Foreign bodies
| Foreign body | |
|---|---|
 |
|
| Endoscopy image of foreign body in the stomach (toothbrush) | |
| Classification and external resources | |
| Specialty | emergency medicine |
| ICD-10 | T15-T19, T14.0 |
| ICD-9-CM | 930-939 , 919.6 |
| MeSH | D005547 |
A foreign body or sometimes known as FB (Latin: corpus alienum) is any object originating outside the body. In machinery, it can mean any unwanted intruding object.
Most references to foreign bodies involve propulsion through natural orifices into hollow organs.
Foreign bodies can be inert or irritating. If they irritate they will cause inflammation and scarring. They can bring infection into the body or acquire infectious agents and protect them from the body's immune defenses. They can obstruct passageways either by their size or by the scarring they cause. Some can be toxic or generate toxic chemicals from reactions with chemicals produced by the body, as is the case with many examples of ingested metal objects.
With sufficient force (as in firing of bullets), a foreign body can become lodged into nearly any tissue.
One of the most common locations for a foreign body is the alimentary tract.
It is possible for foreign bodies to enter the tract from the mouth, or from the rectum.
Both children and adults experience problems caused by foreign objects getting stuck in their bodies. Young children, in particular, are naturally curious and may intentionally put shiny objects, such as coins or button batteries, into their mouths. They also like to stick things in their ears and up their noses. The effect of a foreign body can be very different. For example, a coin causes local pressure on the tissue but generally, is not a medical emergency to remove. A button battery, which can be a very similar size to a coin, generates hydroxide ions at the anode and causes a chemical burn in 2 hours. An ingested button battery that is stuck in the esophagus is a medical emergency. In 2009, Avolio Luigi and Martucciello Giuseppe showed that although ingested nonmagnetic foreign bodies are likely to be passed spontaneously without consequence, ingested magnets (magnetic toys) may attract each other through children's intestinal walls and cause severe damage, such as pressure necrosis, perforation, intestinal fistulas, volvulus, and obstruction.
A coin seen on AP CXR in the esophagus
A coin seen on lateral CXR in the esophagus
AP X ray showing a 9mm battery in the intestines
Lateral X ray showing a 9mm battery in the intestines
It is possible for a foreign body to enter the airways and cause choking.
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Wikipedia