MyMedR

Fulltext Bilateral pulmonary aspiration of teeth and the migration of a foreign body from one main bronchus to another

Mohamad I, Mohamad H, Ismail H

Med J Malaysia, 2010 Dec;65(4):309-10.

PMID: 21901953

Foreign body aspiration in the adult airway is very rare. A neglected foreign body can occur when the patient is mentally challenged or is in an unconscious condition such as following trauma. The diagnosis can be delayed because there is no typical history of choking or breathing difficulty.

Matched MeSH terms: Foreign-Body Migration/diagnosis*

Migration of a Hodge pessary into the abdominal cavity; a rare complications

Lim BK, Collaris RR

J Obstet Gynaecol Res, 2008 Jun;34(3):436-8.

PMID: 18588622 DOI: 10.1111/j.1447-0756.2008.00786.x

A 62-year old para 4 with a history of a radical hysterectomy followed by radiotherapy for endometrial carcinoma was seen shortly after insertion of a pessary for a total vault prolapse. On follow-up the pessary couldn't be retrieved. An abdominal X-ray revealed the pessary in the abdominal cavity and it had to be removed by means of a laparotomy. Fistula and defects have been reported both in longstanding pessary use and as long-term complication in radical surgery with radiotherapy. In view of potential - though rare - serious complications, adequate follow-up in pessary use is therefore mandatory. Adequate diagnostic investigations are essential in deciding on an appropriate approach for rare cases like these.

Matched MeSH terms: Foreign-Body Migration/diagnosis*; Foreign-Body Migration/radiography; Foreign-Body Migration/surgery

Fulltext Migration of a fractured ventriculoperitoneal shunt into the scrotum: a rare complication

Shahizon AM, Hanafiah M, Hing EY, Julian MR

BMJ Case Rep, 2013;2013.

PMID: 23955988 DOI: 10.1136/bcr-2013-200609

Matched MeSH terms: Foreign-Body Migration/etiology*

Fulltext Migrating foreign body--an unusual presentation

Krishnan G

Med J Malaysia, 1994 Jun;49(2):169-71.

PMID: 8090097

A case report of an ingested fish bone migrating to the subcutaneous tissue in the neck is presented. During its course of migration there was no significant morbidity. The usual management is to locate the foreign body and remove it. A review of the literature indicates that this is evidently a rare case.

Matched MeSH terms: Foreign-Body Migration/surgery*

An unexpected cause of transient diarrhea

Chuah YY, Lee YY, Tsai TJ

Postgrad Med, 2017 May;129(4):488-490.

PMID: 28335674 DOI: 10.1080/00325481.2017.1311198

Migration of percutaneous endoscopic gastrostomy (PEG) tube to colon with gastro-colonic-cutaneous fistula formation is a rare complication of the procedure. Transient episodic diarrhea following each PEG tube feeding is typical of this complication. We present a 72-year-old man with cerebrovascular disease and scoliosis who encountered episodes of transient diarrhea after each PEG tube feeding. His diarrhea was refractory to medications. Colonoscopy demonstrated a mal-positioned PEG in the transverse colon. Computed tomogram (CT) of abdomen further confirmed the finding. After removal of the migrated PEG, his diarrhea had ceased completely. The gastro-colonic-cutaneous fistula was further managed with endoscopic clipping method with no complications encountered during follow up.

Matched MeSH terms: Foreign-Body Migration/therapy*

Fulltext Unusual migratory foreign body in the neck

Sreetharan SS, Prepageran N, Satwant S

Singapore Med J, 2004 Oct;45(10):487-8.

PMID: 15455170

Reports of ingested foreign bodies penetrating the pharynx and migrating through the neck are rare, and mostly involved fish bones. We describe a 44-year-old man who was involved in a motor vehicle accident and accidentally swallowed his tooth. The swallowed tooth penetrated the pharynx and became lodged adjacent to his right thyroid gland. It was successfully removed via neck exploration and the patient recovered well.

Matched MeSH terms: Foreign-Body Migration/diagnosis

Fulltext A delayed unusual presentation of a penetrating foreign body

Lee ST

Singapore Med J, 1992 Jun;33(3):304-5.

PMID: 1631596

Complications resulting from the penetrating percutaneous foreign bodies almost always arise in the early post injury period. Delayed presentations of previous asymptomatic foreign bodies are rare. In this case report, symptoms of tracheal irritation arose seven years following the initial penetrating shrapnel injury to the neck. Computed tomography scans enabled localisation of the foreign body at the tracheal wall and carotid sheath interface. The usefulness of this radiologic modality in the evaluation of the penetrating soft tissue injury is highlighted. A review of the phenomenon of the migrating and asymptomatic foreign body follows.

Matched MeSH terms: Foreign-Body Migration/diagnosis*

Fulltext Spontaneous dislocation of intraocular lens as a late complication of uncomplicated cataract surgery: a case series

Lam HH, Visvaraja S

Clin Exp Optom, 2012 Jan;95(1):99-102.

PMID: 21954950 DOI: 10.1111/j.1444-0938.2011.00640.x

Five patients having uncomplicated phacoemulsification were implanted with CT-Asphina 603P intraocular lenses into the capsular bag. After a few months, three of the patients had haptic flexion anterior to the optic despite minimal capsular fibrosis. One patient had spontaneous dislocation of the intraocular lens into the anterior chamber with only minimal capsular fibrosis. Another patient had one haptic dislocated out of the bag. Late intraocular lens dislocation is also seen in newly designed preloaded intraocular lenses despite the absence of significant capsular fibrosis. Haptic-optic junction design and intraocular lens material play important roles in such complication. A slightly large capsulorhexis might be a deterrent for implantation of this intraocular lens.

Matched MeSH terms: Foreign-Body Migration/diagnosis; Foreign-Body Migration/etiology*; Foreign-Body Migration/surgery

Scrotal mass: a rare complication of ventriculoperitoneal shunt

Ho CC, Jamaludin WJ, Goh EH, Singam P, Zainuddin ZM

Acta Medica (Hradec Kralove), 2011;54(2):81-2.

PMID: 21842723

Ventriculoperitoneal shunts are associated with multiple complications. Among them are disconnection and migration of the tubing into the peritoneal cavity. Here we describe a case of a fractured ventriculoperitoneal shunt which migrated and coiled in the scrotum, masquerading as a scrotal swelling. Removal of the shunt via a scrotal incision was performed concomitantly with repair of the hernia sac.

Matched MeSH terms: Foreign-Body Migration/diagnosis*; Foreign-Body Migration/surgery

Migrating foreign body into the common carotid artery and internal jugular vein--a rare case

Tang IP, Singh S, Shoba N, Rahmat O, Shivalingam S, Gopala KG, et al.

Auris Nasus Larynx, 2009 Jun;36(3):380-2.

PMID: 19019597 DOI: 10.1016/j.anl.2008.08.003

Ingested foreign bodies are a fairly common otorhinolaryngological emergencies encountered in Malaysia. The vast majority of these foreign bodies are fish bones which most commonly are impacted at the level of the cricopharynx. Rarely, however, a foreign body may migrate extraluminally and may even extrude subcutaneously. We report a rare occurrence where a fish bone not only migrated extraluminally, it was found to have migrated into the common carotid artery and the internal jugular vein and required surgical removal.

Matched MeSH terms: Foreign-Body Migration/radiography*; Foreign-Body Migration/surgery

Fulltext Migration of a foreign body in the maxillary sinus illustrating natural mucociliary action

Pang KP, Siow JK, Tan HM

Med J Malaysia, 2005 Oct;60(4):523-5.

PMID: 16570724

We present a case of a foreign body which migrated to the maxillary ostia by mucociliary action from its initial location on the floor of the maxillary sinus where it was traumatically introduced. This report illustrates that a powerful mechanism of mucociliary action can cause relatively heavy objects within the maxillary sinus to migrate naturally to the sinus ostia against gravitational force.

Matched MeSH terms: Foreign-Body Migration/complications*; Foreign-Body Migration/surgery

Migration of foreign body from postcricoid region to the subcutaneous tissue of the neck

Shaariyah MM, Salina H, Dipak B, Majid MN

Ann Saudi Med, 2010 9 25;30(6):475-7.

PMID: 20864791

Migration of a foreign body from the hypopharynx to the subcutaneous tissue of the neck is a rare event. We report a case of a 48-year-old male who accidentally swallowed a fish bone which was not identified intraoperatively. The patient then presented with migration of the bone to the soft tissue of the neck. We conclude that careful assessment of the patient with a foreign body in the throat is crucial to avoid fatal complications.

Matched MeSH terms: Foreign-Body Migration/complications; Foreign-Body Migration/surgery

Fulltext Migrating ingested wooden toothpick presenting as a neck lump: A case report

Nur Eliana Ahmad Tarmizi, Periasamy, Chenthilnathan, Singh, Avatar Singh Mohan, Irfan Mohamad

Archives of Orofacial Sciences, 2017;12(2):114-117.

MyJurnal

(DENTAL)

Foreign bodies (FB) are most often lodged in the upper digestive tract and amongst the common encounter in outpatient clinic. In most instances, the ingested FB passes uneventfully through the gastrointestinal tract without any harm but in certain cases, it can migrate extraluminally and lead to serious complication. Long standing migrated FB can cause devastating complications like neck abscess and injuries to the major blood vessels. In the present case, a wooden toothpick had migrated to the soft tissue of the neck. A careful and detailed history with clinical-radiographic investigation helped to locate the ingested FB and aided in its successful removal.

Study site: Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Taiping, Perak, Malaysia

Matched MeSH terms: Foreign-Body Migration

Fulltext eComment: Trans-pericardial extra-anatomic aortic bypass for coarctation of the aorta

Sachithanandan A, Badmanaban B

Interact Cardiovasc Thorac Surg, 2011 Jul;13(1):100.

PMID: 21697404 DOI: 10.1510/icvts.2010.265264A

Matched MeSH terms: Foreign-Body Migration/surgery*

Perforation of oesophagus and aorta by an unusual migratory fish bone: case report

Alam AM, Shuaib IL, Hock LC, Bah EJ

Nepal Med Coll J, 2005 Dec;7(2):150-1.

PMID: 16519087

This report describes a migratory fish bone which was not found during 1st surgery causing perforation to the superior part of the arch of aorta. The patient presented with feeling of something stucked in her throat after eating fish subsequently followed by progressive excruciating pain in the neck. During 2nd surgery the fish bone was found to have migrated from the superior aspect of the arch of aorta to the anterolateral aspect of the arch of aorta after piercing the aortic lumen. We report a case of migratory fish bone which was not found during 1st surgery. The clinical examination of the throat revealed no foreign body. The CT scan of the neck and upper thorax demonstrated a 1cm linear foreign body part of which had perforated into the superior part of the arch of aorta with mediastinal hematoma. The most likely cause was a fish bone. The patient's condition slowly deteriorated, median sternotomy and exploration of mediastinum then followed. Unfortunately no fish bone was found and only mediastinal hematoma was discovered. After the first operation the patient condition did not improve and repeat CT scan of the neck and upper thorax was done 3 days later. A similar foreign body has now moved from the superior aspect of the arch of aorta to the anterolateral aspect of arch of aorta. Exploration was done again and this time the fish bone was found.

Matched MeSH terms: Foreign-Body Migration/complications*

Removal of a fish bone in the thyroid gland without the need for thyroid lobectomy

Arumainathan UD, Lwin S, Suan TL, Raman R

Ear Nose Throat J, 2000 Apr;79(4):314-5.

PMID: 10786396

We report the first published case of the removal of a migratory fish bone from the thyroid gland that did not necessitate a thyroid lobectomy.

Matched MeSH terms: Foreign-Body Migration*

Fulltext Per rectal extrusion of a ventriculo peritoneal shunt catheter. A case report

Ali J, Cheah FKC

Med J Malaysia, 1987 Sep;42(3):201-3.

PMID: 3333537

A rare complication of per rectal extrusion of a ventricule peritoneal shunt catheter occuring in a four-month old Chinese baby boy with hydrocephalus is described. Perforation of the bowel by the shunt occurred without any peritonitis or retrograde infection of the shunt system. Its pathogenesis and diagnosis are discussed.

Matched MeSH terms: Foreign-Body Migration/radiography*

Fulltext Case report: migration of a broken screw to the knee joint after hardware failure following closing wedge distal femoral osteotomy

Lee YS, Lee SH, Lee ES, Fong TS

BMC Musculoskelet Disord, 2019 Mar 20;20(1):118.

PMID: 30894158 DOI: 10.1186/s12891-019-2505-4

BACKGROUND: We report a case of hardware failure after distal femoral osteotomy (DFO) with a broken screw pulled out from the locking hole and positioned within the knee joint.

CASE PRESENTATION: A 57-year-old man presented to our orthopedic outpatient department with 3-months history of an unusual painful swelling at the operated area following DFO. The leakage of joint fluid from the penetrated suprapatellar pouch was assumed to be the reason for this complication.

CONCLUSIONS: The overall aim of this case report is to provide a lesson to budding surgeons who might experience a similar situation that cannot be easily explained, like the unexpected complication in the present case.

Matched MeSH terms: Foreign-Body Migration/surgery

Transnasal Endoscopy Removal of Dislodged Dental Implant: A Case Report

Lim D, Parumo R, Chai MB, Shanmuganathan J

J Oral Implantol, 2017 Jun;43(3):228-231.

PMID: 27996585 DOI: 10.1563/aaid-joi-D-16-00172

Displacement of dental implants into the maxillary sinus is a rare complication. This article presents a case of displaced dental implant into maxillary sinus. Retrieval of the dental implant from left maxillary sinus was performed via endoscopic sinus surgery. This case highlighted a delayed referral of a 53-year-old male by a general dental practitioner for management of a dislodged dental implant into the left maxillary antrum. The implant was dislodged during placement of a healing abutment 4 months after implant insertion to replace missing 25. Cone beam computerized tomography revealed the displaced implant was located at the ostium of the left nose. A sudden change in sinonasal pressure when the patient took a deep breath during the procedure may have created a negative pressure and suction effect causing the implant to be dislodged and embedded at the ostium. In view of its position, a referral to an otorhinolaryngologist was made for endoscopic removal of the displaced implant. This case also highlighted the need for inter disciplinary cooperation in the management of such a complication for the best interest of the patients.

Matched MeSH terms: Foreign-Body Migration/surgery*

Review of Risk Factors and Complications of Anterior Migration of Ozurdex Implant: Lessons Learnt from the Previous Reports

Khor HG, Lott PW, Wan Ab Kadir AJ, Singh S, Iqbal T

J Ocul Pharmacol Ther, 2024;40(6):342-360.

PMID: 37676992 DOI: 10.1089/jop.2023.0012

Purpose: Ozurdex had shown promising anatomical and functional outcomes in managing refractory Irvine-Gass syndrome over the years. Burgeoning usage of Ozurdex has prompted the study of its related complications, particularly the anterior chamber migration of the implant. Methods: Literature reviews on the anterior chamber migration of the Ozurdex via PubMed, EBSCO, and TRIP databases were searched from 2012 to 2020. The predisposing factors, outcomes, and management of such cases were evaluated. Results: A total of 54 articles consisting of 105 cases of anterior migration of Ozurdex were included in this analysis. The vitrectomized eye and compromised posterior capsule were highly associated with this complication. About 81.9% of the cases had cornea edema upon presentation, with 31.4% of them ending up with cornea decompensation despite intervention. Although there was high intraocular pressure reported initially in 22 cases, only 2 cases required glaucoma filtration surgeries in which they had preexisting glaucoma. Numerous techniques of repositioning or surgical removal of the implant were described but they were challenging and the outcomes varied. Conclusions: A noninvasive method of manipulating the Ozurdex into the vitreous cavity via the "Trendelenburg position, external pressure with head positioning" maneuvers is safe yet achieves a favorable outcome. Precaution must be taken whenever offering Ozurdex to the high-risk eyes. Prompt repositioning or removal of the implant is crucial to deter cornea decompensation. Clinical Trial Registration number: NMRR-22-02092-S9X (from the Medical Research and Ethics Committee (MREC), Ministry of Health, Malaysia).

Matched MeSH terms: Foreign-Body Migration*

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