Foreign bodies of body orifices: A pictorial review


      • Clinical presentation of FB ingestion, insertion, or aspiration
      • Patients' age and sex distribution of various body orifices FB
      • Imaging features of FB encountered in emergency departments
      • Management of common FB and role of radiologists in each scenario
      • Most common complications of frequently encountered FB



      Ingestion, inhalation, and insertion of foreign bodies (FB) are commonly encountered problems in the emergency departments (ED). Radiologists pay a key role in their diagnosis and management. Selecting an appropriate imaging modality is important depending on the route of entry and reported type of FB. Diagnosing FB is time sensitive and requires radiologists to be astute and familiar with varied imaging appearances of FB. In this article, we review imaging features of most common FB seen in clinical practice and their complications.

      Teaching points

      • Clinical presentation of FB ingestion, insertion, or aspiration.
      • Imaging features of common FB encountered in emergency departments.
      • Management of common FB and role of radiologists in such scenarios.
      • Complications of frequently encountered FB.


      FB in body orifices are frequently seen in the ED. Imaging plays a pivotal role in the management in majority of the cases. In this article, we present several cases of commonly encountered FB.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Clinical Imaging
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Unruh B.T.
        • et al.
        Insertion of foreign bodies (polyembolokoilamania): underpinnings and management strategies.
        Prim Care Companion CNS Disord. 2012; 14 (p. PCC.11f01192)
        • Steele S.R.
        • Goldberg F.E.
        Rectal foreign bodies series.
        (1/25/2020]; Available from:)
        • Kurer M.A.
        • et al.
        Colorectal foreign bodies: a systematic review.
        Colorectal Dis. 2010; 12: 851-861
        • Palese C.
        • Al-Kawas F.H.
        Repeat intentional foreign body ingestion: the importance of a multidisciplinary approach.
        Gastroenterol Hepatol. 2012; 8: 485-486
        • Guelfguat M.
        • et al.
        Clinical guidelines for imaging and reporting ingested foreign bodies.
        Am J Roentgenol. 2014; 203: 37-53
        • Wyllie R.
        Foreign bodies in the gastrointestinal tract.
        Curr Opin Pediatr. 2006; 18: 563-564
        • Litovitz T.
        • et al.
        Emerging battery-ingestion Hazard: clinical implications.
        Pediatrics. 2010; 125: 1168-1177
        • Strickland M.
        • Rosenfield D.
        • Fecteau A.
        Magnetic foreign body injuries: a large pediatric hospital experience.
        J Pediatr. 2014; 165: 332-335
        • Gomes M.J.
        • João A.
        • Bargiela I.
        Body-packing: a rare diagnosis to keep in mind.
        Eur J Case Rep Intern Med. 2020; 7001750
        • Durrani M.
        • Dugas C.
        • Dasgupta S.
        A curious case of the persistent body stuffer.
        Case Rep Emerg Med. 2019; 20193948054
        • Ambe P.
        • et al.
        Swallowed foreign bodies in adults.
        Dtsch Arztebl Int. 2012; 109: 869-875
        • Halverson M.
        • Servaes S.
        Foreign bodies: radiopaque compared to what?.
        Pediatr Radiol. 2013; 43: 1103-1107
        • Ingraham C.R.
        • et al.
        Radiology of foreign bodies: how do we image them?.
        Emerg Radiol. 2015; 22: 425-430
        • Kuzmich S.
        • et al.
        Perforation of gastrointestinal tract by poorly conspicuous ingested foreign bodies: radiological diagnosis.
        Br J Radiol. 2015; 88: 20150086
        • Lo Re G.
        • et al.
        Small bowel perforations: what the radiologist needs to know.
        Semin Ultrasound CT MR. 2016; 37: 23-30
        • Hosokawa T.
        • et al.
        Role of sonography for evaluation of gastrointestinal foreign bodies.
        J Ultrasound Med. 2016; 35: 2723-2732
        • Pugmire B.S.
        • Lim R.
        • Avery L.L.
        Review of ingested and aspirated foreign bodies in children and their clinical significance for radiologists.
        Radiographics. 2015; 35: 1528-1538
        • Uyemura M.C.
        Foreign body ingestion in children.
        Am Fam Physician. 2005; 72: 287-291
        • Haddad F.G.
        • et al.
        The Straw That Got Stuck: Predicting the Course of Foreign Body Impaction.
        2017 (1/25/2020])
        • Fung B.M.
        • et al.
        Foreign object ingestion and esophageal food impaction: an update and review on endoscopic management.
        World J. Gastrointest. Endosc. 2019; 11: 174-192
        • The National Safety Council
        (1/25/2020]; Available from:)
        • Chapin M.M.
        • et al.
        Nonfatal choking on food among children 14 years or younger in the United States, 2001–2009.
        Pediatrics. 2013; 132: 275-281
        • Hewlett J.C.
        • et al.
        Foreign body aspiration in adult airways: therapeutic approach.
        J Thorac Dis. 2017; 9: 3398-3409
        • K., B., A.-A. MS., and S. V
        Nasal Foreign Body.
        (1/25/2020]; Available from:)July 8, 2020
        • Kumar S.
        • et al.
        Management of pediatric tracheo bronchial foreign body aspiration.
        Oman Med J. 2010; 25: e019
        • Salih A.M.
        • Alfaki M.
        • Alam-Elhuda D.M.
        Airway foreign bodies: a critical review for a common pediatric emergency.
        World J Emerg Med. 2016; 7: 5-12
        • Subramaniam R.
        Acute upper airway obstruction in children and adults.
        Trends Anaesthesia Crit Care. 2011; 1: 67-73
        • Sehgal I.S.
        • et al.
        Foreign body inhalation in the adult population: experience of 25,998 bronchoscopies and systematic review of the literature.
        Respir Care. 2015; 60: 1438
        • Inbal G.-T.
        • et al.
        From rigid to flexible bronchoscopy: a tertiary center experience in removal of inhaled foreign bodies in children.
        Eur J Pediatr. 2021;
        • Hitter A.
        • et al.
        Diagnostic value of various investigations in children with suspected foreign body aspiration: review.
        Eur Ann Otorhinolaryngol Head Neck Dis. 2011; 128: 248-252
        • Castán Senar A.
        • et al.
        Foreign bodies on lateral neck radiographs in adults: imaging findings and common pitfalls.
        Radiographics. 2017; 37: 323-345
        • Sattar A.
        • et al.
        Diagnostic accuracy of chest x-ray in tracheobronchial foreign body aspiration in paediatric patients.
        J Ayub Med Coll Abbottabad. 2011; 23: 103-105
        • Merkenschlager A.
        • et al.
        Diagnostische Wertigkeit der Röntgenthoraxaufnahme bei tracheobronchialen Fremdkörpern im Kindesalter.
        Pneumologie. 2009; 63: 325-328
        • Svedström E.
        • Puhakka H.
        • Kero P.
        How accurate is chest radiography in the diagnosis of tracheobronchial foreign bodies in children?.
        Pediatr Radiol. 1989; 19: 520-522
        • Pitiot V.
        • et al.
        The use of CT-scan in foreign body aspiration in children: a 6 years' experience.
        Int J Pediatr Otorhinolaryngol. 2017; 102: 169-173
        • Bai W.
        • et al.
        Value of chest CT in the diagnosis and management of tracheobronchial foreign bodies.
        Pediatr Int. 2011; 53: 515-518
        • Yang C.
        • et al.
        The role of 3D computed tomography (CT) imaging in the diagnosis of foreign body aspiration in children.
        Eur Rev Med Pharmacol Sci. 2015; 19: 265-273
        • Lee E.Y.
        • Greenberg S.B.
        • Boiselle P.M.
        Multidetector computed tomography of pediatric large airway diseases: state-of-the-art.
        Radiol Clin North Am. 2011; 49: 869-893
        • Hasdiraz L.
        • et al.
        Complications of bronchoscopy for foreign body removal: experience in 1,035 cases.
        Ann Saudi Med. 2006; 26: 283-287
        • Shostak E.
        Foreign body removal in children and adults: review of available techniques and emerging technologies.
        AME Med J. 2018; 26: 75
        • Kiran S.
        • et al.
        Bronchotomy for removal of foreign body bronchus in an infant.
        Indian J Anaesthesia. 2014; 58: 772-773
        • Kokemohr P.
        • et al.
        Surgical management of rectal foreign bodies: a 10-year single-center experience.
        Innovative surgical sciences. 2017; 2: 89-95
        • Coskun A.
        • et al.
        Management of rectal foreign bodies.
        World J Emerg Surg. 2013; 8: 11
        • Yönem Ö.
        • Ataseven H.
        Endoscopic removal of an iatrogenically induced rectal foreign body.
        Turk J Gastroenterol. 2011; 22: 228-229
        • Chiu W.K.
        • et al.
        Intrapelvic migration with long-term retention of a rectal thermometer: a case report.
        Clin Pediatr (Phila). 2007; 46: 636-638
        • Kurer M.A.
        • et al.
        Colorectal foreign bodies: a systematic review.
        Colorectal Dis. 2010; 12: 851-861
        • Yildiz S.Y.
        • et al.
        Colorectal emergencies associated with penetrating or retained foreign bodies.
        World J Emerg Surg. 2013; 8: 25
        • Cawich S.O.
        • et al.
        A management algorithm for retained rectal foreign bodies.
        Am J Mens Health. 2017; 11: 684-692
        • Ozbilgin M.
        • et al.
        Five years with a rectal foreign body: a case report.
        Int J Surg Case Rep. 2015; 6C: 210-213
        • Critchley A.C.
        • Holtham S.J.
        An unusual case of chronic anal pain–a pin in the bum?.
        Ann R Coll Surg Engl. 2010; 92: W27-W28
        • Hunter T.B.
        • Taljanovic M.S.
        Foreign bodies.
        Radiographics. 2003; 23: 731-757
        • Fischer J.
        • et al.
        Austere foreign body injuries in children and adolescents: a characterization of penile, rectal, and vaginal injuries presenting to emergency departments in the United States from 2008 to 2017.
        Pediatr Emerg Care. 2019;
        • van Ophoven A.
        • deKernion J.B.
        Clinical management of foreign bodies of the genitourinary tract.
        J Urol. 2000; 164: 274-287
        • Paonam S.
        • Kshetrimayum N.
        • Rana I.
        Penile strangulation by iron metal ring: a novel and effective method of management.
        Urol Ann. 2017; 9: 74-76
        • Mahadevappa N.
        • et al.
        Self-inflicted foreign bodies in lower genitourinary tract in males: our experience and review of literature.
        Urol Ann. 2016; 8: 338-342
        • Bansal A.
        • et al.
        Foreign bodies in the urinary bladder and their management: a single-Centre experience from North India.
        Int Neurourol J. 2016; 20: 260-269
        • Alkan E.
        • Basar M.M.
        Endourological treatment of foreign bodies in the urinary system.
        JSLS. 2014; 18 (p. e2014.00271)
        • Palmer C.J.
        • et al.
        Urethral foreign bodies: clinical presentation and management.
        Urology. 2016; 97: 257-260
        • McPartlin D.S.
        • Klausner A.R.
        • Berry T.T.
        Case report: a foreign body in the urethra.
        Jaapa. 2005; 18: 48-50
        • Irekpita E.
        • et al.
        Intravesical foreign bodies: a case report and a review of the literature.
        Int Med Case Rep J. 2011; 4: 35-39
        • Kumar Pandey P.
        • et al.
        Foreign bodies in lower urinary tract: case report and review of literature.
        Iran Red Crescent Med J. 2013; 15: 611-613
        • Rodríguez D.
        • et al.
        Epidemiology of genitourinary foreign bodies in the United States emergency room setting and its association with mental health disorders.
        Int J Impot Res. 2020; 32: 426-433
        • Azadi A.
        • et al.
        Tumor-like reaction to polypropylene mesh from a mid-urethral sling material resembling giant cell tumor of vagina.
        Case Rep Obstet Gynecol. 2017; 20176701643
        • Osman K.
        • et al.
        Uterine carcinosarcoma induced by a vaginal foreign body: a case report and review.
        J Gynecol Obstet Biol Reprod (Paris). 2013; 42: 91-94
        • Yang X.
        • et al.
        Ultrasonography in detection of vaginal foreign bodies in girls: a retrospective study.
        J Pediatr Adolesc Gynecol. 2017; 30: 620-625