MyMedR

Fulltext Plastron osteotomy in the management of fishing hook ingestion in a Malayan box turtle (Cuora ambonensis)

Azlan, C.A., Cheah, E.H.C., Lam, J.L., Mohd Jefri, N., Saw, M.H., Noorshimah, R.

Jurnal Veterinar Malaysia, 2015;27(1):12-15.

MyJurnal

An adult male Malayan box turtle was diagnosed with foreign body obstruction of fishing hook. Upon presentation, the animal
had pale mucous membrane and fishing line protruding out from the oral cavity. Diagnosis of foreign body ingestion was based on
plain radiograph where the fishing hook was evidenced on the lateral and ventrodorsal radiographic view. Plastron osteotomy
surgical removal was performed after endoscopy guided forcep removal failed. Procedures were carried out under the injectable
anesthesia using a combination of ketamine and xylazine hydrochloride. Antibiotic, anti-inflammatory and parenteral fluid therapy
was given pre and post-surgically as medical treatment and stabilisation.

Matched MeSH terms: Foreign Bodies

Fulltext A female with 'two uvulas'

Irfan Mohamad, Nik Adilah Nik Othman

Archives of Orofacial Sciences, 2013;8(2):69-70.

MyJurnal

A 38-year-old female presented with foreign body sensation in the throat for one year. It was
increasing in severity. There was no other associated symptom. Examination of the oral cavity showed an abnormal looking uvula(Fig. 1). The rest part of the oral cavity, oropharynx and larynx were unremarkable. What is your diagnosis?(Copied from article).

Matched MeSH terms: Foreign Bodies

An in vitro study comparing two different film-screen combinations in the detection of impacted fish bones

Abdullah BJ, Kaur H, Ng KH

Br J Radiol, 1998 Sep;71(849):930-3.

PMID: 10195007

Dried fish bones from eight species of Malaysian fish were placed in an animal cadaver at four sites (tonsil, valleculae, larynx and oesophagus) and radiographed using a double and a single film-screen combination. The use of the single film-screen combination resulted in visibility of all fish bones placed in the larynx, two of which were not visible on the double film-screen combination. There was a 50% increase of the visibility of the fish bones in the oesophagus using the single film-screen combination. The difference in dose and cost between the two different film-screen combinations was not significant.

Matched MeSH terms: Foreign Bodies/radiography*

Fulltext The hazards of impacted alkaline battery in the nose

Ramasamy V, Nadarajah S

J Family Med Prim Care, 2019 1 2;7(5):1083-1085.

PMID: 30598962 DOI: 10.4103/jfmpc.jfmpc_47_18

A foreign body in the nose is a common referral dealt by the otolaryngologist on daily basis. Here we report a case of a 5-year-old girl who was referred from a primary care center with complaints of left nasal blockage and epistaxis along with foul smelling brownish discharge for 1-day duration. Nasal endoscopic examination of the left side of the nose revealed an impacted button battery at the cartilaginous portion of the nasal septum.

Matched MeSH terms: Foreign Bodies

Fulltext Intrastromal corneal foreign body – case series and discussion on the physics of injury

Andrea, B.K., Safinaz, M.K., Umi Kalthum, M.N., Mushawiahti, M.

Journal of Surgical Academia, 2018;8(2):23-26.

MyJurnal

Traumatic injury to the eye can occur due to various causes, most of which are avoidable. Here we report three cases of intrastromal corneal foreign bodies (FB) which required surgical removal. Most corneal FBs are removed easily at the slit lamp, however, these cases required surgical intervention due to the mechanism of which the FB penetrated into the stroma. Although the mechanism of injury was similar, with all three cases occurring at high velocity, we observed that the entry and level of penetration differed in each case. In the first case, the corneal FB penetrated the cornea and was embedded in the anterior stroma, whereas in the second case, the FB was embedded in the posterior stroma, but with an intact endothelium. In the third case, the FB caused a full thickness, self-sealed laceration wound but remained embedded in the stroma. Through further evaluation, we noted that several factors contribute towards the severity of the injury, namely, anatomy of the cornea, area affected, shape, size, mass and velocity of the object. We speak in depth about the mechanism of injury and physics associated with these injuries and why the penetration differed in each case.

Matched MeSH terms: Eye Foreign Bodies

Fulltext Perforating eye injuries due to intraocular foreign bodies

Lai YK, Moussa M

Med J Malaysia, 1992 Sep;47(3):212-9.

PMID: 1491647

The results of sixty-four perforating eye injuries with intraocular foreign bodies (IOFB) treated at University Hospital over ten years were reported. Compared to an earlier report we found that the population at risk was the same and consisted of patients under 35 years (70%), males (95.3%) and work related (86%). The commonest causes of IOFB were hand hammer (64.1%) and grass cutting (20.3%). We also noted that while the incidence of cases had increased by 23%, the final visual outcome has improved significantly due to advances in preoperative diagnosis and surgical techniques. Preoperative factors found to have a statistically significant effect on the final visual outcome were the size of the IOFB, poor initial visual acuity, and the presence of the following complications: cataract, iris damage and vitreous haemorrhage. The outcome was also worse in posterior segment IOFBs but this was not statistically significant.

Matched MeSH terms: Eye Foreign Bodies/complications*; Eye Foreign Bodies/epidemiology; Eye Foreign Bodies/therapy

Fulltext Unilateral foul smelly nasal discharge in an adult

Irfan M, Hasme Zam H, Mohd Khairi M

Malays Fam Physician, 2012;7(1):28-30.

PMID: 25606242 MyJurnal

The incidence of rhinolith is by far very low compared to the nasal foreign bodies, especially in adult. Foreign body (FB) in the nostril will lead to unilateral nasal symptom which can start with nasal obstruction or discomfort. In younger children, they may miss to report the problem to the parents but, later on, the FB will manifest itself with unilateral nasal discharge, which at most of the time fouls smells. We report a case of a healthy adult female who presented with unilateral foul smelly nasal discharge which later was diagnosed as rhinolith, with rubber-tip pencil eraser as the nidus of calcification.

Matched MeSH terms: Foreign Bodies

Fulltext Detection of foreign bodies in canned foods using ultrasonic testing

Meftah, H., Mohd Azimin, E.

International Food Research Journal, 2012;19(2):543-546.

MyJurnal

Foreign bodies in packaged foods may pose both a safety risk and a risk of perceived degradation of
quality. When food products are manufactured or packaged, small foreign objects might end up in the product. It is naturally desirable for the food industry that all foreign bodies are detected and removed before they reach customers. In this study, the ultrasonic method was used to detect the foreign bodies in canned foods. In order to establish a technical concept for the detection of foreign bodies in canned foods, an experimental investigation was carried out using pulse-echo ultrasonic testing. A number of simulated foreign object pieces were deliberately put inside the canned food and the results were analyzed. The approach demonstrates that ultrasound has potential for application in many industrial food packaging environments where foreign objects need to be detected. Indeed, detection up to 4 millimeter foreign body size has been done for rock and metal foreign bodies.

Matched MeSH terms: Foreign Bodies

Fulltext Case series of foreign body aspiration in Paediatric Institute, Hospital Kuala Lumpur

Sahadan DZ, Zainudin NM, Kassim A, Zahari Z, Mahadzir M, Daud CZ, et al.

Med J Malaysia, 2011 Dec;66(5):484-6.

PMID: 22390106 MyJurnal

A retrospective case series was conducted to determine the clinical characteristics and bronchoscopy findings of children with foreign body aspiration in Paediatric Institute, Hospital Kuala Lumpur. Ten boys and two girls were included (range 2-177 months; median 26 months old). They commonly presented with cough (12/100%) and difficulty in breathing (9/75%). All patients had unilateral auscultatory findings and the commonest radiographic findings were unilateral hyperinflation (7/58.3%). The majority of foreign bodies removed was organic (8/66.6%) and more frequently found in the left bronchial tree (7/58.3%). Major complications were pneumonia (11/91.6%) and airway oedema (11/ 91.6%). Eight patients had delayed diagnosis due to parents unawareness (6/50%) and missed diagnosis (2/16.7%).

Matched MeSH terms: Foreign Bodies/complications; Foreign Bodies/diagnosis*; Foreign Bodies/therapy

Fulltext Metallic hair pin aspiration into the left tertiary bronchus

Noh, K.B., Salim, R., Abdullah, M.S., Mohamad, I.

Malaysian Family Physician, 2018;13(2):36-38.

MyJurnal

Foreign body aspiration is commonly described in infants and children. However, recently, a new
high-risk group was identified among young women, especially those from the Muslim population
who wear the traditional hair scarf. This is due to the habit of holding the scarf pin in between the
lips to free hands to adjust the scarf more easily. Talking, laughing, or coughing while fixing the
scarf may result in inadvertent inhalation of the pin into the tracheobronchial tree. We present a
case of scarf pin inhalation and the challenges encountered in managing this patient during the
successful removal of the pin via flexible bronchoscopy under fluoroscopy guidance. This particular
case was technically challenging for us as the sharp tip of the needle was pointing upward and
piercing the bronchial mucosa.

Matched MeSH terms: Foreign Bodies

Fulltext Impaction of durian seed in the larynx

Ramza Ramli R, Mohamad I, Mohamad Zaki Z

Acta Inform Med, 2012 Dec;20(4):264-5.

PMID: 23378697 DOI: 10.5455/aim.2012.20.264-265

Common foreign bodies in adults include fish bones and improperly chewed meat A 72-year-old Malay gentleman was brought in by his son to the emergency department after he was seen gasping at home. The patient has an underlying history of stroke with neurological deficit include his gag reflex. According to family members, the patient had the symptom a day after he had allegedly consumed a piece of durian without removing its seed. Patient was then admitted to Intensive care Unit (ICU) for monitoring. His blood gas normalized and was extubated after 2 days in ICU before discharged home the next day.

Matched MeSH terms: Foreign Bodies

Fulltext Metallic hair pin aspiration into the left tertiary bronchus

Noh KB, Salim R, Abdullah MS, Mohamad I

Malays Fam Physician, 2018;13(2):36-38.

PMID: 30302183

Foreign body aspiration is commonly described in infants and children. However, recently, a new high-risk group was identified among young women, especially those from the Muslim population who wear the traditional hair scarf. This is due to the habit of holding the scarf pin in between the lips to free hands to adjust the scarf more easily. Talking, laughing, or coughing while fixing the scarf may result in inadvertent inhalation of the pin into the tracheobronchial tree. We present a case of scarf pin inhalation and the challenges encountered in managing this patient during the successful removal of the pin via flexible bronchoscopy under fluoroscopy guidance. This particular case was technically challenging for us as the sharp tip of the needle was pointing upward and piercing the bronchial mucosa.

Matched MeSH terms: Foreign Bodies

Migrating fish bone piercing the common carotid artery, thyroid gland and causing deep neck abscess

Johari HH, Khaw BL, Yusof Z, Mohamad I

World J Clin Cases, 2016 Nov 16;4(11):375-379.

PMID: 27900327

Foreign body (FB) ingestion is very common in Malaysian population. The most commonly ingested FB is fish bone. Common presenting symptoms include FB sensation, odynophagia and or sharp pricking pain during swallowing. A careful history and physical examination is very important. Despite negative laryngoscopy and rigid esophagoscopy, persistent symptoms warrants further radiographic imaging studies. The FB can migrate extraluminally and involve other important adjacent structures of the neck and along the digestive tract. We report 3 cases of extraluminal migration of fish bone and their complications, which were successfully managed. One case with vascular complication which involve common carotid artery and the other two cases with neck abscess formation involving thyroid gland, retropharyngeal and parapharyngeal abscess.

Matched MeSH terms: Foreign Bodies

Fulltext Undiagnosed chicken meat aspiration as a cause of difficult-to-ventilate in a boy with traumatic brain injury

Mohd Ariff NA, Mazlan MZ, Mat Hassan ME, Seevaunnamtum PA, Wan Muhd Shukeri WF, Nik Mohamad NA, et al.

Respir Med Case Rep, 2018;23:93-95.

PMID: 29387523 DOI: 10.1016/j.rmcr.2018.01.001

Introduction: Bronchoscopy is a commonly used procedure in the context of aspiration in the Intensive Care Unit setting. Despite its ability to remove mucus plug and undigested gastric contents, aspiration of gastric content into the trachea is one of the most feared complications among anesthesiologist.

Discussion: The scenario is made worst if the aspiration causes acute hypoxemic respiratory failure immediately post intubation. However, in the event of desaturation, the quick decision to proceed with bronchoscopy is a challenging task to the anesthesiologist without knowing the causes.

Case presentation: We present a case of a 12-year-old boy who had a difficult-to-ventilate scenario post transferring and immediately connected to ventilator in operation theatre (OT) from portable ventilator from the emergency department. She was successfully managed by bronchoscopy.

Conclusion: Special attention should be given to the difficult-to-ventilate scenario post intubation of traumatic brain injury patient prior to operation. Prompt diagnosis and bronchoscope-assisted removal of foreign body was found to be a successful to reduce morbidity and mortality.

Matched MeSH terms: Foreign Bodies

Fulltext A rare case of a sharp foreign body on the vocal cord

Nor Hisyam CI, Misron K, Mohamad I

Malays Fam Physician, 2017;12(2):23-25.

PMID: 29423126 MyJurnal

A foreign body (FB) in the upper aerodigestive tract is a common clinical problem that presents as as acute emergency. Sharp FB, such as fish bone or chicken bone, commonly lodges in the tonsil, base of tongue, vallecula or pyriform fossa. Dislodgement of a FB into the laryngopharynx is very rare and specifically onto the vocal cord is extremely uncommon. This case report illustrates a rare case of a sharp FB that was dislodged into the airway and stuck on to the right vocal cord, which was removed under local anaesthesia.

Matched MeSH terms: Foreign Bodies

Fulltext Rigid endoscope guided removal of penetrated embedded neck foreign body

Paul M, Kalimuthu S, Banu C, Marimuthu S

Trauma Case Rep, 2018 Dec;18:5-7.

PMID: 30505922 DOI: 10.1016/j.tcr.2018.11.002

Penetrative neck injury can cause potentially fatal damage to the neck. Removing those fully embedded small foreign bodies secondary to ballistic trauma can be technically challenging. Neck exploration under direct vision may cause more local tissue damage or dislodge the foreign body further. We discussed a case where a small foreign body embedded in the neck caused by ballistic trauma. Successful removal of the foreign body guided by rigid endoscope thru the neck wound was also discussed as a useful tool as it was not ferromagnetic and image intensifier was not available.

Matched MeSH terms: Foreign Bodies

An unidentified foreign body in the chest wall

MCDOUGALL C

Med J Malaya, 1955 Jun;9(4):276-80.

PMID: 13253127

Matched MeSH terms: Foreign Bodies*

Fulltext Endoscopic retrieval of an accidentally ingested bur during a dental procedure: a case report

Kunaparaju K, Shetty K, Jathanna V, Nath K, M R

Patient Saf Surg, 2021 Jan 05;15(1):1.

PMID: 33402200 DOI: 10.1186/s13037-020-00273-3

BACKGROUND: Accidental ingestion of a dental bur during the dental procedure is a rare, but a potentially serious complication. Early recognition and foreign body retrieval is essential to prevent adverse patient outcomes.

CASE PRESENTATION: A 76-year old male patient, presented to the department with a chief complaint of sensitivity in his upper right back tooth due to attrition. After assessing the pulp status, root canal therapy was planned for the tooth. During the procedure, it was noticed that the dental bur slipped out of the hand piece and the patient had accidentally ingested it. The patient was conscious and had no trouble while breathing at the time of ingestion of the bur although he had mild cough which lasted for a short duration. The dental procedure was aborted immediately and the patient was taken to the hospital for emergency care. The presence and location of the dental bur was confirmed using chest and abdominal x-rays and it was subsequently retrieved by esophagogastroduodenoscopy (EGD) procedure under general anaesthesia on the same day as a part of the emergency procedure. The analysis of this case reaffirms the importance of the use of physical barriers such as rubber dams and gauze screens as precautionary measures to prevent such incidents from occurring.

CONCLUSION: Ingestion of instruments are uncertain and hazardous complications to encounter during a dental procedure. The need for physical barrier like rubber dam is mandatory for all dental procedures. However, the dentist should be well trained to handle such medical emergencies and reassure the patient by taking them into confidence. Each incident encountered should be thoroughly documented to supply adequate guidance for treatment aspects. This would fulfil the professional responsibilities of the dentist/ clinician and may help avoid possible legal and ethical issues. This case report emphasizes on the need for the usage of physical barriers during dental procedures in order to avoid medical emergencies.

Matched MeSH terms: Foreign Bodies

Injuries to the eye and associated structures

Lowther AH

Journal of the Malaya Branch of the British Medical Association, 1939;3:326-38.

Matched MeSH terms: Eye Foreign Bodies

Fulltext Foreign body in the middle ear, a hearing aid complication

Shashinder S, Tang IP, Velayutham P, Rahmat O, Loganathan A

Med J Malaysia, 2008 Aug;63(3):267-8.

PMID: 19248709 MyJurnal

A 12-year-old boy with moderate to severe bilateral mixed hearing loss was planned for hearing aid placement. During the process of making ear mould impression, the impression material accidentally entered the right middle ear. Removal of the ear mould impression was possible permeatally under general anaesthesia.

Matched MeSH terms: Foreign Bodies/diagnosis; Foreign Bodies/etiology*; Foreign Bodies/surgery

Displaying publications 61 - 80 of 152 in total