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Radiopaque Foreign Body

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1. Analysis of Radiopaque Gastrointestinal Foreign Bodies Expelled by Spontaneous Passage in Children: A 15-Year Single-Center Study (PubMed)

Analysis of Radiopaque Gastrointestinal Foreign Bodies Expelled by Spontaneous Passage in Children: A 15-Year Single-Center Study Background: Most ingested foreign bodies (FBs) pass spontaneously through the gastrointestinal (GI) tract, but only limited data on transit time are available. We evaluated the relationship of FB size and shape with transit time. Methods: We retrospectively reviewed medical records collected over 15 years (January 2001 to December 2015) on pediatric patients (...) with radiopaque FBs in the GI tract. We categorized the FBs as regularly (round or spherical) or irregularly shaped (ovoid, long, flake-like, or projecting) and measured their sizes radiographically. The diameter of regularly shaped FBs and the length of irregularly shaped FBs were correlated with transit time. Results: In total, 484 patients with GI FBs were surveyed, and 267 (55.1%) FBs were radiopaque. Among the 267 radiopaque FBs, 88 (33.1%) required endoscopic removal and 7 (2.6%) underwent surgical

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2018 Frontiers in pediatrics

2. Radiopaque Foreign Body

Radiopaque Foreign Body Radiopaque Foreign Body Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Radiopaque Foreign Body Radiopaque (...) Foreign Body Aka: Radiopaque Foreign Body , Radiopaque Toxin , Radio-opaque Foreign Body , Radiolucent Foreign Body , Radiodense Foreign Body II. Definition Radiopaque (or radio-opaque) Visible objects on XRay Radiolucent Objects not visible on XRay III. Imaging: Toxins radiopaque on XRay (Mnemonic=COINS) , packets Packets and Heavy metals (e.g. Lead, , ) agents Sustained release products, enteric coated preparations IV. Imaging: Foreign Body Radiopaque foreign bodies Dentures Some bones (e.g. fish

2018 FP Notebook

3. Balloon tract dilatation facilitates fluoroscopically guided removal of deeply penetrating foreign bodies (PubMed)

Balloon tract dilatation facilitates fluoroscopically guided removal of deeply penetrating foreign bodies Previous reports describe removal of foreign bodies using image guidance with serial tract dilation or blunt and sharp dissection techniques. This report describes a novel technique utilizing balloon tract dilatation to facilitate the removal of retained radiopaque soft tissue foreign bodies under fluoroscopic guidance. This technique offers a minimally invasive approach for rapid retrieval (...) of deeply penetrating foreign bodies, obviating the need for a large incision or surgical cut down.

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2018 Radiology Case Reports

4. Pepto-Bismol Tablets Resembling Foreign Bodies on Abdominal Imaging (PubMed)

Pepto-Bismol Tablets Resembling Foreign Bodies on Abdominal Imaging A 28-year-old female presented to the emergency department (ED) with a one-day history of severe, diffuse abdominal pain of sudden onset. In the ED, an abdominal x-ray was done, which showed two hyperdense disc-shaped structures. When her abdominal pain did not subside, the ED performed a computerized tomography (CT) scan of the abdomen and pelvis with contrast, which showed the two previously noted 16 mm disc-shaped objects (...) to actually be located within the cecum. Based on the history and imaging, it was deduced that the two discs were likely to be Pepto-Bismol tablets (Proctor & Gamble Co., Cincinnati, OH). Most medications are radiolucent, but there are some that are radiopaque, including Pepto-Bismol (also known as bismuth subsalicylate). While quite a rare occurrence, it is important to know about since it can lead to unnecessary endoscopy and patient anxiety.

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2018 Cureus

5. An uncommon source for oesophageal foreign body: Fidget spinner (PubMed)

An uncommon source for oesophageal foreign body: Fidget spinner Fidget spinner is a new handheld toy with potential choking and ingestion hazard. Our objectives are to describe clinical presentation of a child with fidget spinner ingestion and draw attention to danger associated with fidget spinner. A 3-year-old boy presented with painful swallowing and feeling of something stuck in the throat. A chest radiograph revealed a radiopaque foreign body with a disc-like component. Rigid (...) oesophagoscopy revealed a foreign object with disc battery and battery holder circuit board. Clinicians should consider the fidget spinner as one of many varieties of toys that has potential for button battery ingestion or aspiration.

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2018 SAGE Open Medical Case Reports

6. Airway foreign body manifested as a coin lesion (PubMed)

Airway foreign body manifested as a coin lesion Foreign body aspiration is a potentially life-threatening event. The nature of the inhaled objects is highly variable, ranging from organic to inorganic material. Although most pills are radiolucent, lanthanum carbonate is radiopaque and may be identified on chest X-rays.

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2018 Clinical Case Reports

7. Detection of a metallic foreign body in the Wharton duct: A case report. (PubMed)

Detection of a metallic foreign body in the Wharton duct: A case report. Foreign bodies are rarely found in the submandibular gland and the Wharton duct, due to their physiological and anatomical features.A 23-year-old man was referred to Foshan Stomatology Hospital in July 2016, with pain and intermittent swelling in the right submandibular area.Physical examination revealed enlarged, indurated, and painful swelling in the right submandibular area, with a normal oral cavity. No abscess (...) or fistula was detected. Radiography and computed tomography (CT) indicated a 1.7 cm radiopaque mass in the Wharton duct, close to the submandibular gland.Submandibular sialadenectomy was performed under general anesthesia. Upon exploration of the fully dissected submandibular gland, a 2.0 cm long barb-like metallic body was found in the Wharton duct.The patient had an uneventful recovery during a 6-months follow-up.Foreign bodies in the Wharton's duct can be detected by imaging techniques

2018 Medicine

8. Chest Radiograph Alone Is Sufficient as the Foreign Body Survey for Children Presenting With Coin Ingestion. (PubMed)

including the entire esophagus is adequate to guide treatment.We reviewed the clinical history and radiographic surveys of 134 patients presenting with suspected or witnessed coin ingestion to the emergency department of a tertiary care pediatric hospital between January 2012 and June 2016. Patient demographics, presenting symptoms, anatomic coverage of survey, type, number and location of radiopaque foreign bodies, intervention, and follow-up were recorded.Coins were identified on radiographic surveys (...) Chest Radiograph Alone Is Sufficient as the Foreign Body Survey for Children Presenting With Coin Ingestion. Radiographic survey of the entire aerodigestive tract (nares to anus) is common practice in children presenting to the emergency department following coin ingestion. The purpose of our study was to determine the optimal protocol for radiographic survey post-coin ingestion. We hypothesized that for children presenting with a clear history of coin ingestion a frontal chest radiograph

2018 Pediatric Emergency Care

9. Pediatric Esophageal Foreign Body: Possible Role for Digital Tomosynthesis. (PubMed)

Pediatric Esophageal Foreign Body: Possible Role for Digital Tomosynthesis. Foreign body (FB) ingestion is a common reason for emergency department visits, affecting more than 80,000 children in the United States annually. Whereas most ingested FBs are coins or other radiopaque objects, some are radiolucent FBs such as food. Digital tomosynthesis (DTS) is a radiographic technique that produces cross-sectional images with in-plane resolution similar to that of traditional radiographs. Our pilot

2018 Pediatric Emergency Care

10. Movement Disorder Associated With Foreign Body Ingestion. (PubMed)

occupying lesions, and toxic ingestions, were ruled out because of negative cerebrospinal fluid analysis, normal EEG, and negative results of other ancillary tests. On the second day of admission, an abdominal radiograph was obtained because intussusception was considered a probable diagnosis due to recurrent episodes of arching and lethargy. The abdominal radiograph revealed the presence of a 15-mm radiopaque foreign body in the right lower quadrant corresponding to the anatomic location (...) Movement Disorder Associated With Foreign Body Ingestion. We present a case of recurrent bouts of irritability with arching, head extension, and lethargy in a previously healthy 10-month-old girl admitted to the PICU for acute onset of a movement disorder. The patient's vital signs and physical examination were unremarkable but recurrent bouts of abnormal movements persisted for the first 10 hours of admission in the PICU. Possible diagnoses, such as meningitis, status epilepticus, space

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2017 Pediatrics

11. Three years evaluation of retained foreign bodies after surgery in Iran (PubMed)

%).Considering the most frequent type of retained foreign bodies and also more frequent involved surgery wards besides detection methods for RFB, a mixed of preventing protocols such as regular counting of devices, post-operative X-ray with radiopaque markers and exact evaluation of surgery site should be employed to reduce the occurrence of retained foreign bodies and its complications. (...) Three years evaluation of retained foreign bodies after surgery in Iran Medical errors such as retained foreign bodies (RFB) during surgery are not well studied. To define risk factors associated with this type of error, we performed retrospective study.We reviewed medical records for unintentional foreign object remaining in the body during surgery such as gender, age, surgery ward, and incident reports referred to several forensic medicine administrations as well as adverse effects

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2017 Annals of Medicine and Surgery

12. Percutaneous extraction of deeply-embedded radiopaque foreign bodies using a less-invasive technique under image guidance. (PubMed)

Percutaneous extraction of deeply-embedded radiopaque foreign bodies using a less-invasive technique under image guidance. Radiopaque foreign bodies (RFBs) retained in soft tissue are a common clinical problem. Image-guided extraction plays a great role in this realm. We describe our experience in the management of RFBs imbedded deeply in soft tissue using a percutaneous less-invasive technique under fluoroscopic guidance.In all, 76 patients with 251 RFBs including gun pellets (n = 223), needle

2012 Journal of Trauma

13. Radiopaque Foreign Body

Radiopaque Foreign Body Radiopaque Foreign Body Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Radiopaque Foreign Body Radiopaque (...) Foreign Body Aka: Radiopaque Foreign Body , Radiopaque Toxin , Radio-opaque Foreign Body , Radiolucent Foreign Body , Radiodense Foreign Body II. Definition Radiopaque (or radio-opaque) Visible objects on XRay Radiolucent Objects not visible on XRay III. Imaging: Toxins radiopaque on XRay (Mnemonic=COINS) , packets Packets and Heavy metals (e.g. Lead, , ) agents Sustained release products, enteric coated preparations IV. Imaging: Foreign Body Radiopaque foreign bodies Dentures Some bones (e.g. fish

2015 FP Notebook

14. Tendency to Ingest Foreign Bodies in Mentally Retarded Patients: A Case with Ileal Perforation Caused by the Ingestion of a Teaspoon (PubMed)

Tendency to Ingest Foreign Bodies in Mentally Retarded Patients: A Case with Ileal Perforation Caused by the Ingestion of a Teaspoon Introduction. Unintentional foreign body ingestion commonly occurs accidentally in children aged between 3 months and 6 years and at advanced ages or results from psychiatric disorders such as hallucination in patients with mental retardation. Most of the ingested foreign bodies are naturally discharged from the body but some of them may require surgical (...) 7, the patient was uneventfully discharged following a psychiatric consultation. Discussion. Foreign body ingestion can occur intentionally in children at developing ages and old-age patients, or adults and prisoners, whereas it may occur unintentionally in patients with mental retardation due to hallucination. However, repeated foreign body ingestion is very rare in individuals other than mentally retarded patients. Conclusion. Mentally retarded patients should be kept under close surveillance

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2016 Case reports in surgery

15. Rectal Foreign Body

Foreign Body (and if there are more than one) Non-radiopaque objects will often be well outlined by surrounding stool Identifies abdominal free air (although may better define this) with IV contrast Indications No peritoneal signs, but suspicion for small perforation or other bowel injury Concerning signs include bowel wall thickening, soft tissue stranding, extraluminal gas No oral or rectal contrast needed V. Management: General Approach Precautions Avoid s as a way to expel foreign body (...) Rectal Foreign Body Rectal Foreign Body Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Rectal Foreign Body Rectal Foreign Body Aka

2018 FP Notebook

16. Esophageal Foreign Body

(as indicated) Foreign body location and orientation Other measures to localize foreign body Hand-held metal detector (from security) may be used to select best initial XRay location Other imaging of imaging may be needed for sharp radiolucent objects VIII. Management: Endoscopy for radiopaque objects Preferred method in most cases of ingestion Indications: Radiopaque objects Button Batteries need removal! See Cylindrical batteries (non-button batteries) Remove from esophagus within 24 hours Remove (...) Indications (Radiopaque Objects) Small blunt objects Object beyond duodenal sweep that is making progress Large object (see definition of large as above) Sharp objects (consider hospital observation, discuss with general surgery) Observation protocol (Radiopaque objects) XRay weekly: small or large items past duodenal sweep XRay every 3-4 days: Button or disc batteries XRay daily: Sharp objects beyond duodenal sweep Monitor stool for passed foreign body Misses 2/3 of ingested foreign bodies X. Management

2018 FP Notebook

17. Foreign Body Aspiration

clinicians skilled in management (e.g. Emergency Department, ENT, anesthesia) Most throat foreign bodies require sedation and endoscopy VIII. Imaging: Chest XRay Object is uncommonly radiopaque and visible (10-20%) Flat foreign bodies may orient in a plane indicating their location Tracheal foreign bodies often orient in a sagital plane (anterior-posterior) Esophageal foreign bodies often orient in a coronal plane (right-left) Consider obtaining addition XRay views (may highlight secondary findings (...) Foreign Body Aspiration Foreign Body Aspiration Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Foreign Body Aspiration Foreign Body

2018 FP Notebook

18. Foreign Bodies of the Skin

Removal may not be needed with small asymptomatic inert metal objects Glass All glass is radiopaque, but <2 mm fragments are missed on XRay Glass fragments cause the most foreign body sensations Removal may not be needed with small asymptomatic glass that is difficult to find Pencil leads or graphite Should be removed as much as possible due to secondary ing Wood or vegetative material Must be removed due to infection and inflammation risk Fishhooks See III. Exam Evaluate circulation, sensation (...) Foreign Bodies of the Skin Foreign Bodies of the Skin Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Foreign Bodies of the Skin

2018 FP Notebook

19. Removal of foreign bodies in the upper gastrointestinal tract in adults: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. (PubMed)

examination focused on the patient's general condition and to assess signs of any complications (strong recommendation, low quality evidence). 2 ESGE does not recommend radiological evaluation for patients with nonbony food bolus impaction without complications. We recommend plain radiography to assess the presence, location, size, configuration, and number of ingested foreign bodies if ingestion of radiopaque objects is suspected or type of object is unknown (strong recommendation, low quality evidence (...) Removal of foreign bodies in the upper gastrointestinal tract in adults: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. This Guideline is an official statement of the European Society of Gastrointestinal Endoscopy (ESGE). It addresses the removal of foreign bodies in the upper gastrointestinal tract in adults. Recommendations Nonendoscopic measures 1 ESGE recommends diagnostic evaluation based on the patient's history and symptoms. ESGE recommends a physical

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2016 Endoscopy

20. Foreign Bodies in Trachea: A 25-years of Experience (PubMed)

and bilateral decreased lung sounds (n=73, 65.1%), bilateral rhonchi (n=68, 60.7%) and cyanosis (n=41, 36.6%). Rigid bronchoscopy was performed in all patients. The most common foreign body was nuts (n=75, 67%). The main radiologic finding was radiopaque image of the related foreign body in 27 patients (n=27, 24.1%). Cardio-pulmonary arrest occurred in 11 patients and two of them died.Tracheobronchial aspirations of foreign bodies are life-threatening events. If not diagnosed and treated rapidly (...) Foreign Bodies in Trachea: A 25-years of Experience Tracheobronchial foreign body aspirations may cause cardiopulmonary arrest and sudden death. The incidence in children is higher than in adults. Rapid diagnosis and treatment is live saving. In this paper, we aimed to present our experience in tracheal foreign body aspirations and rigid bronchoscopy for 25-years.From January 1990 to January 2015, 805 patients with suspected tracheobronchial foreign body aspiration were admitted to our

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2016 The Eurasian journal of medicine

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