• 제목/요약/키워드: Metal foreign body

검색결과 31건 처리시간 0.018초

Surgical Removal of the Lung Lobe Metal Foreign Body in a Dog

  • Hwang, Yawon;Kang, Jihoun;Chang, Dongwoo;Kim, Gonhyung
    • 한국임상수의학회지
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    • 제34권2호
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    • pp.108-111
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    • 2017
  • A 4-year-old, weighing 7.6 kg, castrated male, Pug presented with ingestion of gastric cavity foreign body. Physical examination revealed panting, retching and hyper-salivation. Blood chemistry and complete blood cell count were normal, but hypophosphatemia was observed. An abdominal radiograph revealed the foreign body (FB), round shape and 2 cm length, at the pyloric region of stomach. A thoracic radiograph revealed an incidental metal FB, 3.5 cm length, at the cranial portion of the diaphragm. An upper gastrointestinal endoscopy was performed to remove the FB in the stomach and then a peach-pit was removed. However the metal FB was not found in the esophagus therefore a lateral thoracotomy was performed. A right lateral thoracotomy through the $7^{th}$ intercostal space was accomplished to expose the right caudal lung lobe. After open the thoracic cavity, foreign body was not observed by gross evaluation and caudal lung lobe was attached to the diaphragm. The FB was identified inside the lung lobe and surrounded by granulation tissue. The metal FB (sewing needle) was removed with blunt dissection and incised lung lobe was sutured using absorbable suture material PDS 4-0 with interrupted suture. A thoracotomy tube was inserted into the thoracic cavity during surgery. Patient's respiration became stable after surgery. A chest tube was removed 3 days after surgery. No complications were noted and the dog was discharged 4 days after surgery. In small animal, foreign body ingestion is a common reason for emergency. After ingestion of the FB, perforation through the esophagus and migration to inside the lung lobe is not common in small animals. In this case, thoracic metal FB was identified incidentally and removal of a thoracic FB with thoracotomy was performed successfully.

Unusual Plastic-Metal Foreign Body in the Mandible

  • Kwon, Yong-Dae;Lee, Jung-Kyo;Lee, Baek-Soo;Kim, Yeo-Gab
    • Journal of Korean Dental Science
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    • 제2권2호
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    • pp.53-55
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    • 2009
  • A foreign body may present diagnostic difficulties. If the foreign body has been in existence for a long time, the diagnosis may be even more complex. This report shows an unusual foreign body that turned out to be the cap of a ball point pen.

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강직형식도경술을 이용하여 치료한 이물에 대한 임상적 고찰 (Treatments of esophageal foreign body treated using Rigid esophagoscopy)

  • 정필상;정승완;김윤환
    • 대한기관식도과학회지
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    • 제5권2호
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    • pp.159-163
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    • 1999
  • OBJECTIVE : To study the management (diagnostic and therapeutic) of esophageal foreign bodies with rigid esophagoscopy. MATERIAL AND METHODS : All 100 patients admitted to the Dankook University Hospital for ingestion of foreign bodies between May 1994 and July 1999. The outcome for each patient was determined by examining hospital records of demographic information, identification of the foreign body and the removal procedure used. RESULTS : Rigid esophagoscopy was performed for suspected foreign bodies in 100 cases an impacted. The most frequent location was the upper third of the esophagus (68%). The most common type of foreign body was fish bones in adult(61%) and coins in children(70%). In 12 patients. flexible endoscopy had failed previously to remove the foreign body and 4 cases were migrated esophageal metal stent in esophageal stenosis. CONCLUSIONS : The rigid esophagoscopy is appropriate techniques for managing esophageal foreign bodies.

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금속 내부의 이물질 검출 향상을 위한 X-ray 영상 보정 모델 (X-ray Image Correction Model for Enhanced Foreign Body Detection in Metals)

  • 김원
    • 한국융합학회논문지
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    • 제10권10호
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    • pp.15-21
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    • 2019
  • 자외선보다 파장이 짧은 X-선은 투과력이 매우 좋아 산업 분야 및 의료분야에 융합되어 많이 사용되고 있다. 특히 산업분야에서는 비파괴 검사 장비인 x-ray를 이용하여 금속과 같은 제품의 생산 과정에서 발생할 수 있는 금속 내부의 이물질에 검출에 대한 연구가 다양하게 이루어지고 있는 실정이다. X-ray 영상 이미지를 디지털 방식으로 획득하는 DR(Digital Radiography) 방사선 촬영 방식의 확산으로 디텍터의 사용이 활발해지고 있으나 내부의 센서 잡음 및 감도에 따라 이물질 검출이 불가능한 경우도 발생하고 있다. 금속 제품을 생산할 경우 이물질의 혼입으로 생산 제품의 불량률이 높아질 수 있기에 정확한 검출이 필요하다. 이에 본 논문에서는 금속 내부의 이물질과 같은 결함 검출의 효율을 향상시키기 위하여 획득한 X-ray 이미지의 보정 모델을 제안한다. 제안 모델을 통하여 금속 제품 생산 공정의 불량 검출에 적용하면 제품 결함의 검출을 정확하고 신속하게 처리할 수 있을 것으로 기대된다.

심장 관통상 후 잔류한 심장 내 이물질의 수술적 제거 (Surgical Removal of Intracardiac Foreign Body Remained after Penetrating Cardiac Injury)

  • 박국양;박철현;최창휴;이재익;전양빈
    • Journal of Trauma and Injury
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    • 제25권4호
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    • pp.267-270
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    • 2012
  • A 27 year-old man, who had a penetrating cardiac injury due to a metal fragment was transferred to our hospital. At admission, his vital signs were stable, and his chest film showed a foreign-body-like finding in the heart silhouette. We evaluated the patient with chest computed tomography and echocardiography for further information. Finally, we removed the metal fragment from the left ventricle by using a cardiopulmonary bypass.

소아의 기도이물에 관한 통계적 관찰 (Foreign bodies in air passage in Children)

  • 유장열;오경균;백만기
    • 대한기관식도과학회:학술대회논문집
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    • 대한기관식도과학회 1977년도 제11차 학술대회연제 순서 및 초록
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    • pp.8.5-9
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    • 1977
  • 기도 및 식도이물은 이비후과영역에서 적지않게 경험하게 된다. 그중 특히 유소아에서 발생하는 기도이물은 응급을 요하게 되며 진단 및 치료를 지체함으로써 예기치 않은 불행한 사태를 초래하기도 한다. 유소아에서 주로 보이는 기도이물의 증상은 기침, 기침음, 호흡곤란 등이며 천식, 폐염, 후두염 등으로 혼동되기도 한다. 이물의 종류파 빈도를 환자의 연령, 생활방식, 환경, 문과수준에 따라 그 양상을 달리한다. 저자들은 1975년부터 1977년 4월까지 본원에 내원하여 기도이물의 진단하에 ventilating bronchoscopy, thoracotomy (이중 1례는 사망)을 시행하여 치유된 35례를 분석하였다. 1. 연령층은 1세부터 5세까지가 48%로 가장많고 다음이 0세에서 1세까지 였다. 또한 남과여의 비는 2.1 : 1로 남자가 많았다. 2. 주증상은 호흡곤란, 기침, 기침음의 순서였다. 3. Foreign body의 종류는 peanut, metal, vegetable의 순이였다. 4. 이물의 소재는 주로 우측 주기관지 였으며 우측과 좌측의 비는 2 : 1이었다. 5. 내원까지의 기간은 24시간 이내가 65%로 가장 많았다. 6. 치료는 ventilating bronchoscopy가 27례로 가장 많았으며, 4례는 자연적으로 치유되었다. 이에 과거의 여러 보고들과 비교하여 문헌적 고찰과 함께 보고하는 바이다.

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

  • 박윤준;이두선
    • Advances in pediatric surgery
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    • 제13권2호
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    • pp.112-118
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    • 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.

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

  • 정대건;이동목;김명원;박소영;김병국
    • 대한기관식도과학회지
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    • 제10권1호
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    • pp.55-57
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    • 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.

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고압전기화상 환자에서 손바닥에 비골동맥천공지유리피판수술과 등의 이물질제거수술: 증례 보고 (Peroneal Artery Perforator Free Flap on the Palm and Removal of Back Foreign Body in High Voltage Electrical Burn Patient: A Case Report)

  • 정승원;이승제
    • 대한화상학회지
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    • 제22권2호
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    • pp.58-65
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    • 2019
  • Wound caused by high-tension electrical burns is difficult to manage because the wound is deep and complex. The wound is progressively necrotic due to microvascular injury resulting in deep tissue exposure. So, coverage of the wound at the entry point and the exit point is cumbersome, often requiring flap coverage. We experienced a case of one patient for peroneal artery perforator free flap coverage on the palm of the right hand of the entry point of electrical burn. The left foot wound of electrical exit point was covered by full thickness skin graft. Also a small wound was on the left side of the lower back was the exit point of electrical burn. The lower back wound was healed and recurred repeatedly after burn. On postburn day 6 month, through the radiologic exam, metal shadow was identified in the left gluteus muscle forming chronic sinus. We explored the wound of sinus and a foreign body was identified in the sac as multi braid wires thin as hair. According to the patient's past history, we suspected that the back wound was caused by electrical burn injury through the wires.

Long-term Fistula Formation Due to Retained Bullet in Lumbar Spine after Gunshot Injury

  • Jeon, Se-Il;Im, Soo Bin;Jeong, Je Hoon;Cha, Jang Gyu
    • Journal of Trauma and Injury
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    • 제30권2호
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    • pp.51-54
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    • 2017
  • We here report a case of long-term fistula formation due to bullet retention for 30 years in the lumbar spine after a gunshot injury, and describe its treatment. A 62-year-old male visited our hospital due to pus-like discharge from his left flank. The discharge had been present for 30 years, since his recovery from an abdominal gunshot injury. A spine radiography showed radiopaque material in the body of the third lumbar vertebra. Foreign body was removed using an anterolateral retroperitoneal approach. The postoperative course was uneventful. The patient was discharged 7 days after the operation and was followed-up for 8 months, during which time, the fistula did not reoccur. A bullet retained long term in the vertebral body may cause obstinate osteomyelitis and fistula formation. A fistula caused by a foreign body in the spine can be effectively treated by surgical removal.