategy of severe complications caused by esophageal foreign bodies.
METHOD:
A retrospective study was carried out on 49 cases with foreign bodies in esophagus through careful analysis of their clinical data to explore the associated problems with etiology and therapy. Among this complications, there were cases of 13 periesophageal abscess, 20 cases of abscess in the neck, 11 cases of mediastinal abscess, 3 tracheoesophageal fistula, 1 case of aorta injury and 1 septicemia.
RESULT:
Forty-eight (97.96%) of the patients recovered while one died.
CONCLUSION
Hard esophagoscopy under general anesthesia is the main therapeutic strategy to take out the esophageal foreign bodies. When it failed or severe complications such as perforation or others emerged, open surgery like lateral neck incision or thoracotomy supplemented with positive and timely supporting therapy are vital and essential.
Adolescent
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Adult
;
Aged
;
Child
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Child, Preschool
;
Esophagus
;
Female
;
Foreign Bodies
;
complications
;
surgery
;
Humans
;
Male
;
Middle Aged
;
Retrospective Studies
;
Young Adult