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N Engl J Med 2019 Jan;380(5):473-485

From the Department of Medicine, Brigham and Women's Hospital (H.M.S.), the Departments of Medicine (F.J.S., K.L.A.), Radiology (T.T.P.), Surgery (M.F.C., M.G.R.), and Orthopedic Surgery (S.D.M.), Massachusetts General Hospital, and the Departments of Medicine (H.M.S., F.J.S., K.L.A.), Radiology (T.T.P.), Surgery (M.F.C., M.G.R.), and Orthopedic Surgery (S.D.M.), Harvard Medical School - all in Boston.

J Surg Case Rep 2019 Jan 24;2019(1):rjz003. Epub 2019 Jan 24.

Department of Surgery, Centro Hospitalar do Porto, 4099-001 Porto, Portugal.

Meckel's diverticulum is the commonest congenital abnormality of the gastrointestinal tract. Most cases are asymptomatic and only incidentally found. Its perforation by a foreign body is an extremely rare event. Read More

Case Rep Gastroenterol 2018 Sep-Dec;12(3):765-772. Epub 2018 Dec 20.

Department of Pathology, Dokkyo Medical University Saitama Medical Center, Koshigaya, Japan.

Pulse granuloma is a rare pathologic condition considered to be a benign inflammatory reaction to foreign materials originated from ingested legume matter. As for pulse granulomas of the gastrointestinal tract, association with diverticular diseases is relatively common, but only a few pulse granuloma cases associated with appendicitis have been reported. This report presents histopathologic findings of pulse granuloma lesions observed in two appendectomy cases, with some histochemical examinations of cellulose matter which is reportedly a major component to provoke pulse granuloma reaction. Read More

J Zoo Wildl Med 2018 Dec;49(4):902-911

Lead toxicosis remains the primary cause of death in wild populations of California condors ( Gymnogyps californianus). Many condors require medical intervention with lead chelation therapy, among other conservation measures, to survive in the wild. An analysis of historical medical records of California condors admitted for lead exposure to the Los Angeles Zoo and Botanical Gardens (LA Zoo) between 1997 and 2012 was performed to investigate clinical presentation, radiographic findings, and treatment along with the potential impact of these factors on recovery and successful release back into the wild. Read More

Medicine (Baltimore) 2018 Dec;97(50):e13712

Department of Gastroenterology, Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Beijing, China.

Rationale: Currently, the mainstream treatment for gastric bezoars is endoscopic lithotripsy. This report describes traditional Chinese medicine (TCM) purgative cured a 62-year-old woman with a huge gastric bezoar accompanied by isolated esophageal venous aneurysms and multiple bleeding gastric ulcers.

Patient Concerns: A 62-year-old woman with several symptoms, including epigastric pain, nausea, and vomiting, hiccups, heartburn, and dark, loose stools. Read More

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Sep;32(18):1432-1433

Ingestion of magnetic foreign bodies is an increasing problem in the pediatric emergency in recent years.The majority of these injuries are ingestions involving the gastrointestinal tract, stomach, esophagus etc.Ingestion of multiple magnets has a high risk of bowel injury such as perforation or fistula. Read More

Cureus 2018 Sep 6;10(9):e3264. Epub 2018 Sep 6.

Internal Medicine, Banner University Medical Center, Tucson, USA.

Foreign body ingestion is commonly encountered in clinical practice. According to standard guidelines, urgent therapeutic endoscopy should be performed in cases involving sharp objects to prevent complications. Although several extraction methods are available, few cases may still pose a therapeutic challenge. Read More

Zhonghua Er Ke Za Zhi 2018 Nov;56(11):861-865

Department of Gastroenterology, Children's Hospital of Zhejiang University School of Medicine, Hangzhou 310003, China.

To evaluate the effectiveness of enteral nutrition in children with accidental upper gastrointestinal injury. The medical records of 128 patients with mechanical or chemical gastrointestinal mucosal injury, who were hospitalized in Department of Gastroenterology, Children's Hospital of Zhejiang University School of Medicine from January 1, 2011 to December 30, 2017, were collected. All cases were treated with enteral nutrition. Read More

Int J Surg Case Rep 2018 4;52:114-116. Epub 2018 Oct 4.

Division of General Surgery, Department of Surgery, Tri-Services General Hospital, National Defense Medical Center, No.325, Sec.2, Chenggong Rd., Neihu District, Taipei City 114, Taiwan. Electronic address:

Introduction: Ingestion of a foreign body rarely results in perforation of the gastrointestinal tract. Foreign bodies such as dentures, fish bones, chicken bones, toothpicks and cocktail sticks have been known to cause bowel perforation; however, bowel perforation caused by shrimp leg has not been reported so far.

Presentation Of Case: We report a case of a 69-years-old man who presented with a 4-months epigastric pain. Read More

Rev Esp Enferm Dig 2019 Feb;111(2):167-168

Servicio de Cirugía General y Aparato Digestivo, Hospital Universitario Rio Hortega.

Perforation of the gastrointestinal tract caused by the ingested foreign bodies and subsequent hepatic abscess formation is uncommon. Early diagnosis is difficult and the treatment is mainly surgical. Read More

Turk J Surg 2018 3;34(3):256-258. Epub 2018 Jan 3.

Department of General Surgery, İstanbul University Cerrahpaşa School of Medicine, İstanbul, Turkey.

Of all ingested foreign bodies, 2.4% comprise of sewing needles. Through perforation of gastrointestinal tract, which occurs in 1% of cases, they can migrate into the liver and pancreas. Read More

Wideochir Inne Tech Maloinwazyjne 2018 Sep 21;13(3):417-419. Epub 2018 May 21.

2 Department of General, Gastrointestinal Surgery and Surgical Oncology of the Alimentary Tract, Medical University of Lublin, Lublin, Poland.

Most ingested foreign bodies usually pass through the gastrointestinal tract without any complications. Sharp foreign bodies such as a wooden toothpick may cause severe complications, leading to an acute abdomen. They may also cause mild, non-specific gastrointestinal symptoms without significant findings. Read More

J Emerg Med 2018 Dec 5;55(6):788-791. Epub 2018 Oct 5.

Department of Emergency Medicine, University of Rochester Medical Center, Rochester, New York; Upstate Poison Center, Syracuse, New York.

Background: Synthetic cannabinoid intoxication has become difficult to diagnose and manage in the United States, in part due to varying clinical effects within this heterogeneous group of compounds.

Case Report: A 38-year-old man was admitted with altered mental status and bradycardia. He demonstrated progressive encephalopathy, seizure activity, second-degree atrioventricular block type I, respiratory failure, hypotension, hypothermia, and hypoglycemia. Read More

Int J Surg Case Rep 2018 15;51:376-378. Epub 2018 Sep 15.

University of Ottawa, The Ottawa Hospital, Canada. Electronic address:

Introduction: Less than 1% of ingested foreign bodies will require surgical management. An uncommon complication of ingested foreign body is migration to the liver. We present a case of laparoscopic removal of an intrahepatic foreign body. Read More

BMJ Case Rep 2018 Sep 26;2018. Epub 2018 Sep 26.

General Surgery Department, Whipps Cross University Hospital, London, UK.

A gossypiboma is a mass within a patient's body comprising a cotton matrix surrounded by a foreign body granuloma. We describe an unusual presentation of a gossypiboma presenting in a 32-year-old man with acute epigastric pain and haematemesis. His surgical history revealed an emergency laparotomy following a road traffic accident 16 years ago. Read More

Indian J Orthop 2018 Sep-Oct;52(5):481-488

Department of Paediatric Orthopaedics, Chacha Nehru Bal Chikitsalaya, New Delhi, India.

The extremity foreign body in a child has propensity of getting missed or mistaken diagnosis. We report our experience of extremity foreign body trauma in order to increase awareness of this disease entity. The retrospective series of 24 retained foreign bodies was based on a 10-year chart review of emergency data (ICD code Z18). Read More

Scand J Gastroenterol 2018 Aug;53(8):905-909

c Department of Pediatric and Gastrointestinal Surgery , Oslo University Hospital , Oslo , Norway.

Objectives: Food bolus-induced esophageal perforation is much more seldom than iatrogenic and emetic esophageal rupture. We present results from a non-operative treatment approach as well as long-term functional outcome.

Materials And Methods: Medical records of 10 consecutive patients with food bolus-induced esophageal perforation from October 2007 to May 2015 were retrospectively registered in a database. Read More

BMJ Case Rep 2018 Sep 8;2018. Epub 2018 Sep 8.

General Surgery, Goulburn Valley Health, Shepparton, Victoria, Australia.

BMJ Case Rep 2018 Sep 1;2018. Epub 2018 Sep 1.

Digestive Endoscopy Unit, Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda, Milano, Italy.

Colorectal foreign bodies (FB) are challenging issues for the endoscopist especially if the mostly used methods (polypectomy snare, biopsy forceps or wire-guided 40 mm dilation balloon) failed. We report a case of a 31-year-old man who was admitted in the emergency department for the impaction of a 60 cm long and large-size FB in the sigmoid colon. We failed to remove the FB using several different standard technique because of the rigidity, the smoothness and the size of the object. Read More

JAAPA 2018 Sep;31(9):32-34

Atul Maini and Jainty John practice in general surgery at St. Joseph's Hospital Health Center in Syracuse, N.Y. The authors have disclosed no potential conflicts of interest, financial or otherwise.

A trichobezoar is a collection of hair that forms a mass in the gastrointestinal tract and can cause obstructive symptoms when it fails to pass through the intestine. This article reviews the epidemiology, pathogenesis, clinical manifestations, diagnosis, and surgical management of trichobezoar. Managing the psychiatric aspect of this condition is key to preventing recurrence and the need for another surgery. Read More

Am J Case Rep 2018 Aug 28;19:1025-1029. Epub 2018 Aug 28.

Department of Pulmonary and Critical Care Medicine, China Medical University Hospital, Taichung, Taiwan.

BACKGROUND Aortoesophageal fistula is a rare etiology of serious gastrointestinal bleeding. Most aortoesophageal fistulas resulted from thoracic aortic aneurysms, foreign bodies, or esophageal malignancy. To our knowledge, spontaneous aortoesophageal fistula due to dermatomyositis and high dose steroid therapy has not been reported. Read More

Ann Hepatol 2018 Aug;17(5):880-883

Department of Gastroenterology, The affiliated Jurong Hospital of Jiangsu University, Jurong, Jiangsu, P.R. China.

Gastrointestinal foreign bodies are commonly encountered in clinical practice. However, although perforation of the gastrointestinal tract by a foreign body is not unusual, the formation of a hepatic abscess as a result of the migration of a foreign body is extremely rare. Patients usually present with atypical symptoms, and the treatment of such pyogenic liver abscesses presents a challenge. Read More

Medicine (Baltimore) 2018 Aug;97(34):e11829

Joint Reconstruction Research Center, Department of Orthopedics, Tehran University of Medical Sciences, Tehran, Iran.

Rationale: Kirschner wires (K-wires) are the most commonly used implants in orthopedic surgery. Although complications are not uncommon, they are mostly benign in nature and easily managed. While migration of K-wires is a rare complication, fatal outcomes have been reported. Read More

Pediatr Emerg Care 2018 Aug 8. Epub 2018 Aug 8.

Acute ingestions of spherical lead ammunition foreign bodies such as bullets and lead shot can cause acute blood lead level elevations and clinical symptoms necessitating emergency department evaluations and sometimes treatment. This article presents 3 cases of children ingesting lead ammunition, all receiving gastrointestinal (GI) decontamination and chelation therapy for significantly elevated blood lead level. Case-specific exposures and treatments for the lead ammunitions are presented. Read More

J Am Anim Hosp Assoc 2018 Sep/Oct;54(5):e54501. Epub 2018 Jul 24.

From Veterinary Orthopedics and Sports Medicine Group, Annapolis Junction, Maryland.

A 7 yr old spayed female shih tzu was evaluated for anorexia of 4 days duration. Conservative treatment for gastroenteritis had been administered by another veterinarian 2 days before presentation. Abdominal radiography revealed two round, disk-shaped, metallic-opacity foreign objects within the bowel with loss of serosal detail. Read More

Int J Colorectal Dis 2019 Jan 20;34(1):181-183. Epub 2018 Jul 20.

Department of Clinical Science and Education and Department of Surgery, Södersjukhuset, Karolinska Institutet, Stockholm South General Hospital (Södersjukhuset), Sjukhusbacken 10, 118 83, Stockholm, Sweden.

Purpose: Retained foreign rectal objects may require surgical removal. To estimate the magnitude of this problem, we report the incidence and treatment of retained rectal objects at a large emergency hospital, and calculate incidence rates at the national level in Sweden.

Methods: All local patient records during 2009-2017 with the diagnosis foreign body in anus and rectum (ICD-10 T185) were accessed and analyzed retrospectively. Read More

Zhongguo Dang Dai Er Ke Za Zhi 2018 Jul;20(7):567-571

Department of Gastroenterology, Children's Hospital of Zhejiang University School of Medicine, Hangzhou 310003, China.

Objective: To study the clinical features and prognosis of gastrointestinal injury caused by foreign bodies in the upper gastrointestinal tract in children.

Methods: A retrospective analysis was performed for the clinical data of 217 children who were diagnosed with foreign bodies in the upper gastrointestinal tract complicated by gastrointestinal injury by gastroscopy from January 2011 to December 2016, including clinical features, gastroscopic findings, complications, and prognosis.

Results: Among the 217 children, 114 (52. Read More

Arch Argent Pediatr 2018 Aug;116(4):256-261

Unidad de Investigación en Nutrición, Hospital de Pediatría, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social. Ciudad de México.

Introduction: Foreign body (FB) ingestion is a common home accident during childhood; a timely management by the specialists may help prevent complications in the short and long term.

Objective: To describe the characteristics and complications of FB ingestion located in the gastrointestinal tract in the pediatric population.

Material And Methods: Two phases, retrospective, and prospective study. Read More

BMJ Case Rep 2018 Jul 15;2018. Epub 2018 Jul 15.

Surgery, Maxima Medisch Centrum, Veldhoven, The Netherlands.

BMJ Case Rep 2018 Jul 11;2018. Epub 2018 Jul 11.

Orthopaedics and Traumatology, North District Hospital, Hong Kong, Hong Kong.

Toothpick ingestion is a rare but potentially fatal condition which may cause bowel perforation and rare complications if it migrates out of the gastrointestinal tract. This case report describes a delayed presentation of toothpick-induced small bowel injury leading to abdominal wall abscess and spondylodiscitis. A 51-year-old man was admitted twice with fever and loin pain, but repeated non-contrast CT was reported to be unremarkable. Read More

BMJ Case Rep 2018 Jul 11;2018. Epub 2018 Jul 11.

Chrirugie gynecologique et viscerale, Centre hospitalier du val d'Ariege, Pamiers, France.

A 72-year-old woman with morbid obesity and history of psychosis attended the emergency room due to abdominal pain. CT scan revealed a mesenteric infiltration surrounding a thickened wall bowel agglomeration; inside, a dense 2 cm foreign body with no pneumoperitoneum or peritoneal effusion. Surgery revealed four contained bowel perforations due to a blister pill pack inside the ileum; consequently, a 30 cm bowel resection was performed. Read More

Zhonghua Er Ke Za Zhi 2018 Jul;56(7):495-499

Department of Gastroenterology, Children's Hospital, Zhejiang University School of Medicine, Hangzhou 310052, China.

To explore the clinical features and complications of foreign bodies in the upper gastrointestinal tract in children and to investigate the effectiveness of endoscopic management. Data of patients with foreign bodies in upper gastrointestinal tract were collected retrospectively at Endoscopy Center, the Children's Hospital, Zhejiang University School of Medicine, from January 2011 to December 2016. Clinical characteristics, the types of foreign bodies, the location and duration of foreign body impaction were summarized. Read More

Medicine (Baltimore) 2018 Jul;97(28):e11512

Department of Colorectal Anal Surgery.

Rationale: Rectal foreign bodies are not an uncommon finding in outpatient departments globally. Most such objects are inserted through the anus. Occasionally, a foreign body may be ingested and may successfully pass through the entire gastrointestinal tract and be held up in the rectum. Read More

Case Rep Gastrointest Med 2018 10;2018:2154879. Epub 2018 Jun 10.

University of Missouri of Kansas City/School of Medicine, 2411 Holmes Street, Kansas City, MO 64108, USA.

Approximately 20% of the adult population in the United States wears dentures. Foreign body ingestions, including dentures, are not uncommon. Although the majority of all ingested foreign bodies pass spontaneously through the gastrointestinal tract, impaction may occur, especially with physiologic constrictions, angulations, or stenosis. Read More

Medicine (Baltimore) 2018 Jul;97(27):e11320

Department of Gastroenterology and Hepatology.

Rationale: Intragastric bezoar is a stony mass found trapped in the stomach, though it can occur in other locations of the gastro-intestinal tract. The etiology of intragastric bezoar is multifactorial, includes certain risk factors and predisposing factors such as coexisting medical disorders, anatomic abnormalities, and gastric motility disorders, which contribute to the development of intragastric bezoar.

Patient Concerns: In this report, we present a rare case of intragastric bezoar with epigastric pain after prolonged consumption of jujubes. Read More

Acta Chir Belg 2018 Aug 4;118(4):270-271. Epub 2018 Jul 4.

b Department of General & Upper Gastrointestinal Surgery , Broomfield Hospital , Essex , UK.

Background: Hem-o-lok clips are widely deployed in various laparoscopic and robotic operations. Their migration is not very common and majority of reported cases are limited to biliary, prostatic and vesico-urethral cases.

Methods: Herein, we would like to report the first case of transmural migration of Hem-o-lok clip from azygous vein stump following totally minimally invasive two-stage oesophagectomy for squamous cell carcinoma of the distal oesophagus, into the gastric conduit 3-months following uneventful discharge. Read More

Saudi Med J 2018 Jul;39(7):668-673

Division of Pediatric Gastroenterology, Hepatology & Nutrition, Department of Pediatric Medicine, College of Medicine, King Saud University Medical City, Riyadh, Kingdom of Saudi Arabia. E-mail.

Objectives: To observe the frequency of eosinophilic esophagitis (EoE), pattern of clinical presentation and diagnosis among Saudi children at 2 tertiary carehospitals in Riyadh, Saudi Arabia.

Methods: The database of children admitted or seen, and aged less than 18 years over 5 years period and diagnosed with EoE was collected and reviewed. Patients with esophagitis other than EoE were excluded. Read More

BMJ Case Rep 2018 Jun 29;2018. Epub 2018 Jun 29.

ASL 1 Avezzano Sulmona l'Aquila, Neurology Unit, San Salvatore Hospital, L'Aquila, Italy.

Continuous duodenal infusion of levodopa/carbidopa intestinal gel (LCIG) is an established treatment to control motor fluctuations in Parkinson's disease. Duodenal infusion allows a steady absorption of the drug in the small bowel, reducing plasmatic fluctuations of levodopa. Some complications may occur during the treatment, often related to intrajejunal percutaneous endoscopic gastrostomy (PEG-J). Read More

Pediatr Radiol 2018 10 28;48(11):1584-1592. Epub 2018 Jun 28.

Department of Radiology, Lucile Packard Children's Hospital, Stanford University, Palo Alto, CA, USA.

Background: According to anecdotal press reports, there have been medically significant ingestions of fidget spinner toys, including ingestions that required endoscopic intervention. Fidget spinners have been marketed to improve attention and have been suggested as a therapeutic alternative to medications in children with attention deficit hyperactivity disorder (ADHD).

Objective: To describe the radiographic appearance and features of ingested fidget spinner components. Read More

BMJ Case Rep 2018 Jun 27;2018. Epub 2018 Jun 27.

Department of Surgery, IRCCS Policlinico San Donato, Università degli Studi di Milano, Milano, Italy.

Foreign body ingestion is a common event; in the adult population, most ingestions occur in patients with mental disability, psychiatric disorders, alcohol intoxication or in prisoners seeking secondary gain. Removal through flexible endoscopy is generally the first-line approach but rescue oesophagotomy may be necessary for foreign bodies impacted in the upper oesophagus. A 27-year-old man was admitted in the emergency room after intentional ingestion of a wooden spherical object with a central hole. Read More

Front Pediatr 2018 12;6:172. Epub 2018 Jun 12.

Division of Gastroenterology, Department of Pediatrics, Chang Gung Children's Medical Center, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan.

Most ingested foreign bodies (FBs) pass spontaneously through the gastrointestinal (GI) tract, but only limited data on transit time are available. We evaluated the relationship of FB size and shape with transit time. We retrospectively reviewed medical records collected over 15 years (January 2001 to December 2015) on pediatric patients with radiopaque FBs in the GI tract. Read More

Ann Med Surg (Lond) 2018 Jul 30;31:29-33. Epub 2018 May 30.

Dept of Pediatric Surgery. University Hospital of Heraklion, Crete, Greece.

Ingested foreign bodies occur in children younger than 3 years and pass uneventfully through the gastrointestinal tract. However, multiple magnet ingestion are associated with serious complications. A 9-year old male with abdominal pain and vomiting 3 days prior to admission, underwent abdominal radiographs showing radiopaque foreign bodies. Read More

Acta Med Port 2018 May 30;31(5):276-279. Epub 2018 May 30.

Serviço de Medicina Interna A. Centro Hospitalar e Universitário de Coimbra. Coimbra. Portugal.

Although foreign body ingestion is a common occurrence, perforation and penetration of the gastrointestinal tract is unusual and the development of a hepatic abscess is even more rare. The authors describe two cases of fish bone perforation of the gastrointestinal tract with hepatic perforation and abscess formation, from distinctive age groups and varying presentation, although both developed septic shock. The lack of history of ingestion of foreign bodies, non-specificity of both clinical presentation and complementary examinations all play a role in delaying the diagnosis and therefore in the prognosis itself. Read More

Rev Esp Enferm Dig 2018 07;110(7):472-473

Cirugía, Agencia Sanitaria Alto Guadalquivir. Junta de Andalucía. España.

Two cases of a chemical dissolution of gastric phytobezoars are presented. The novel approach of that management is the pharmacological mixture than completely made disappear the bezoars in patients fated to surgery removal. Read More

Eur J Gastroenterol Hepatol 2018 09;30(9):1033-1040

Department of Gastroenterology, Portuguese Oncology Institute of Porto.

Background: Endoscopic stenting proved to be a safe alternative to surgery for malignant intra-abdominal gastrointestinal obstruction. Although high technical success rates have been reported, some patients do not experience relief in symptoms.

Aim: This study aimed to analyse the factors predicting the effectiveness of stent placement in patients with gastrointestinal obstruction. Read More

Case Rep Med 2018 15;2018:1413724. Epub 2018 Apr 15.

Division of Medical Education, The Warren Alpert Medical School of Brown University, Providence, RI, USA.

Radioembolization (RE) is a selective internal radiation therapy (SIRT) delivering targeted, high-dose, intra-arterial radiation directly to the vascular supply of liver tumors. Complications can occur due to aberrant deposition or migration of radiation microspheres into nontarget locations, including normal hepatic parenchyma, lungs, pancreas, and upper gastrointestinal (UGI) tract. We report a case of gastric ulcers due to yttrium-90 (Y) seed migration to the stomach to alert clinicians to this rare cause of gastric injury. Read More

Case Rep Gastroenterol 2018 Jan-Apr;12(1):189-193. Epub 2018 Apr 26.

Division of Gastroenterology, Department of Internal Medicine, Hyogo College of Medicine, Nishinomiya, Japan.

Transanal rectal foreign body implies that a foreign body has been inserted transanally due to sexual orientation or other reasons and cannot be removed. Such cases require emergency measures because foreign bodies often present difficulties in manual removal or endoscopic removal and may even require surgery when peritonitis due to gastrointestinal perforation occurs. We report a patient in our hospital who had a rectal foreign body inserted into the deep part of the proctosigmoid that could be removed endoscopically. Read More

BMJ Case Rep 2018 May 26;2018. Epub 2018 May 26.

Department of Surgery, Dr Ram Manohar Lohia Hospital and Post Graduate Institute of Medical Education and Research, New Delhi, India.

Foreign bodies in the rectum are commonly confronted worldwide in the surgical emergency. Such a situation arises either accidentally or for autoerotic purposes. A wide variety of foreign objects have been reported in the literature and this usual object would add to the reports for its unusual location. Read More

J Int Med Res 2018 Jul 22;46(7):2938-2943. Epub 2018 May 22.

3 Pediatric Emergency Unit, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.

Oesophageal foreign bodies (OFBs) are a relatively common emergency in young children. OFBs are complicated by significant morbidity and mortality because their ingestion often occurs without witnesses, leading to a delay in diagnosis and treatment. We report an occult OFB in an 11-month-old infant who initially presented without any specific respiratory symptoms, mimicking a respiratory infection. Read More

Am J Forensic Med Pathol 2018 Sep;39(3):261-263

Clinic for Mental Disorders "Dr Laza Lazarevic," Belgrade, Serbia.

We present the case of a 42-year-old man, with a medical history of schizophrenic psychosis, who was found dead on the floor of his bedroom. At the autopsy, a bottle lid with a notched edge was found in the lower pharynx, partially obstructing the larynx and thus keeping the epiglottis in an open position. Airway obstruction was caused by edema and inflammation of the surrounding tissue. Read More