1.Clinical analysis of esophageal foreign bodies of button cell in childhood.
Kaicheng RAO ; Jun LI ; Zhinan WANG ; Zhongqiang XU
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2010;24(9):409-410
OBJECTIVE:
To improve diagnosis and treatment level of esophageal foreign bodies of button cell.
METHOD:
Reported 4 clinical cases of esophageal foreign bodies of button cell.
RESULT:
Because of different diagnosis time and different surgical time, one case died and the other were cured.
CONCLUSION
Esophageal foreign bodies of button cell has been reported rarely before. Because button cell is caustically basic, drastically dangerous, it should be emphasized clinically. The key point to cure this disease is diagnosing timely and operating a surgery as soon as possible.
Esophagus
;
Female
;
Foreign Bodies
;
etiology
;
therapy
;
Humans
;
Infant
;
Male
2.Successful treatment of a child with respiratory failure occurred after lime inhalation.
Jie WANG ; Da-bo LIU ; Zhen-yun HUANG
Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2008;43(10):792-793
Calcium Compounds
;
Foreign Bodies
;
complications
;
etiology
;
Humans
;
Infant
;
Male
;
Oxides
;
Respiratory Insufficiency
;
etiology
;
therapy
;
Treatment Outcome
3.Clinical analysis of diagnosis and treatment on retro-esophageal space abscess.
Ze CHEN ; Zhaotang ZHONG ; Minzhi LIANG
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2014;28(23):1866-1869
OBJECTIVE:
To explore the clinical manifestations and treatments of retro-esophageal space abscess.
METHOD:
The clinical data of 27 cases with retro-esophageal space abscess were analyzed retrospectively. Twenty-one cases (77. 78%) were secondary to acute injury of esophageal meatus caused by foreign bodies. 2 cases (7. 41%)were secondary to old foreign body infection in retro-esophageal space, 3 cases (11. 11%) after secondary to pharyngeal abscess, and 1 case (3. 70%) was unknown to etiology. All patients were confirmed by sectional medicalimageology. Six cases(Conservation group, C group) were treated conservatively and 6 cases (Oropharyngeal incision group, OI group) were performed with oropharyngeal incision drainage. 15 cases(Extra-neck incision group, ENI group)were performed with extra-neck incision and vacuum sealing drainage.
RESULT:
In C group, 6 cases were cured with conservative therapy and the average hospital stay was 15. 6 days. In OI group, 5 cases were healed with oropharyngeal drainage but aspiration pneumonia complicated with septic shock occurred in 2 cases, and 1 case dead from septic shock secondary to mediastinum and lung abscess. The average hospital stay was 18. 8 days. In ENI group, 15 patients were cured with extra-neck drainage without complication and the average hospital stay was 9. 5 days.
CONCLUSION
The main causes of retro-esophageal space abscess are foreign body injury of upper esophagus and remnant of retro-esophageal space. Sectional medicalimageology can be of important value of diagnosis and treatment for displaying the retro-esophageal space abscess and other deep cervical fascia space sufficiently. Incision and vacuum sealing drainage via extra-neck is an effective therapy while oropharyngeal drainage is less effective and is not advocated as a primary treatment because of aspiration pneumonia complication . Conservative cure is a choice for patients without dyspnoea and background diseases, and it is necessary to recognize and treat severe complications early.
Abscess
;
etiology
;
therapy
;
Drainage
;
Esophagus
;
Foreign Bodies
;
complications
;
Humans
;
Neck
;
Pharyngeal Diseases
;
Retrospective Studies
4.Diagnosis and treatment of esophagus perforation caused by esophageal foreign bodies.
Yihui ZOU ; Xuwu WANG ; Weimin LI ; Hui ZHAO ; Riyuan LIU ; Shiming YANG ; Rongguang WANG
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2011;25(19):871-875
OBJECTIVE:
Summarize the treatment skills of esophagus perforation caused by esophageal foreign bodies.
METHOD:
Retrospectively analyze the seven cases of esophagus foreign body perforation with various complications in our department.
RESULT:
Six cases recovered in 3 to 18 days after operation, on average 14.2 day, while one case recovered in 49 days by conservative method.
CONCLUSION
Foreign bodies removing, fistulae repairing, abscess incising, effusion rinsing, effective antibiotics administrating and support treatment are effective to treat esophagus perforation caused by esophageal foreign bodies. It will take a relative long time to be treated only by conservative way.
Adult
;
Aged
;
Esophageal Perforation
;
diagnosis
;
etiology
;
therapy
;
Esophagus
;
Female
;
Foreign Bodies
;
complications
;
diagnosis
;
therapy
;
Humans
;
Male
;
Middle Aged
;
Retrospective Studies
5.Treatment of mediastinal abscess caused by removal foreign bodies in esophagus.
Yamin ZHANG ; Yulin ZHAO ; Weihua LOU ; Jianzhong SANG ; Linlin YUAN ; Ling GAO
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2010;24(9):392-393
OBJECTIVE:
To evaluate the clinical feature and treatment of Mediastinal Abscess caused by removal foreign bodies in esophagus.
METHOD:
Retrospective analysis 12 patients of the last ten years, to observe the clinical manifestation and curative effect.
RESULT:
Ten patients were cured and 2 patients died.
CONCLUSION
The clinical manifestation of mediastinal abscess caused by removal foreign bodies in esophagus is characteristic, should be operated in general anesthesia.
Abscess
;
etiology
;
therapy
;
Adolescent
;
Adult
;
Aged
;
Child
;
Child, Preschool
;
Esophagus
;
surgery
;
Female
;
Foreign Bodies
;
surgery
;
Humans
;
Male
;
Mediastinal Diseases
;
etiology
;
therapy
;
Middle Aged
;
Retrospective Studies
;
Young Adult
6.Retrieval of an embolization coil accidentally dislodged in the descending aorta of a dog with a patent ductus arteriosus.
Seung Gon LEE ; Changbaig HYUN
Journal of Veterinary Science 2007;8(2):205-207
A 3.5-year-old intact female miniature poodle (weighing 2.7 kg) was referred to the Veterinary Teaching Hospital at Kangwon National University, because of inadvertent aortic embolization, by an occlusion coil used for the closure of patent ductus arteriosus (PDA). The coil was found at the site of the branching renal arteries in the abdominal aorta. A foreign body forceps with a three-wire nail tip was used, with fluoroscopic guidance, to retrieve the coil. After the removal, the dog was treated with heparin to prevent thromboembolization.
Animals
;
*Aorta, Thoracic
;
Dog Diseases/*etiology/surgery
;
Dogs
;
Ductus Arteriosus, Patent/*therapy
;
Embolization, Therapeutic/*adverse effects/instrumentation
;
Female
;
Foreign Bodies/therapy/*veterinary
7.Abdominal Epilepsy and Foreign Body in the Abdomen - Dilemma in Diagnosis of Abdominal Pain.
Noor TOPNO ; Mahesh S GOPASETTY ; Annappa KUDVA ; B LOKESH
Yonsei Medical Journal 2005;46(6):870-873
There are many medical causes of abdominal pain; abdominal epilepsy is one of the rarer causes. It is a form of temporal lobe epilepsy presenting with abdominal aura. Temporal lobe epilepsy is often idiopathic, however it may be associated with mesial temporal lobe sclerosis, dysembryoplastic neuroepithelial tumors and other benign tumors, arterio-venous malformations, gliomas, neuronal migration defects or gliotic damage as a result of encephalitis. When associated with anatomical abnormality, abdominal epilepsy is difficult to control with medication alone. In such cases, appropriate neurosurgery can provide a cure or, at least, make this condition easier to treat with medication. Once all known intra-abdominal causes have been ruled out, many cases of abdominal pain are dubbed as functional. If clinicians are not aware of abdominal epilepsy, this diagnosis is easily missed, resulting in inappropriate treatment. We present a case report of a middle aged woman presenting with abdominal pain and episodes of unconsciousness. On evaluation she was found to have an intra-abdominal foreign body (needle). Nevertheless, the presence of this entity was insufficient to explain her episodes of unconsciousness. On detailed analysis of her medical history and after appropriate investigations, she was diagnosed with temporal lobe epilepsy which was treated with appropriate medications, and which resulted in her pain being relieved.
Radiography, Abdominal
;
Humans
;
Foreign Bodies/pathology/*radiography
;
Female
;
Epilepsy, Temporal Lobe/*diagnosis/drug therapy
;
Electroencephalography
;
Anticonvulsants/therapeutic use
;
Adult
;
Abdominal Pain/drug therapy/*etiology/*radiography
;
*Abdomen
8.Retroperitoneal Hemorrhage after Endoscopic Removal of a Fish Bone Stuck in the Duodenum of a Patient Receiving Hemodialysis.
Min Kyung LEE ; Yu Kyung HYUN ; Yoon Ji KIM ; Soo Young YOON ; Joon Hee JOH ; Jong In LEE ; Jae Hee CHO ; Hee Man KIM
The Korean Journal of Gastroenterology 2011;58(4):212-216
Fish bones are often ingested accidently. Most of them passes out through the gastrointestinal tract safely, but serious complications, such as perforation, abscess, obstruction, and bleeding in the gastrointestinal tract, can occur. An ingested fish bone can be easily removed by endoscopy, and surgery is rarely required. However, there may be complications related to the endoscopic procedure including mucosal laceration, bleeding, fever, and perforation. Here, we report a case of retroperitoneal hemorrhage developed after endoscopic removal of a fish bone stuck in the duodenal wall, and then resolved spontaneously by conservative care.
*Duodenum/injuries
;
*Endoscopy, Gastrointestinal
;
Foreign Bodies/*complications/therapy
;
Gastrointestinal Hemorrhage/etiology
;
Humans
;
Male
;
Middle Aged
;
*Renal Dialysis
;
Tomography, X-Ray Computed
9.Broken Guidewire Fragment in the Radio-brachial Artery During Transradial Sheath Placement: Percutaneous Retrieval via Femoral Approach.
Jang Young KIM ; Junghan YOON ; Hyun Sook JUNG ; Woo Jea KIM ; Byung Su YOO ; Seung Hwan LEE ; Kyung Hoon CHOI
Yonsei Medical Journal 2005;46(1):166-168
A case in which a 0.014" wire was broken during the sheath placement in the radial artery for transradial coronary procedure is described here, and a successful retrieval of it using conventional methods is also described. Through the left femoral artery, the 6 Fr guiding catheter was advanced down to the tip of the broken wire at the brachial artery, and the distal part of the broken guidewire was captivated into the guiding catheter. By inflating the balloon catheter inside of the guiding catheter, seized broken guidewire between the inflated balloon and the guiding catheter was removed successfully by withdrawing the whole system en bloc.
Aged
;
Angioplasty, Transluminal, Percutaneous Coronary/*adverse
;
effects/instrumentation/*methods
;
Brachial Artery
;
Coronary Arteriosclerosis/diagnosis
;
Equipment Failure
;
Female
;
Femoral Artery
;
Foreign Bodies/*etiology/*therapy
;
Humans
;
Radial Artery
10.Clinical features and prognosis of gastrointestinal injury due to foreign bodies in the upper gastrointestinal tract in children: a retrospective analysis of 217 cases.
Lu-Jing TANG ; Hong ZHAO ; Jin-Gan LOU ; Ke-Rong PENG ; Jin-Dan YU ; You-You LUO ; You-Hong FANG ; Fei-Bo CHEN ; Jie CHEN
Chinese Journal of Contemporary Pediatrics 2018;20(7):567-571
OBJECTIVETo study the clinical features and prognosis of gastrointestinal injury caused by foreign bodies in the upper gastrointestinal tract in children.
METHODSA retrospective analysis was performed for the clinical data of 217 children who were diagnosed with foreign bodies in the upper gastrointestinal tract complicated by gastrointestinal injury by gastroscopy from January 2011 to December 2016, including clinical features, gastroscopic findings, complications, and prognosis.
RESULTSAmong the 217 children, 114 (52.5%) were aged 1-3 years. The most common foreign body was coin (99/217, 45.6%), followed by hard/sharp-edged food (45/217, 20.7%) and metal (35/217, 16.1%). The most common gastrointestinal mucosal injury was ulceration (43.8%), followed by erosion (33.2%). Compared with other foreign bodies, button cells were significantly more likely to cause esophageal perforation (P<0.01). The esophagus was the most commonly injured organ (207/217, 95.4%). Of all the 217 children, 24 (11.1%) experienced infection. The children with perforation caused by foreign bodies had a significantly higher incidence rate of infection than those with ulceration caused by foreign bodies (P=0.003). Of all the 217 children, 204 (94.0%) underwent successful endoscopic removal of foreign bodies. Among these children, 98 were hospitalized due to severe mucosal injury and were given anti-infective therapy, antacids, and supportive care including enteral nutrition through a nasogastric tube and/or parenteral nutrition. Of all the children, 10 left the hospital and were lost to follow-up, and all the other children were improved and discharged.
CONCLUSIONSMost cases of foreign bodies in the upper gastrointestinal tract occur at 1-3 years of age. Coin, hard/sharp-edged food, and metal are the most common foreign bodies. Button cells are more likely to cause esophageal perforation. The incidence rate of secondary infection increases with the increasing severity of gastrointestinal mucosal injury. Children undergoing endoscopic removal of foreign bodies and enteral nutrition through a nasogastric tube tend to have a good prognosis.
Female ; Food ; adverse effects ; Foreign Bodies ; diagnosis ; etiology ; therapy ; Humans ; Infant ; Male ; Metals ; adverse effects ; Prognosis ; Retrospective Studies ; Upper Gastrointestinal Tract ; injuries