• 제목/요약/키워드: metallic foreign body

검색결과 25건 처리시간 0.02초

자석을 이용한 식도 위 이물 제거술 (Fluroscopic Removal of the Foreign Bodies from Gastroesophagus Using the Magnet)

  • 박윤준;이두선
    • Advances in pediatric surgery
    • /
    • 제13권2호
    • /
    • pp.112-118
    • /
    • 2007
  • Ingested foreign bodies are common occurrences in the pediatric population. From October 2002 to April 2006, eight patients (6 male, mean age: $30.9{\pm}14.4$ months, range: 7~45 months) who had ingested metallic foreign bodies, such as bar magnets, coin-type magnets, screws, metal beads, and disk batteries, were selected for foreign body removal using a magnetic device under floroscopic control. A 1-cm-long cylindrical magnet (6 mm in diameter) was placed at the end of a 150-cm-long plastic tube from an IV set. The magnet was passed through the mouth into the stomach. Under fluoroscopic control, the magnet was maneuvered so that it attached to the metallic foreign bodies. The forgeign body was then easily removed by retracting the magnet with the metallic object attached. This procedure was successful in six patients of 8 patients. This procedure is a minimally-invasive and may avoid the use of anesthesics, endoscopy or surgery.

  • PDF

경부를 관통한 후두 내 금속이물 1예 (A Case of Intralaryngeal Metallic Foreign Body which Penetrated by Transcutaneous Route)

  • 최지훈;우정수;이승훈;이흥만
    • 대한기관식도과학회지
    • /
    • 제9권1호
    • /
    • pp.92-95
    • /
    • 2003
  • Laryngeal foreign bodies are not common among the foreign bodies of aerodigestive tract. It is relatively easy to diagnose in acute phase of entry because of a readily\ulcorner available history of intake, and signs or symptoms referable to the foreign body in the highly sensitive air passage. However, on occasion, sudden death by respiratory failure occurs due to complete obstruction of airway. Therefore, it is common and safe to remove the laryngeal foreign bodies by suspension laryngoscope under general anesthesia after tracheostomy. Recently, the authors experienced a case of metallic foreign body in larynx penetrating neck, which was removed by suspension laryngoscope under general anesthesia without any life threatening complication.

  • PDF

금속성 이물의 기관지 내 장기 체류로 발생한 대량 객혈 및 폐렴 1예 (A Case of Massive Hemoptysis & Pneumonia Caused by Metallic Foreign Body)

  • 장준희;이장은;박형욱;이정화;양승아;박용근;이상록;안진영
    • Tuberculosis and Respiratory Diseases
    • /
    • 제61권6호
    • /
    • pp.567-572
    • /
    • 2006
  • 저자들은 기관지 내에 이물이 있음을 알고도 장기간 간과하여 이로 인해 대량객혈과, 폐쇄성 폐렴 등이 발생하였고 이물의 자발적인 제거로 임상 증상 및 방사선적인 호전을 보인 증례 1예를 경험하였기에 보고하는 바이다. 또한 증상이 없는 폐 이물질이 우연히 발견된 경우에도 향후 이물질로 인한 합병증 발생의 가능성을 생각해서 제거에 대한 필요성을 환자에게 적극적으로 알릴 필요가 있다는 점을 느낀 증례이다.

장기간 체류된 상악동 금속이물 1례 (A Case of Metallic Foreign Body in Maxillary Sinus)

  • 정대건;이동목;김명원;박소영;김병국
    • 대한기관식도과학회지
    • /
    • 제10권1호
    • /
    • pp.55-57
    • /
    • 2004
  • On occasion there were reports of foreign body of paranasal sinuses. Most common site is the maxillary sinus. But it is very rare to experience a long-term foreign body in maxillary sinus. There are two types of maxillary foreign bodies according to etiology, one is caused by various traumatic accidents, and the other is iatrogenic cause which mainly retaining gauze or medical instruments after sinus operation or teeth extraction. We experienced an interesting case of over fifty yews resided metal foreign body in maxillary sinus caused sinusitis, and report with a brief literature review.

  • PDF

Diagnosis of Nonmigrating Metallic Foreign Bodies in the Abdomen Using Ultrasound: An Alternative Approach Using a Traditional Method

  • Pak, Seong Min;Lee, Yeoun Joo;Hwang, Jae Yeon
    • Pediatric Gastroenterology, Hepatology & Nutrition
    • /
    • 제25권1호
    • /
    • pp.87-91
    • /
    • 2022
  • Ingestion of foreign bodies (FBs) is a common phenomenon among young children. Plain radiography is the first step diagnostic modality to detect the radio-opaque FBs. And computed tomography has been recommended by several guidelines as useful modalities for diagnosing ingested FBs. However, there is a risk of radiation exposure, making it burdensome to use in asymptomatic patients. Ultrasound (US) is not a commonly used technique for diagnosing ingested foreign bodies. However, US can provide real-time imaging with good resolutions without radiation exposure in pediatric patients. Herein, we report two pediatric cases of metallic foreign body ingestion that were successfully diagnosed using US for localizing foreign bodies. This study indicates that US may be used as an alternative method for detecting the localization of metallic foreign bodies in the gastrointestinal tract without exposure of radiation, particularly in pediatric patients.

안면부에 잔류된 다양한 이물질을 측정한 CT 계수 (CT Number Measurement of Residual Foreign Bodies in Face)

  • 위서영;최환준;김미선;최창용
    • Archives of Plastic Surgery
    • /
    • 제35권4호
    • /
    • pp.423-430
    • /
    • 2008
  • Purpose: Computed tomography theoretically should improve detection of foreign bodies and provide more information of adjacent soft tissues. And the CT scanner and PACS program proved to be an excellent instrument for detection and localization of most facial foreign bodies above certain minimum levels of detectability. The severity of injury in penetrating trauma to the face, it is often underestimated by physical examination. Diagnosis of a retained foreign object is always critical. Methods: From March, 2005 to February 2008 a study was done with 200 patients who had facial trauma. Axial and coronal CT images were obtained with a General Electric(Milwaukee, Wis) 9800 CT scanner at 130 kV, 90 mA, with a 2-mm section thickness and a $512{\times}512$ matrix. Results: Axial and coronal CT images at various window widths should be used as the first imaging modality to detect facial foreign bodies. The attenuation coefficients for the metallic and nonmetallic foreign bodies ranged from -437 to +3071 HU. As a general rule, metallic foreign bodies produced more Hounsfield artifacts than nonmetallic foreign bodies, thus providing a clue to their composition. All of the metallic foreign bodies were represented by a single peak and had a maximum attenuation coefficient of +3071 HU. Of the nonmetallic foreign bodies, glass had an attenuation coefficient that ranged from +105 to +2039, while plastic had a much lower coefficient that ranged from -62 to -35. wood had the lowest range of attenuation coefficients: -491 to -437. Conclusion: The PACS program allows one to distinguish metallic from nonmetallic foreign bodies and to individually identify the specific composition of many nonmetallic foreign bodies. This program does not, however, allow identification of the specific composition of a metallic foreign body. We recommend this type of software program for CT scanning of any patient with an injury to the face in which a foreign body is suspected.

이물에 의한 식도천공 (Esophageal Perferation with Foreign Body)

  • 장선문;전광수;박찬일
    • 대한기관식도과학회:학술대회논문집
    • /
    • 대한기관식도과학회 1978년도 제12차 학술대회연제 순서 및 초록
    • /
    • pp.3.2-3
    • /
    • 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.

  • PDF

Undetected Metallic Chopstick Stabbed on Neck Resulting Tinnitus and Foreign Body Sensation

  • Choi, Sun A;Kim, Sung Bum;Shin, Seung Youp;Eun, Young Gyu
    • Journal of Korean Neurosurgical Society
    • /
    • 제57권2호
    • /
    • pp.140-142
    • /
    • 2015
  • Penetrating neck injuries constitute 5-10% of all trauma cases. These injuries may cause life-threatening suppurative or vascular complications, but the severity and extent of damage depends upon the inflicting object and the involved structures. If significant complications are not expected, then it is best to leave the foreign body embedded and avoid surgical risks. We present a rare case of a foreign body embedded in the neck causing tinnitus and foreign body sensation.

Down the Rabbit Hole-Considerations for Ingested Foreign Bodies

  • Brown, Jerry;Kidder, Molly;Fabbrini, Abigail;deVries, Jonathan;Robertson, Jason;Chandler, Nicole;Wilsey, Michael
    • Pediatric Gastroenterology, Hepatology & Nutrition
    • /
    • 제22권6호
    • /
    • pp.619-623
    • /
    • 2019
  • We report the case of a seven-year-old boy with an ingested foreign body, which was retained within the appendix for a known duration of ten months, ultimately requiring appendectomy. The ingested foreign body was incidentally discovered by abdominal x-ray at an emergency room visit for constipation. Despite four bowel cleanouts, subsequent x-rays showed persistence of the foreign body in the right lower quadrant. While the patient did not have signs or symptoms of acute appendicitis, laparoscopic appendectomy was performed due to the risk of this foreign body causing appendicitis in the future. A small metallic object was found within the appendix upon removal. This case highlights the unique challenge presented by foreign body ingestions in non-verbal or developmentally challenged children and the importance of further diagnostic workup when concerns arise for potential retained foreign bodies.

후인두공간으로 이동하여 농양을 유발한 하인두 이물 1예 (Hypopharyngeal Foreign Body Migration Induced Retropharyngeal Abscess)

  • 이재운;조완석;이동훈;윤태미
    • 대한두경부종양학회지
    • /
    • 제30권1호
    • /
    • pp.28-30
    • /
    • 2014
  • Foreign bodies in upper aerodigestive tract migrating into retropharyngeal space are rarely encountered emergent cases in otolaryngologic fields. A 60-years-old female presented throat pain and lump sense after a meal. Computer tomography showed metallic foreign body impacted in the retropharyngeal space. A hypopharyngeal perforation was suspected by through flexible laryngoscopy and gastrointestinal endoscopy. It was successfully removed by external cervical approach, and we report this case with a review of the related literatures.