Cases reported "Foreign-Body Reaction"

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1/5. Injuries from palm tree thorn simulating tumoral or pseudotumoral bone lesions.

    Three cases of bone changes caused by foreign bodies that appeared to be tumoral lesions or pseudotumors, were observed in young male patients who presented with pain, localized inflammation, and radiographic and bone scan findings suggestive of tumoral or pseudotumoral lesions. Accurate diagnosis was made at surgery when the foreign body was retrieved. Following removal of the foreign body, postoperative recovery was satisfactory. The common causative agent in all these cases was a palm tree thorn.
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2/5. common bile duct obstruction associated with a dacron H-graft portacaval shunt.

    An unusual patient had ascending cholangitis secondary to common bile duct obstruction by stones and a Dacron graft previously utilized in the performance of an H-graft portacaval shunt. Erosion of this foreign body into the common bile duct appeared to be secondary to bacterial contamination of the graft and direct contact of the foreign material with the biliary tree.
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3/5. An unusual way of tracheal stoma cleaning could end up with foreign body aspiration in a laryngectomized patient.

    We report a case of a laryngectomized patient who accidentally aspirated a wooden stick through his tracheal stoma in highly unusual circumstances. He was in a habit of cleaning secretions of upper airway with a wooden stick covered with cotton on the tip soaked in olive oil, via tracheostomy. After applying topical aerolized lidocaine spray through the tracheostomy stoma a flexible video-brochoscopy was performed and a tree twig over 11 cm in length was removed. The patient's symptoms were resolved by a bronchoscopy. With experience and availability of accessories, the removal of the foreign body using flexible bronchoscope under local anesthesia can be performed safely and successfully. This case suggests that the physicians and otolaryngologists should educate their laryngectomized patients about stomal care and discuss any potential life-threatening situation they might encounter.
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4/5. Maple tree knee: a unique foreign body--value of ultrasound and CT examination.

    This report describes an intraosseous maple branch fragment which presented on initial radiographs as a benign appearing lytic bone lesion. Sonography and CT confirmed the presence of intraosseous and intra-articular foreign body and chronic foreign body reaction.
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5/5. Retention of wooden foreign bodies in the orbit.

    Two cases of retention of wooden foreign bodies in the orbit are presented. Both patients had a draining fistula. A brain abscess developed in one and a foreign body granuloma in the other. In both cases computerized tomography was very helpful in localizing the foreign bodies and the sequelae. In such cases a subperiosteal surgical approach provides good exposure and minimizes the damage to the orbital contents. A high degree of suspicion of penetration of the orbit is essential in tree branch injuries of the eyelids.
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