Foreign body granuloma due to unsuspected wooden splinter (original) (raw)
Investigation of wooden splinters in foot: a case report and literature review
European Journal of Orthopaedic Surgery and Traumatology, 2006
We present a case of wooden foreign bodies in the foot with delayed diagnosis. Unreliability of plain radiographs in these situations is emphasized. The comparative utility of computed tomography, magnetic resonance scans and ultrasonography is evaluated from a literature review. We utilized a sinogram which showed the splinters and also indicated their location and orientation in a region of complex anatomy, thus reducing surgical time and morbidity. Management of a suspected radiolucent foreign body is fraught with pitfalls and we provide a possible algorithm for management.
Wooden splinter-induced extremity injuries: Accuracy of MRI evaluation
The Egyptian Journal of Radiology and Nuclear Medicine, 2013
Objective: To detect the accuracy of MR imaging in detection and localization of wooden splinters invading the extremities using surgical data as a reference standard. Methods: A retrospective review on a series of eighteen patients with: history of wooden foreign body penetration and/or localized swellings to their extremities, surgically confirmed final diagnosis of wooden foreign body penetration and having both screening X-ray and MR imaging of their concerned extremities. MR imaging included variable combination of fast-spin echo imaging in T1W and T2W without fat-suppression as well as fat-suppressed proton density and/or STIR sequences. Gadoliniumenhanced imaging was available in 10 of the MR studies of our patients only. Results: Successful localization using MR was achieved in sixteen patients only, in the current study with sensitivity and specificity of 88.8%. Wooden splinters were recognized as linear signal
Foreign Body (Bamboo Splinter of Broom Stick) in Soft Tissue
TAJ: Journal of Teachers Association, 2009
Patients with foreign bodies inside soft tissues are common in a surgeon's daily practice,. Radio-opaque foreign bodies can easily be located with radiography but radio-lucent foreign bodies cannot be located with X-ray, where Ultrasonography especially, high resolution ultrasonography can be used to locate it. Ultrasonography, being easily available, cost-effective and radiation-hazard free, can be done repeatedly for foreign bodies which move inside tissues. The presenting article describes a patient with a radio-lucent foreign body, deep inside muscle in his fore-arm and having one sharp end, was advancing inside tissues, was located with the help of Ultrasonography and was removed. doi: 10.3329/taj.v20i1.3095 TAJ 2007; 20(1): 67-70
Arthritis & …, 1990
Foreign body synovitis has been neglected in the rheumatology literature. We describe 26 patients in whom arthritis, bursitis, or tenosynovitis appeared within 1 day to 7 years after an initial injury by a penetrating foreign body. Twenty-two patients presented with acute synovitis, which was followed by chronic or recurrent inflammation mimicking septic arthritis, osteomyelitis, monarticular juvenile rheumatoid arthritis, bone tumor, or apatite deposition disease. Foreign bodies were not seen in 5 inflammatory synovial fluids studied, but were seen in the synovium or periarticular tissues of 17 patients. Excisional biopsy was required in most patients for precise diagnosis and treatment.
Not-so-Minor Injuries: Delayed Diagnosis of a Large Splinter
Archives of Trauma Research, 2016
Introduction: In contrast with victims of major trauma, patients who suffer minor injuries receive little specialist input. In most cases, this causes no difficulty, but there are situations where minor trauma results in persistent disability affecting the quality of life. Case Presentation: A young man sustained a perineal puncture wound resulting from a fall onto a bush. Following an initial delay, he sought medical advice for a continual pain in his right leg, and a discharging perineal wound. A computed tomography (CT) scan and flexible sigmoidoscopy failed to identify the cause, and he was subsequently discharged from hospital. One year after his initial presentation, a magnetic resonance imaging (MRI) scan identified a retained foreign body consistent with a fragment of wood. Conclusions: Penetrating trauma from wooden fragments provides a diagnostic challenge. A stubborn discharge from a wound must always raise the suspicion of retained fragment. Early and appropriate surgical exploration is imperative.
Large wooden foreign body in the hand: recognition of occult fragments with ultrasound
Emergency Radiology, 2004
A 37-year-old man with pain and swelling of the thenar was referred to the emergency department. On ultrasound a 3·1·0.2 cm large wooden foreign body was depicted in the thenar region. In addition, ultrasonography (US) was able to show multiple smaller fragments adjacent to the larger foreign body. To give a better overview of the position relative to tendons and muscles, CT with soft tissue window settings was performed. CT gave a good anatomic overview but was not able to show the smaller fragments. A total of six additional fragments were depicted at US. Performing US is mandatory in patients with penetrating injuries by foreign bodies because it is very sensitive. Using US in an emergency setting can avoid retained fragments and depict other soft tissue complications.
A Missed Intraorbital Wooden Foreign Body Presented as Soft Tissue Mass
2011
Purpose: To present a case of missed intraorbital wooden foreign body presented as soft tissue mass Case report: We introduce a case of intraorbital wooden foreign body which presented with orbital soft tissue mass two years after trauma. A plain CT was requested which revealed a foreign body in the right orbit. It is frequently difficult to identify and localize organic intraorbital foreign bodies despite modern day high-resolution imaging studies.
2015
Retention of foreign bodies in maxillofacial region following trauma are not uncommon. Various retained foreign bodies reported; are tooth fragments, root canal filling material, burs, sewing needles, broken tips of probes and elevators, wooden tooth picks, piece of glass, blades of grass, a tooth brush bristle, fish bone, hair, piece of straw or grass, portion of fingernail, spike of wheat, thorn and chicken pinfeather, surgical gauze. Some times these foreign bodies get infected and spontaneously come out through draining sinus. But very rarely it is possible that some might remain in the soft tissue and go unnoticed, causing persistent pus discharge, trismus, granuloma and osteomyelitis. This article describes three cases of retained wooden foreign bodies in cheek, parotid gland and tongue with their diagnosis and management.
Longstanding Unrecognized Wooden Foreign Bodies in Oro-facial Region, Report of three Cases
American Journal of Public Health Research, 2015
Retention of foreign bodies in maxillofacial region following trauma are not uncommon. Various retained foreign bodies reported; are tooth fragments, root canal filling material, burs, sewing needles, broken tips of probes and elevators, wooden tooth picks, piece of glass, blades of grass, a tooth brush bristle, fish bone, hair, piece of straw or grass, portion of fingernail, spike of wheat, thorn and chicken pinfeather, surgical gauze. Some times these foreign bodies get infected and spontaneously come out through draining sinus. But very rarely it is possible that some might remain in the soft tissue and go unnoticed, causing persistent pus discharge, trismus, granuloma and osteomyelitis. This article describes three cases of retained wooden foreign bodies in cheek, parotid gland and tongue with their diagnosis and management.