Foreign Body Removal involves various techniques for the removal of foreign particles from eyes, ears, and in other cases, sometimes small children accidentally consume buttons, pins, pencils, etc. that needs to be removed after examination through x-ray, etc. The complications that could rise inside due to the accidental consumption or entrance of foreign body are Local Inflammation; caused by intake of vegetables (thorns, wood consumed inside), Local Infection, Granuloma Formation and Toxic Reactions.
Some case reports:
Case1: Nasal foreign body removal, in which an open safety pin was removed from right nostril.
Case2: Self-inserted perfume bottle in the rectum of a person. The guy tried removing it using various objects, like a back scratcher. He had inserted this bottle on previous occasions. Edema of the rectum and sigmoid colon precluded the successful manual removal of the object in the emergency room.
Case3: A 39-year-old white male was admitted to the University Hospital psychiatric service for evaluation of a 2-week history of bloody diarrhea and auditory hallucinations. Rectal examination revealed a foreign body approximately 3 cm above the anal verge. An x- ray film showed that it was 20 cm in length. The object could not be removed by manual or endoscopic means. The patient consented to extraction of the dildo under general anesthetic. Biopsy specimens of the hemorrhagic rectal mucosa were performed and were negative on Ziehl-Neelson stains for mycobacterial or cryptosporidium infection. The patient was discharged without complications the following day.
Case4: Primary Care Ophthalmology. In case of a foreign particle entered your eye, the safest method is a careful irrigation of the eye with a stream of sterile saline, directed from the sclera over the cornea. It is important to avert the lids and irrigate both superior and inferior cornices. Foreign bodies under the lid or on the sclera may be wiped away by a cotton-tipped applicator. Wetting the applicator will often enhance its effectiveness.
Case5: Intraocular foreign bodies constitute a large percentage of all ocular traumas and require the use of advanced diagnostic and surgical techniques to properly evaluate and successfully manage them. Vitreous microsurgery allows excellent visualization, prevention of post-operative transvitreal proliferation, and removal of blood, lens matter and organisms if present.
Case6: A 40-year-old male presented to the emergency room with a one-month history of perineal pain and hematuria after physical activity. The patient denied any obstructive symptoms. Physical examination was significant for a palpable foreign body in the midline perineum inferior to the scrotal border. On digital rectal exam, the foreign body was palpable along the anterior rectal wall. A plain radiograph of the abdomen and pelvis confirmed the presence of a thin foreign body spanning the bulbar urethra and the bladder neck. Cystoscopy confirmed the presence of a ball-point pen, which had eroded through the ventral surface of the bulbar urethral wall.
Case7: Laparoscopic removal of a foreign body from the intestine; Foreign bodies are often introduced into the gastrointestinal tract of both adults and children- intentionally or accidentally. The doctor generally faces a problem of applying the treatment to the expectant mothers.
What are the ways by which foreign bodies can be detected?
Presence of foreign bodies\particles consumed intentionally or accidentally can be detected by the following three methods:
Under penetrated X-Ray: Detects certain objects like
Metal or aluminum
Glass
Plastic
Pencil graphite
Teeth
Gravel or stone
Wood
CT Scan
Significantly more sensitive than X-Ray
X-Ray does not show foreign body
Risk of joint infection
Ultrasound
Test Sensitivity greater than 50%
Test Specificity greater than 70% |
