• 제목/요약/키워드: Foreign Body

검색결과 934건 처리시간 0.025초

후인두 농양을 초래한 식도이물 1례 (A Case of Retropharyngeal Abscess Caused by Esophagal Foreign Body)

  • 박병원;김명구
    • 대한기관식도과학회지
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    • 제4권2호
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    • pp.254-257
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    • 1998
  • Esophageal foreign body are not uncommon problems in the otolaryngologic field. Esophageal foreign body may cause severe complications such as esophageal ulceration, esophageal perforation, periesophagitis, tracheo-esophageal fistula, mediastinitis, pneumothorax pyothorax according to the kinds, shape, size, duration of lodgement of foreign body. The majority of esophageal foreign U which lodge in the esophagus can be removed endoscopically, but the following type of foreign body may require removal by external route. 1. an impacted foreign body 2. a foreign body producing esophagitis after unsuccessful attempts at removal through the esopahgoscope 3. a periesophageal abscess with a foreign body lodging in the abscess itself. Recently, we experienced a case of esophageal foreign body (fish bone) which penetrate the cervical esophageal wall and formed retropharyngeal abscess in 54-year old female. The foreign body are successfully removed and abscess was drained by external route through the lat neck.

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피하 조직에 발생한 나무 이물의 초음파 진단 (Ultrasonographic Diagnosis of Subcutaneous Wooden Foreign Body)

  • 최지혜;계서연;김성수;김혜진;장재영;최희연;윤정희
    • 한국임상수의학회지
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    • 제28권1호
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    • pp.163-172
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    • 2011
  • Subcutaneous foreign body causes recurrent problems such as chronic soft tissue swelling and discharge. Wooden foreign body is one of the most common foreign bodies found in subcutaneous region including face, interdigit, and thoracic or abdominal area. This report demonstrated three dogs with wooden foreign body located in subcutaneous region of thoracic wall, abdominal wall and upper eyelid, respectively. Three dogs showed prominent soft tissue swelling adjacent the foreign body. A sinus or drainage tract was developed in two of these dogs. Ultrasonography revealed that hyperechoic linear structure accompanied acoustic shadow in all dogs, and which was diagnosed as a subcutaneous foreign body. Anechoic or hyperechoic fluid and hypoechoic tissue circumscribed the foreign body. A subcutaneous foreign body in case 3 was removed by clamp under ultrasound-guide with sedation. Sinography was performed in case 1 and clarified that the wooden foreign body did not perforate the thoracic wall and there was no direct communication into thoracic cavity. Ultrasonography and sinography can be used to identify the subcutaneous foreign body and evaluate the inflammatory reaction and relationship between foreign body and adjacent structures.

Mysterious Foreign Body in Transverse Sinus

  • Oh, Chang-Hyun;Hyun, Dong-Keun
    • Journal of Korean Neurosurgical Society
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    • 제51권3호
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    • pp.167-169
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    • 2012
  • This case report describes a patient who had a foreign body in transverse sinus. A 35-year-old Korean-Chinese man visited the emergency room with lacerated wound in left eyelid and a foreign body which was stumbled upon in the skull. On examination, there was right side hemianopsia in his left eye, He did not complain any headache or show any abnormal neurological signs, but there was a foreign body at left transverse sinus in computed tomography which was taken at another hospital. There was no intracranial abnormality except the foreign body in computed tomography. Because of the financial problem, additional evaluations were not possible. We herein report a strange case in which the pathway of a foreign body to locate in transverse sinus was ambiguous, and suggest that the foreign body located in transverse sinus might have been the penetrated along the anterior fontanelle and passed through the superior sagittal sinus.

식도 이물 모델에서 이물 탐색을 위한 삼차원 재구성법의 활용 (Detection of Foreign Body in Esophageal Foreign Body Model Using Three Dimensional Reconstruction Technique)

  • 우국성;유영삼;김동원
    • 대한기관식도과학회지
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    • 제18권1호
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    • pp.13-18
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    • 2012
  • Objective This study was conducted to gather basic information of 3D CT in detecting and gaining information of esophageal foreign body (FB) models. Materials and Methods The chest model was made using PVC bottle, rubber balloon and plaster. Fish bone, Persimmon stone were used to mimic foreign bodies of esophageal model. The foreign body models were inserted into the balloon removing air from it and the balloon was sealed. The esophageal FB model was inserted into the chest model. The remaining space in the chest model was filled with fish paste and water to simulate soft tissue around esophagus. CT of chest model was reconstructed three-dimensionally by Rapidia software to make images of foreign body models. The axial CT, MPR image and VOI image were compared with real foreign body materials as to shape, size, location and orientation. Results Esophageal FB models were easily made. CT data gave good 3D images and showed realistic foreign body materials. Conclusion The results indicate the usefulness of 3D CT technique to help in diagnosis of esophageal foreign body models.

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개의 소장에서 관찰된 뼈와 같은 형태의 나무 이물 (A Bone-like Small Intestinal Wooden Foreign Body in a Dog)

  • 정석영;김두;안소저;박인철;우흥명;박선일
    • 한국임상수의학회지
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    • 제23권3호
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    • pp.375-379
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    • 2006
  • Detection of wooden foreign body represents a clinical challenge. Wood is typically radiolucent, so wooden foreign bodies are generally cannot be seen on survey radiography. Failure to locate and remove foreign bodies can lead the patient to the long-term secondary inflammatory reactions or infections. The dog described in the present report ingested a wooden foreign body(cotton swab stick) a year ago. The foreign body remained in the intestinal tracts which were attached to each other due to the prior abdominal operation. The wooden piece in the intestine functioned as a nidus and inorganic matters were gathered forming calculus on the outer layer of foreign body. In the radiograph, the foreign body appeared to be a chicken bone which of it's inner area was more radiolucent than the outer layer. Because the wooden foreign bodies that have remained for long time in the intestinal tract can be seen like a bone by mineralization, the diagnosis of the wooden foreign bodies should be done prudently.

기관지 이물 환자에서 폐장관류주사(pulmonary perfusion scan)의 적용 의의 (Diagnostic Value of Pulmonary Perfusion Scan in Patients of Airway Foreign Body)

  • 최종욱;정광윤;민헌기;황찬승;김혜정
    • 대한기관식도과학회지
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    • 제1권1호
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    • pp.75-81
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    • 1995
  • To evaluate the diagnostic value of pulmonary perfusion scan, we obtained 99mTc MAA per-fusion lung scan from 25 cases of airway foreign bodies. The results were as follows. 1) Significant changes in blood gases were not observed after the establishment of regional hypoperfusion caused by airway foreign body. 2) Near total or total defect was noted on perfusion scan from most of the airway foreign body. 3) There was correspondance of findings of perfusion lung scan and duration of airway foreign body. 4) After the removal of airway foreign bodies, perfusion scan abnormalities were reversed in parallel with the recovery of pulmonary blood flow. We concluded that pulmonary perfusion scan may be valuable for detection of foreign body and reversible hypoperfusion.

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Fogarty 카테터를 이용한 식도 이물(바둑알) 제거 2예 (Two Cases of esophageal foreign body removal using Fogarty catheter)

  • 박시내;박경호;박준욱;여상원;조승호
    • 대한기관식도과학회지
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    • 제9권1호
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    • pp.79-82
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    • 2003
  • Unintentional foreign body ingestion is common in children, and coins are the most common foreign body ingested. Foreign body remaining in the esophagus may be associated with mucosal ulceration or esophageal obstruction and can potentially lead to significant morbidity and even death. Removal of esophageal foreign body is therefore generally recommended. Several methods are utilized including esophagoscopy in operating room, flexible endoscopy in out patient setting, fluoroscopic Foley catheter technique, and advancement using bougienage. We report two cases of esophageal foreign body(paduk stone) which were hard to be removed by usual esophagoscopic removal. Successful removal was accomplished with the aid of Fogarty catheter under the general anesthesia.

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이물에 의한 식도천공 (Esophageal Perferation with Foreign Body)

  • 장선문;전광수;박찬일
    • 대한기관식도과학회:학술대회논문집
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    • 대한기관식도과학회 1978년도 제12차 학술대회연제 순서 및 초록
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    • pp.3.2-3
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    • 1978
  • 이물에 의한 식도천공은 매우 희유하며 대부분은 날카로운 금속성이물과 골편에 의하며 드물게는 이물의 장기잔류에 의하여 초래할 수 있다. 저자등은 1976년 1월부터 1977년 12월까지 충남대학교 의료대학 부속병원 이비인후과에 내원한 식도이물 48례중 식도천공을 일으킨 5례 즉 구부러진 철사 2례, 안전핀 l례, 낚시바늘 1례, 골편 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

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Intraocular Foreign Body Entering the Anterior Chamber Through the Mouth: A Case Report

  • Kim, Joon-Young;Kim, Kyung-Hee;Jeong, Soon-Wuk
    • 한국임상수의학회지
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    • 제34권1호
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    • pp.58-60
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    • 2017
  • An 11-year-old, castrated Maltese dog presented with a 3-week history of periocular swelling, epiphora, and intermittent strabismus. On examination, a foreign body was observed in the anterior chamber, along with orbital cellulitis. Severe gingivitis and plaque accumulation were also diagnosed. The foreign body was surgically removed, and dental prophylaxis and dental extraction were performed. The foreign body entrance could not be found intraoperatively, and the foreign body, later identified as a feather, was removed through a clear corneal incision. The right maxillary molar, which had periodontal inflammation, was also extracted. One day postoperatively, severe hypopyon developed, although the periocular swelling was reduced. These signs persisted despite topical and systemic antibiotic and anti-inflammatory therapy; therefore, the right eye was enucleated 1 week later. Intraoperatively, a fistula was found connecting the orbital medial wall, right maxillary molar root, and sclera. The fistula entered the dorsomedial sclera approximately 7 mm behind the limbus. Enterobacteria were cultured from the area. Foreign bodies can enter the anterior chamber not only through the cornea, but also through the mouth. Therefore, when the entry point cannot be found in the cornea, a careful dental examination is required, and the foreign body must be removed through the sclera rather than the cornea.

Risk factors predicting development of complications in 72 dogs with esophageal foreign bodies

  • Shin, Bohye;Kim, Hakhyun;Chang, Dongwoo;Kang, Ji-Houn;Kang, Byeong-Teck;Yang, Mhan-pyo
    • 대한수의학회지
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    • 제59권1호
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    • pp.25-31
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    • 2019
  • The aim of this study was to determine predictive risk factors implicated in complications in dogs with esophageal foreign bodies. Medical records of 72 dogs diagnosed with esophageal foreign bodies by endoscopy were reviewed retrospectively. Factors analyzed included age; breed; gender; body weight, location, dimension, and type of foreign body; and duration of impaction. To identify risk factors associated with complications after foreign body ingestion, categorical variables were analyzed using the chisquare or Fisher's exact tests and multivariate analysis, as appropriate. Complications secondary to esophageal foreign body ingestion included megaesophagus, esophagitis, perforation, laceration, diverticulum, and pleuritis. Univariate analysis revealed that the location and duration of impaction after foreign body ingestion were associated with an increased risk of esophageal laceration and perforation. Multivariate analysis showed that age, duration of impaction, and foreign body dimension were significant independent risk factors associated with the development of complications in dogs with esophageal foreign bodies. In conclusion, these results showed that longer duration of impaction and larger foreign body dimensions may increase the risks of esophageal laceration, perforation, and plueritis in dogs.