Penetration syndrome and foreign body

This episode covers an approach to foreign bodies, including location specific tips, complications and safe removal in the ED. Tricky problem. Sometimes glaringly obvious: the arrow in the head, the electronic vibrating device in the rectum. However, sometimes we are unable to obtain an accurate history; BB in the eye, or plus packets of cocaine in the GI tract of an inconspicuous patient.
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CRACKCast E060 – Foreign Bodies

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Rectal foreign body - Wikipedia

Here we present our clinical experience in a case of esophagus perforation due to the swallowing of a bone piece causing acute angina pectoris and leading to misdiagnosis of acute coronary syndrome. A year-old Caucasian man underwent urgent coronary angiography with possible diagnosis of acute coronary syndrome. His coronary arteries were found to be normal. A computed tomography examination revealed esophagus perforation by a foreign body a piece of bone , and he underwent urgent left thoracotomy and the foreign body was removed. Sometimes, even a piece of bone within a meal can lead to esophagus perforation, and injure the pericardium and myocardium. The symptoms of esophagus perforation may be confused with acute coronary syndrome due to their similarities and lack of knowledge about the detailed clinical history as shown in our case. Thus, careful consideration of detailed clinical history as well as choosing an appropriate medical imaging modality, such as computed tomography, should always be kept in mind in order to promptly diagnose and start early treatment to reduce mortality.
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Removal of Aspirated Foreign Bodies in Children and Adults

Removal of aspirated tracheobronchial foreign bodies by bronchoscopy can be difficult, and the technique may differ depending on whether the patient is an adult or a child. The medical literature provides inadequate comparative data on differences in the symptoms and management of tracheobronchial foreign bodies in children and adults. Baharloo and colleagues performed a retrospective study of their institution's year experience in removal of aspirated foreign bodies. A total of patients endoscopic procedures underwent removal of an aspirated foreign body at the bed hospital from to
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Rectal foreign bodies are large foreign items found in the rectum that can be assumed to have been inserted through the anus, rather than reaching the rectum via the mouth and gastrointestinal tract. It can be of clinical relevance if the patient cannot remove it the way they intended. Smaller, ingested foreign bodies, such as bones eaten with food, can sometimes be found stuck in the rectum upon x-ray and are rarely of clinical relevance. Rectal foreign bodies are a subgroup of foreign bodies in the alimentary tract.
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