Top 10 Foreign Bodies

From time to time little things get lost. Whether you are playing billiards naked in the dark; counting money with your tongue; battling with an electric rolling pin….or just ‘slipping’ whilst in the shower….you may be unlucky enough to find yourself in the emergency department desperately trying to manifest a more tangible excuse for foreign body concealment.

These are my top 10 foreign bodies.

10 Not the tastiest treats in the cupboard

Can you identify all the objects – and spot the odd one out…

Top 10 Foreign Bodies Abdominal Foreign Bodies 2 910x1024

Ingested Abdominal Foreign Bodies

9 Toxic Ingestions

Iron tablets are among a select group of preparations which are radio-opaque. An X-ray can be a great way of determining the exact number of tablets ingested of this potentially lethal substance.

Top 10 Foreign Bodies Toxicology Iron Tablets 936x1024

Iron Tablet Overdose

Fortunately mercury thermometers are going out of fashion. Don’t sneeze when your temperature is being taken…

Top 10 Foreign Bodies Toxicology Mercury 1024x892

Mercury Ingestion from shattered thermometer

8 Mmm that looks yummy Mummy

Ear-rings, paper clips, screws and spoons are not liable to degrade quickly upon ingestion…

Top 10 Foreign Bodies Ear Ring FB 218x300 Top 10 Foreign Bodies PaperClip 232x300
Top 10 Foreign Bodies Screw 177x300 Top 10 Foreign Bodies Spoon I Have Eaten Everything Mum 243x300

7 Money in the Bank

Top 10 Foreign Bodies Money 10c 3 256x300 Top 10 Foreign Bodies Money 10c 170x300
Top 10 Foreign Bodies Money 50c AP 300x248 Top 10 Foreign Bodies Money 50c lat 265x300

6 Mea culpa

Sometimes cavity penetration occurs through no fault of the patient…

Top 10 Foreign Bodies RMB intubation

Right Main Bronchus (RMB) Intubation

Top 10 Foreign Bodies NGT Bronchus FB

Right and Left Bronchus Nasogastric Intubation

5 Not the Full 8-ball

Warning: Playing billiards, naked, in the rain…at night – may result in serious injury

Top 10 Foreign Bodies The Whole Eight Ball 1024x845

4 Beware the Button Battery

Top 10 Foreign Bodies ButtonBattery 2 228x300 Top 10 Foreign Bodies Button Battery 199x300

3 The Classics

Who knew there were so many varieties of electric rolling pins?

Top 10 Foreign Bodies Vibrator 001 AP 300x246 Top 10 Foreign Bodies Vibrator 001 Lat 269x300
Top 10 Foreign Bodies Vibrator 002 AP 300x246 Top 10 Foreign Bodies Vibrator 002 Lat 222x300
Top 10 Foreign Bodies 3266450 300x283 Top 10 Foreign Bodies Vibrator 004 300x273

2 Serial Offender

Iron deficiency may be a reason behind the ingestion of some metallic objects.

Top 10 Foreign Bodies Abdominal Foreign Bodies

Can you guess how many objects were ingested?

MMmm – Surgeons in Rotterdam in the Netherlands were flabbergasted when X-rays showed 78 different items of cutlery in the 52-year-old woman’s stomach.

Top 10 Foreign Bodies

Ingestion of 78 pieces of Cutlery!

Top 10 Foreign Bodies

MMMmmm Shiny

1 “Can’t Beat the Feeling!”

This is my favourite, mainly because of the inventive excuse used to explain the placement of a 375mL effervescent drink bottle. As a result of the alleged causative event the team at Life in the Fast Lane issue the following warning.

Warning: Narrow necked bottles should not be used to collect urine specimens

Top 10 Foreign Bodies Bottom Bottle AP s

Feeling Thirsty?

Top 10 Foreign Bodies Bottom Bottle Lat s

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About Mike Cadogan

Emergency physician with a passion for medical informatics and medical education. I write medical textbooks, websites such as HealthEngine and write more eclectically on the web as @sandnsurf | + Mike Cadogan | Contact

Comments

  1. Hannah says:

    Can someone explain number 10 and number 6 to me?

    • …10 -- the odd one out is the ‘non-ingested’ foreign body -- the IUCD (intra-uterine contraceptive device)
      …6 -- foreign body is the iatrogenically placed ETT (endotracheal tube) -- which should be in the trachea…but not the right main bronchus

Trackbacks

  1. [...] Top 10 Rectal Foreign Bodies [...]

  2. [...] foreign bodies. Surg Clin North Am. 2010 Feb;90(1):173-84, PMID: 20109641.Life in the Fast Lane. Top 10 Foreign BodiesProcedurettes by Whit Fisher — Rectal RegretsRoberts JR, Hedges JR. Clinical Procedures in [...]

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