Accidentally lodged airgun pellet in maxilla during childhood play retrieved surgically after a decade

2021 ◽  
Vol 14 (10) ◽  
pp. e246709
Author(s):  
Monika Gupta ◽  
Yajas Kumar ◽  
Aliza Rizvi ◽  
Harshita Vig
Keyword(s):  
Foreign Body ◽  
Soft Tissue ◽  
Foreign Body Reaction ◽  
Significant Morbidity ◽  
Penetrating Injuries ◽  
Air Gun ◽  
Childhood Play ◽  
The Right ◽  
Over Time ◽  
Air Gun Pellet

Non-powder firearm-related injuries to the head and neck carry the potential risk of significant morbidity and mortality. Such penetrating injuries tend to be under-reported and trivialised especially in children. Air gun pellet injury may cause damage to both soft tissue and bone. Some metals, when embedded in body tissue, can evoke a foreign body reaction or release toxins over time. It therefore becomes imperative to retrieve these pellets. We present one such case of accidental lodgement of airgun pellet in the right maxilla of a 12-year-old boy during childhood play with an airgun which went unnoticed at that time and was surgically retrieved after a decade. The patient had not suffered from any neurosensory deficit.

scholarly journals Granuloma Caused by Carbon Deposition in the Dermis

2014 ◽  
Vol 2014 ◽  
pp. 1-2
Author(s):  
Rintaro Shibuya ◽  
Yuichiro Endo ◽  
Akihiro Fujisawa ◽  
Miki Tanioka ◽  
Yoshiki Miyachi
Keyword(s):  
Computed Tomography ◽  
Foreign Body ◽  
Malignant Melanoma ◽  
Soft Tissue ◽  
Soft Tissue Sarcoma ◽  
Foreign Body Reaction ◽  
Carbon Deposition ◽  
Case Reports ◽  
Initial Injury ◽  
Pencil Lead

Pencil core granuloma is characterized by a delayed foreign-body reaction against retained fragments of pencil lead. Previous case reports presented pencil core granuloma resembling malignant melanoma, haemangioma, or soft tissue sarcoma. We present a case of pencil core granuloma arising from the palm 25 years after the initial injury. The patient presented a bluish nodule that had been present over 25 years before. The nodule initially measured 5 mm in diameter. However, five years before presentation, it suddenly enlarged to the size of 30 mm during six months. Computed tomography (CT) of the lesion revealed a linear radiopaque structure of 8 mm long with a mass on its distal end. Surgical resection revealed a bluish muddy mass and pencil lead. Histological examination revealed degenerative tissue with calcification surrounded by massive amounts of black granular material in the middle and lower dermis.

scholarly journals Headache and MRI Changes after Endovascular Treatment of a Cerebral Aneurysm

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Liv Jorunn Høllesli ◽  
Martin W. Kurz ◽  
Gry Inger N. Behzadi ◽  
Tore Solbakken ◽  
Svein Harald Mørkve ◽  
...  
Keyword(s):  
Foreign Body ◽  
Endovascular Therapy ◽  
Foreign Body Reaction ◽  
Vasogenic Edema ◽  
Specific Treatment ◽  
Aneurysm Rupture ◽  
Interventional Treatment ◽  
Magnetic Resonance Imaging Mri ◽  
The Right ◽  
Mri Changes

Background. The main complications after endovascular therapy of intracranial aneurysms are aneurysm rupture and thromboembolic events. Yet, the widespread use of magnetic resonance imaging (MRI) in follow-up of these patients also demonstrates other, rarely known complications such as aseptic meningitis and foreign body reaction. Case Presentation. A small aneurysm in the right posterior communicating artery was treated with endovascular therapy in a 65 year old woman. Two weeks after successful interventional treatment, the patient developed a headache. On MRI performed five months after intervention, vasogenic edema was seen in the vascular territory of the right internal carotid artery. The edema and the symptoms diminished without specific treatment within a year. Interpretation. The clinical and radiological presentation of this case are suggestive of a foreign body reaction, a treatable condition that radiologists and clinicians should be aware of.

Recurrent Amyloidoma of Soft Tissue With Exuberant Giant Cell Reaction

2003 ◽  
Vol 127 (12) ◽  
pp. 1609-1611 ◽  
Author(s):  
Sanjay Mukhopadhyay ◽  
Timothy A. Damron ◽  
Alfredo L. Valente
Keyword(s):  
Foreign Body ◽  
Soft Tissue ◽  
Giant Cell ◽  
Soft Tissues ◽  
Foreign Body Reaction ◽  
Chronic Osteomyelitis ◽  
Tendon Sheath ◽  
Cell Tumor ◽  
Cell Reaction ◽  
Instructive Case

Abstract Amyloidoma (localized tumorlike amyloidosis) in the soft tissues is rare. We present an instructive case of recurrent amyloidoma in the soft tissue of the ankle in a 45-year-old man with multiple surgical procedures and chronic osteomyelitis of the underlying bones. The lesion evaded diagnosis because of a florid giant cell reaction that led to various misdiagnoses, including giant cell tumor of tendon sheath, foreign body reaction secondary to surgery, and pseudogout. This case demonstrates the importance of considering the possibility of amyloidoma when a giant cell–rich lesion is encountered in the soft tissues.

Air Gun Pellet Injuries of the Hand

2006 ◽  
Vol 31 (2) ◽  
pp. 178-181 ◽  
Author(s):  
M. M. AL-QATTAN
Keyword(s):  
Soft Tissue ◽  
Range Of Motion ◽  
Full Range ◽  
Injury Pattern ◽  
Vascular Injuries ◽  
Associated Injuries ◽  
Air Gun ◽  
Bullet Injury ◽  
Benign Course ◽  
Air Gun Pellet

The purpose of this paper is to report our experience in a group of patients who suffered injuries by air gun pellets to the hand. There were 22 males and 2 females, with a mean age of 12 years. The pellet was embedded in the hand in 18 patients and it went through and through in the remaining six. There were no vascular injuries. Associated injuries to tendon, nerve or bone occurred in six patients. There was little soft-tissue devitalization and none of the fractures required fixation or splinting. Immediate postoperative mobilization resulted in full range of motion in all patients. In conclusion, pellets produce a different injury pattern, with a more benign course, than other types of bullet injury.

scholarly journals Safety Profile of Artelon Use for Soft Tissue Reconstruction in Foot and Ankle Surgery

2020 ◽  
Vol 5 (4) ◽  
pp. 2473011420S0026
Author(s):  
Syed H. Hussaini ◽  
Daniel M. Dean ◽  
Michael Kelly ◽  
Daniel J. Cuttica
Keyword(s):  
Foreign Body ◽  
Soft Tissue ◽  
Foreign Body Reaction ◽  
Soft Tissue Reconstruction ◽  
Complication Rates ◽  
Foot And Ankle ◽  
Repeat Surgery ◽  
Ankle Surgery ◽  
Tissue Reconstruction ◽  
Vas Scores

Category: Basic Sciences/Biologics; Ankle; Hindfoot; Midfoot/Forefoot; Sports Introduction/Purpose: Artelon is a synthetic degradable polyurethaneurea graft which has been investigated and utilized for soft tissue reconstruction in a variety of orthopaedic settings. However, in the field of foot and ankle surgery, there is very limited reported clinical data on outcomes of surgery utilizing Artelon. The goal of this study was look at outcomes of foot and ankle surgery in which Artelon is used, including post-op VAS scores and complications including adverse foreign body reaction, infection, repeat surgery, and implant failure. Our hypothesis was that soft tissue reconstruction procedures utilizing artelon will have a low complication rate, similar to established complication rates for other soft tissue reconstruction procedures such as those utilizing allograft, autograft, or other synthetic tissue. Methods: The treating surgeon’s first 55 consecutive patients 18 years and older who were treated with artelon graft as part of a foot and ankle surgery are being included in this IRB-approved study. Through retrospective chart review, outcome measures including the procedure for which artelon was utilized, pre and post-op Visual Analogue Scale (VAS) scores, and complications including repeat surgery for graft failure, foreign body reaction, wound healing issues, infection, and osteolysis were assessed. Statistical analysis was done utilizing Student’s t-test for continuous variables and chi square test for categorical variables. Results: Average follow-up time was 246.5 days. The majority of patients had artelon placed for spring ligament reconstruction, brostrom procedures, or achilles tendon reconstruction. VAS scores dropped significantly from before surgery to 3 weeks post- operatively (5.6 to 3.2, p<0.05). VAS scores stabilized after 3 weeks, with final follow-up score at 2.9. There were no reports of osteolysis in the area of the graft placement, adverse foreign body reaction, or episodes of graft failure. There were two major complications involving artelon surgical sites: one patient required a free flap for wound coverage, and another required an operative debridement with hardware and artelon removal, antibiotic spacer placement, and subsequent hindfoot fusion. Other minor complications not requiring operative intervention included cellulitis (3 patients) and delayed wound healing (5). Conclusion: Artelon is a safe and effective implant that can be utilized for soft tissue reconstruction in the foot and ankle, with similar post-operative pain recovery and wound complication rates compared to established historical data for these procedures. Additional studies must be done looking at long-term patient outcomes with utilization of artelon, and direct comparative studies with other soft tissue reconstruction techniques and materials in the foot and ankle.

Necrotizing Soft Tissue Infection of the Right Lower Extremity after Ingestion of a Foreign Body

2018 ◽  
Vol 84 (12) ◽  
pp. 508-509
Author(s):  
Laurence P. Diggs ◽  
Jennifer Lobb ◽  
Christin Tu ◽  
Tamara Osborn ◽  
Terence P. Wade
Keyword(s):  
Foreign Body ◽  
Soft Tissue ◽  
Lower Extremity ◽  
Soft Tissue Infection ◽  
Tissue Infection ◽  
Necrotizing Soft Tissue Infection ◽  
The Right

scholarly journals Cholesterol granuloma of the maxillary sinus

2008 ◽  
Vol 19 (2) ◽  
pp. 171-174 ◽  
Author(s):  
Cinthya Bessa da Motta Almada ◽  
Debora Rodrigues Fonseca ◽  
Rachel Rego Vanzillotta ◽  
Fábio Ramôa Pires
Keyword(s):  
Foreign Body ◽  
Maxillary Sinus ◽  
Paranasal Sinuses ◽  
Foreign Body Reaction ◽  
Surgical Excision ◽  
Cholesterol Granuloma ◽  
Cholesterol Crystals ◽  
Complete Surgical Excision ◽  
Bone Expansion ◽  
The Right

Cholesterol granuloma (CG) is a foreign body reaction to the deposition of cholesterol crystals, usually found in association to chronic middle ear diseases, being highly uncommon in the paranasal sinuses. This article reports a case of CG in the maxillary sinus of a 22-year-old man, manifesting as a swelling on the right maxilla associated with pain and nasal obstruction. Computed tomography (CT) imaging showed complete opacification of the right maxillary sinus with cortical bone expansion and destruction. Incisional biopsy showed a solid mass filling the sinus and histological examination showed foreign body reaction to cholesterol crystals. The microscopic findings associated to tooth vitality, CT images and absence of a cavity during the surgical procedure were compatible with the diagnosis of CG of the maxillary sinus. Complete surgical excision of the mass under general anesthesia was suggested, but the patient did not return to conclude the treatment. CG must be included in differential diagnosis of diseases that cause opacification on the paranasal sinuses, especially sinusitis, and cystic and tumoral lesions.

Air Gun Pellet Embolization to the Right Heart

2003 ◽  
Vol 54 (6) ◽  
pp. 1239-1241 ◽  
Author(s):  
Amit Khanna ◽  
George T. Drugas
Keyword(s):  
Right Heart ◽  
Air Gun ◽  
The Right ◽  
Air Gun Pellet

scholarly journals Pars plana vitrectomy with extraction of intraocular foreign body in patients with siderosis of the eye: Report of two cases

2013 ◽  
Vol 141 (5-6) ◽  
pp. 371-374
Author(s):  
Igor Kovacevic ◽  
Ivan Stefanovic ◽  
Milos Jovanovic ◽  
Jelena Potic ◽  
Goran Damjanovic
Keyword(s):  
Visual Acuity ◽  
Foreign Body ◽  
Pars Plana Vitrectomy ◽  
Intraocular Foreign Body ◽  
Penetrating Injuries ◽  
Entry Wound ◽  
Pars Plana ◽  
The Right ◽  
Metal Foreign Body

Introduction. Penetrating injury is characterized by the existence of entry wound only, and it can be with or without an intraocular foreign body (IOFB). IOFB can lead to a mechanical injury of the eye and to cause infection or to manifest other toxic effects on intraocular structures. Iron and copper can dissolve and cause siderosis, i.e. chalcosis of the eye. Ocular siderosis is diagnosed by clinical and electroretinogram (ERG) findings. Outline of Cases. The first patient was a 37?year?old male who was injured by a metal foreign body. He presented at the Clinic two years after the injury. Visual acuity of the right eye (VOD) on admission was VOD=L+P+ (light projection). Pars plana phacovitrectomy with IOFB extraction was done. Visual acuity on discharge was VOD=3/60 cc + 7.50 Dsph=0.2. The second patient was a 55?year?old male who presented at the clinic 18 months after injury. On admission visual acuity in his left eye was VOS 1/60. Pars plana phacovitrectomy with IOFB extraction was done. Visual acuity on discharge was VOS=0.7 through the stenopeic slit. Conclusion. In penetrating injuries caused by a metal IOFB pars plana vitrectomy with IOFB extraction is indicated. In cases with IOFB, when visual acuity is preserved, the lens is transparent, while the eye is without signs of infection, urgent pars plana vitrectomy is not necessary. Such patients need regular follow?up with obligatory ERG findings.

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