• 제목/요약/키워드: foreign body

검색결과 934건 처리시간 0.031초

충수에서 발견된 섭취된 이물질 1예 (Ingested Foreign Body Trapped in the Appendix: A Case Report)

  • 안영재;박윤준;김명준;한석주;오정탁
    • Advances in pediatric surgery
    • /
    • 제13권2호
    • /
    • pp.217-221
    • /
    • 2007
  • Foreign body ingestion is a frequent event in the pediatric age group, but the incidence of foreign bodies in the appendix is very low. The authors report a case of ingested foreign body trapped in the appendix in a 7-year-old girl. The foreign body was successfully treated by laparoscopic appendectomy under fluoroscopic guidance.

  • PDF

위내시경으로 제거한 희귀한 기도이물 1예 (A Rare Case of Airway Foreign Body Removed by Gastroscope)

  • 김정주;왕준호;이재동
    • 대한기관식도과학회지
    • /
    • 제8권1호
    • /
    • pp.96-99
    • /
    • 2002
  • Recently we have experienced an about 15cm long foreign body lodged at trachea in the adult patient, it was a toothbrush bar of which the head had been removed by patient himself. Its tip was shown above vocal cord on videogastroscope, so we removed the toothbrush bar by using the foreign body forcep. So we report it with review of literature.

  • PDF

발치 중에 발생한 성문하 이물 1례 (A Case of Subglottic Foreign Body Occurred in Tooth Extraction)

  • 최병권;김기식;권오성;서재범;이종빈
    • 대한기관식도과학회지
    • /
    • 제10권2호
    • /
    • pp.49-51
    • /
    • 2004
  • The lodgement of foreign material in the larynx is potentially life thereatening as complete obstruction of this region does not leave the individual with a viable airway. In the literature review, laryngeal foreign bodies accounted for about $3\%$ of the whole foreign bodies in the air passage. This report describes a rare case of laryngeal obstruction by subglottic foreign body(tooth) occurred during tooth extraction, in which repeated Heimlich maneuver failed to expel the foreign body and aggravated airway obstruction.

  • 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

기관지 결핵으로 오인된 틀니조각 흡인 1례 (A CASE OF FOREIGN BODY ASPIRATION CONFUSED WITH ENDOBRONCHIAL TUBERCULOSIS)

  • 김치홍;김보경;문진성;김선명
    • 대한기관식도과학회지
    • /
    • 제2권2호
    • /
    • pp.238-243
    • /
    • 1996
  • Aspiration of foreign bodies into the tracheobronchial tree is unusual in adults and it may result in Proximal airway obstruction and acute life-threatening asphyxia. It can be diagnosed by history of aspiration or visualizing the foreign body by chest roentgenogram or bronchoscopy. But it is rarely considered in adults with subacute or chronic respiratory symptoms without a definite history which suggests an aspiration. A 70-year-old woman was admitted to the hospital due to productive cough for two months and dyspnea which aggravated since the day before admission. Chest X-ray showed Pneumonic infiltration on left upper lobe and right lower lobe. Despite several days of conventional therapy, the patient complained of severe dyspnea and wheezing. We performed chest CT to rule out endobronchial stenosis, and it revealed the narrowing of left main stem bronchus compatible with endobronchial tuberculosis. Fiberoptic bronchoscopy for confirmation disclosed a $3.2{\times}0.7{\times}0.2$cm sized foreign body located longitudinally at the left main stem bronchus. We removed it with alligator forcep and it proved In be a piece of artificial denture. The patient remembered losing it while severe coughing on the day before admission. The microscopic examination of bronchial washing fluid revealed numerous acid fast bacilli. After removal of the foreign body, the patient showed marked improvement in symptom and pulmonary function test. Here we report a case of Pulmonary aspiration of foreign body which is confused with endobronchial tuberculosis with a review of the literature.

  • PDF

C-arm 방사선 투영법을 이용한 식도 점막 하 이물 제거 (Removal of Esophageal Submucosal Foreign Body Under C-arm Fluoroscopic Guidance)

  • 김희진;김효상;차원재;성명훈;하정훈
    • 대한기관식도과학회지
    • /
    • 제19권1호
    • /
    • pp.15-18
    • /
    • 2013
  • Esophageal foreign body is common condition for visit emergency room, and most of them were successfully removed with endoscopy. However, in case of esophageal foreign body impaction, it can be difficult to localize the foreign body. We report a 29-year old man with esophageal foreign body impaction. We successfully localized and removed the esophageal submucosal foreign body using rigid endoscopy under C-arm guidance, avoiding more invasive procedure. The patient was followed up without any complication.

  • PDF

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.

몰루칸 앵무새에서의 내시경을 이용한 식도 이물 제거 일례 (Endoscopic Removal of Esophageal Foreign Body in a Moluccan Cockatoo (Cacatua moluccensis))

  • 이소영;유종현;박철;박희명
    • 한국임상수의학회지
    • /
    • 제24권1호
    • /
    • pp.29-31
    • /
    • 2007
  • 13개월령의 수컷 몰루칸 앵무새가 경미한 식욕부진을 주 증상으로 하여 건국대학교 수의과대학 부속 동물병원에 내원하였다. 신체 검사에서,식도 이물이 소낭 부위에서 촉진 되었다. 흥부 방사선 검사에서 흥부 식도 부위에 위치한 선상의 식도 이물이 확인되었다. 이에 따라 환자는 먹이용 튜브에 의한 식도 이물로 진단되었다. 식도 이물은 내시경과 겸자를 이용하여 다른 부작용 없이 제거되었다. 이 증례 보고는 새에서 내시경을 이용한 효과적인 식도 이물 제거를 보여준다.

산업용 CT 볼륨데이터에서 템플릿 매칭을 통한 이물질 자동 검출 (Automatic Detection of Foreign Body through Template Matching in Industrial CT Volume Data)

  • 지혜림;홍헬렌
    • 한국멀티미디어학회논문지
    • /
    • 제16권12호
    • /
    • pp.1376-1384
    • /
    • 2013
  • 본 논문에서는 산업용 CT 볼륨데이터에서 템플릿 매칭을 통하여 제품의 이물질을 자동 검출하는 기법을 제안한다. 제안방법은 다음과 같은 세 단계로 이루어진다. 첫째, 다운 샘플링 데이터에서 잡음제거 후 제품을 배경과 분리하고, 영상의 평균값 및 표준편차를 이용하여 초기 이물질 후보를 추출한 후, K-평균 클러스터링을 이용하여 이물질 후보를 추출한다. 둘째, 템플릿 매칭을 이용하여 제품과 유사도가 다른 이물질을 검출한다. 이 때, 검출하고자 하는 이물질의 크기에 따라 밝기값평균차이(SSD)와 조인트 엔트로피를 이용한 유사도 평가를 통하여 이물질을 검출한다. 셋째, 원 볼륨데이터에서 이물질 검출률을 개선하기 위하여 여과기법으로 제품의 이물질을 최종 검출한다. 본 제안 방법의 결과를 평가하기 위해 산업용 CT 볼륨데이터와 시뮬레이션 데이터를 사용하여 육안평가, 정확성 평가와 수행시간 측정을 수행하였다. 정확성 평가를 위하여 기존 밝기값 기반 검출 기법을 비교방법으로 사용하고, 다이스 계수 유사도를 측정하였다.

접촉성 육아종으로 오인된 후두 이물 육아종 1예 (A Case of Foreign Body Laryngeal Granuloma Mimicking Contact Granuloma)

  • 김혜수;김선우;이진;이상혁
    • 대한후두음성언어의학회지
    • /
    • 제31권1호
    • /
    • pp.27-30
    • /
    • 2020
  • Among lesions in the larynx, laryngeal contact granuloma due to persistent tissue irritation can typically be attributed to endotracheal intubation, vocal abuse, or gastro-esophageal reflux disease. Treatment typically includes voice therapy, lifestyle changes and use of anti-reflux medication. Microsurgical removal is only indicated in cases of severe dyspnea due to mass size. Foreign body granuloma is a response of to any foreign material in the tissue. Foreign body granulomas are sometimes misdiagnosed as soft tissue tumors when the causative foreign body is not initially found. Delayed treatment of these foreign bodies may cause complications. We present a case of larynx granuloma due to impacted foreign body, probably fish bone, in the larynx that mimicked contact granuloma. We initially used anti-reflux medication, but to no avail. The laryngeal mass, observed through laryngoscopy, showed no improvement and therefore necessitated a proper pathologic diagnosis. We were able to successfully treat it via trans-oral laser CO2 microsurgery before any complications developed.