Foreign bodies in the heart are a rare but serious form of cardiac injury. The objects usually are sharp pointed. Such as acupuncture needles, sewing needles, coat hangers, fragments of Kirschner wires, pins, etc.(1) We report a patient with a metallic pellet lodged in the heart, which was accurately diagnosed and successfully removed.
Adult ; Foreign Bodies ; diagnosis ; surgery ; Heart ; Humans ; Male ; Metals

OBJECTIVE: To discuss the diagnosis and treatment of esophageal perforation induced by esophageal foreign body. METHOD: Ten patients, who were diagnosed as esophageal foreign body and esophageal perforation, were retrospectively analyzed. One patient was operated in other hospital and transferred to our department post-operation. The foreign bodies were removed through rigid esophagoscope in 7 cases and through the tracheotomy in 1 case. The last case was admitted into hospital for abscess around the esophagus. The foreign body wasn't find during the examination of rigid esophagoscope and the patient vomited out a glass foreign body after the surgery. RESULT: In all cases, there were three date stones, two button batteries, one metal gear, one pin, one metal cans pull ring, one glass plate, one arc hard plastic sheet. Seven patients were cured after conservative treatment, and restored normal diet. For the rest 3 cases, patients were cured after the repair operation of tracheoesophageal fistula. CONCLUSION The esophageal perforation must be highly suspected of the esophageal foreign body with a long history, sharp shape or corrosive foreign body. The esophageal radiography may be taken to obtain the final diagnosis. The patients diagnosed as esophageal perforation must be treated with antibiotics, nasal feeding or feeding by gastrostomy, and followed-up closely. Small perforation can heal after a period of time by nasal feeding, while tracheoesophageal fistula was needed to repaire after a period of time for restoring a good physical condition in most cases.
Abscess ; Child ; Esophageal Perforation ; diagnosis ; surgery ; Foreign Bodies ; diagnosis ; surgery ; Humans ; Retrospective Studies ; Tracheoesophageal Fistula ; Tracheotomy

Objective:To explore the feasibility of using self-made visual throat forceps to remove hypopharyngeal foreign bodies. Methods:The throat forceps were combined with the endoscope and connected to a monitor via a data cable resulting in a visual throat forceps apparatus. This device was utilized to examine and treat the hypopharyngeal foreign bodies. Results:Among 53 patients, foreign bodies were detected in 51,with 48 cases involving hypopharyngeal foreign bodies. All were successfully extracted using the visual throat forceps. Three cases, diagnosed as esophageal foreign bodies by electronic gastroscopy, were treated using the same method. Conclusion:Visual throat forceps can be used to examine the hypopharynx and remove foreign bodies. It has the advantages of simple operation, rapid operation, and high success rate of foreign body removal from the hypopharynx. It is worthy of clinical application.
Humans ; Hypopharynx/surgery* ; Pharynx/surgery* ; Endoscopes ; Surgical Instruments ; Foreign Bodies/diagnosis*

OBJECTIVETo study the practicability of single-electrode metal detector by using it to take off foreign bodies from swine.

METHODSThe single-electrode metal detector was invented based on the theory of complementary oscillator. Twelve extremities were obtained from 3 Minnesota-Hormel stains 7-month old male swine. All the extremities were divided into 3 groups: lump metal foreign bodies were planted in group A, needle shape metal foreign bodies were planted in group B, and sand shapd metal foreign bodies were planted in group C. The self-invented single-electrode metal detector was used to take off these foreign bodies, and the taking times were recorded. After the operation, the X-ray was used to examine if the foreign bodies were still in the extremities of the swine.

RESULTSThe foreign bodies were taken off completely in the 3 groups, and the average time were 38 s, 3 min and 12 s, and 3 min and 59 s respectively. The X-ray examination confirmed that the detector could take off the foreign bodies completely.

CONCLUSIONThis detector has satisfactory effect in animal experiment, which could detect and extract metal foreign bodies quickly and exactly without X-ray help duration the operation, and can be used in clinical cases secondly.

Animals ; Electrodes ; Foreign Bodies ; diagnosis ; surgery ; Male ; Metals ; Surgical Instruments ; Swine

Colon, Ascending ; injuries ; Foreign Bodies ; complications ; Humans ; Intestinal Perforation ; diagnosis ; etiology ; surgery ; Male ; Middle Aged ; Seafood

OBJECTIVE: To explore the clinical characteristics and treatment skills of children with respiratory special foreign body. METHOD: To retrospectively analyze the clinical characteristics of 49 cases of special airway foreign bodies in children during 2013. 5.1-2014. 5.1 in our hospital, and the treatment methods were summarized. RESULT: Fourty-seven cases with rigid bronchoscopy foreign body cured, 1 case turned Department of thoracic sur- gery chest to remove foreign body, 1 case of death. CONCLUSION The clinical characteristics of special airway foreign bodies in children is different from ordinary foreign body, treatment of preoperative, intraoperative and postoperative is not fully equivalent to the ordinary foreign body.
Bronchoscopy ; Child ; Foreign Bodies ; diagnosis ; surgery ; Humans ; Respiratory System ; pathology ; Retrospective Studies

OBJECTIVE: To investigate the sources of foreign bodies in the middle ear, and to analyze experience and lessons of clinical diagnosis and therapy. METHOD: Five cases of foreign bodies in the middle ear with general information presenting to our department and receiving surgical treatment were reviewed retrospectively. RESULT: The foreign bodies of 4 cases were inserted by trauma, while 1 case by iatrogenic injury. The remain of foreign bodies result in symptoms such as otorrhea and hearing loss, and long-term foreign bodies in the middle ear might cause mental effects. All 5 patients received surgical intervention under general anesthesia to remove the foreign bodies. We found that the foreign bodies of 3 cases located in the mesotympanum, 1 located in the epitympanum and the aperture of the eustachian tube, 1 located in the squamous portion of the temporal bone and the gas room of lateral wall of epitympanum. CONCLUSION Foreign bodies in the middle ear are prone to be missed diagnosed and misdiagnosed. Careful specialized examination is appreciated. Patients who are suspected with foreign bodies in the middle ear should regularly take temporal bone HRCT scan. Foreign bodies could be removed by surgery when a definite diagnosis is made.
Adult ; Ear, Middle ; Female ; Foreign Bodies ; diagnosis ; surgery ; Humans ; Male ; Retrospective Studies

Although most ingested foreign bodies pass through the gastrointestinal tract spontaneously, those that are sharp, pointed, or large require removal to avoid serious complications. Here we report an interesting case of a 60-year-old man who swallowed a clamshell that passed through the pylorus and was caught in the duodenum. Radiologic findings made it look like a biliary stone. Endoscopic retrieval of the clamshell with a Dormia Basket was performed safely and the patient was discharged uneventfully on the day of the procedure.
Diagnostic Errors ; Duodenum/*pathology ; Endoscopy ; Endoscopy, Gastrointestinal ; Foreign Bodies/*diagnosis/surgery ; Foreign-Body Migration/*diagnosis/surgery ; Gallstones/*diagnosis/pathology ; Humans ; Male ; Middle Aged ; Seafood/*adverse effects

OBJECTIVETo study the clinical application and the safety of electronic gastroscopy in infants at ages of 0-3 months.

METHODSAn Olympus electronic gastroscope GIF 260 or GIF 230 was applied in 177 infants at ages of 0-3 months with upper gastrointestinal symptoms. An ECG Monitor II was used for monitoring heart rate, cardiac rhythm and pulse transcutaneous oxygen saturation in 65 infants during the whole process of gastroscopy. Some related treatments were performed under the electronic gastroscope, such as removal of foreign body, topical administration of antihemorrhagic drugs, reduction of volvulus of stomach and bougienage of oesophagus.

RESULTSAll 177 infants were examined successfully and they all well tolerated. Forty-two cases demonstrated positive findings in 68 cases of upper gastrointestinal bleeding. Ninety-two cases demonstrated positive findings in 104 cases of recurrent vomiting. Under the electronic gastroscope, removal of foreign body in the upper gastrointestinal tract was performed in 5 cases; topical administration of antihemorrhagic drugs or electrocoagulation for stopping bleeding in 22 cases; reduction of volvulus of stomach in 3 cases.

CONCLUSIONSAs a safe and visual means for diagnosis of digestive tract diseases, the electronic gastroscopy may be recommended for wide application in infants at ages of 0-3 months.

Female ; Foreign Bodies ; surgery ; Gastrointestinal Hemorrhage ; diagnosis ; Gastroscopy ; Heart Rate ; Humans ; Infant ; Infant, Newborn ; Male ; Oxygen ; blood ; Vomiting ; diagnosis

OBJECTIVE: To discuss the diagnosis, differential diagnosis, treatment and first aid treatment of trachea foreign bodies in children. METHOD: One hundred and sixty-four patients,who were operation with the diagnosis of trachea foreign bodies were retrospectively analyzed. RESULT: The foreign bodies were successfully removed through the rigid bronchoscope in 163 patients and through the incision of tracheotomy in 1 patient. No post-operation complication in 163 patients except 1 patient with subcutaneous and mediastinum emphysema. No foreign body remained by the examination of perspective X-ray or electronic bronchoscope three days post-operation. CONCLUSION History of foreign body aspiration and physical examination were significant important in diagnosis of trachea foreign bodies. The diagnosis must be made quickly based on the history and physical examination. The clapping sound has high specially in diagnosis of trachea foreign bodies. The electronic bronchoscope has a better accuracy in diagnosis of trachea foreign bodies than radiographic examination.
Bronchi ; Bronchoscopy ; Child ; Child, Preschool ; Diagnosis, Differential ; Female ; Foreign Bodies ; diagnosis ; surgery ; Humans ; Infant ; Male ; Retrospective Studies ; Trachea