Retained Foreign Body Which Should be Suspected as a Cause of Retractable Chronic Hand Inflammation and Diagnostic Capacity of Ultrasonography

2020 ◽  
Vol 25 (04) ◽  
pp. 423-426
Author(s):  
Jeong Duk Suh ◽  
Young Soo Jung ◽  
Hyun-Joo Lee ◽  
Jong-Pil Yoon ◽  
Suk-Joong Lee ◽  
...  
Keyword(s):  
Foreign Body ◽  
Chronic Inflammation ◽  
Foreign Bodies ◽  
Middle Finger ◽  
Clinical Results ◽  
Proximal Interphalangeal Joint ◽  
Symptom Duration ◽  
Palpable Mass ◽  
Retained Foreign Body ◽  
Chronic Synovitis

Background: Foreign bodies in the hand are common but easily and often missed in the initial evaluation of injury. Diagnosing retained foreign bodies is difficult due to radiolucent foreign bodies. Purpose of this study is to emphasize the need of consideration of foreign bodies in patients with chronic synovitis in hand. Methods: Twenty-five patients who had retained foreign body in soft tissue of hand with chronic inflammation symptoms were included. Ultrasonography was conducted in all of the patients. Patient age, sex, localization of foreign body, duration of symptom, history of injury, follow up period, complication, and biopsy results were recorded and reviewed. Also, patients’ demographics and clinical results were retrospectively reviewed. Results: Nine of the 25 patients diagnosed with a foreign body in the hand did not remember the initial presentation of injury. The average symptom duration (from injury to hospitalization) was 10.5 months (range 1–96 months). The middle finger and the proximal interphalangeal joint were the most common site of a retained foreign body (10 patients). All patients were diagnosed via ultrasonography and underwent surgery. Biopsy results showed mainly chronic inflammation, fibrosis, granuloma, and foreign bodies. Conclusions: Patient with symptoms of cellulitis, osteomyelitis, and palpable mass in hand for over a month without a diagnosis should be suspected of retained FBs.

scholarly journals Accuracy of ultrasonography in detecting radiolucent soft-tissue foreign bodies

2014 ◽  
Vol 24 (02) ◽  
pp. 196-200
Author(s):  
Morteza Tahmasebi ◽  
Hamdollah Zareizadeh ◽  
Azim Motamedfar
Keyword(s):  
Foreign Body ◽  
Soft Tissue ◽  
High Frequency ◽  
Foreign Bodies ◽  
Linear Array ◽  
Foreign Body Removal ◽  
Retained Foreign Body ◽  
Array Transducer ◽  
Highly Sensitive ◽  
Objective Detection

Abstract Background and Objective: Detection of radiolucent soft-tissue foreign bodies is a challenging problem, which is especially further complicated when retained foreign body is highly suggested by clinicians but radiography is negative. So, blind exploration is sometimes hazardous for patients. The purpose of this study was to determine the accuracy of ultrasonography (USG) in detecting radiolucent soft-tissue foreign bodies in the extremities. Materials and Methods: From November 2011 to January 2012, patients with clinically suspected radiolucent soft-tissue foreign body and negative radiography were evaluated by USG with a 12-MHz linear array transducer. The patients with positive clinical and USG examination were included in our study and underwent exploration or USG removal. Results: Fifty-one patients underwent foreign body removal under ultrasonography-guided or surgical exploration and 47 patients had foreign body (31, 12, 3, and 1 case had thorn, wood, glass, and plastic, respectively). Ultrasound was positive in 50 patients. USG falsely predicted the presence of foreign body in four cases and was falsely negative in one of the cases. Accuracy, sensitivity, and positive predictive value were determined as 90.2%, 97.9%, and 92%, respectively. Conclusions: The real-time high-frequency USG is a highly sensitive and accurate tool for detecting and removing radiolucent foreign bodies which are difficult to be visualized by routine radiography.

scholarly journals Plant Thorn Synovitis of the Hand in an Adult Patient: A Case Report and Review of the Current Literature

2019 ◽  
Vol 5 ◽  
pp. 2513826X1987650
Author(s):  
Sarah L. Zhu ◽  
Cameron F. Leveille ◽  
Emily E. Dunn ◽  
Michael J. Cooper
Keyword(s):  
Case Report ◽  
Current Literature ◽  
Foreign Bodies ◽  
Middle Finger ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
The Past ◽  
Left Middle ◽  
Exploratory Surgery ◽  
Plum Tree

This is a case of plant thorn synovitis of the hand in an adult following a plum tree thorn injury, the first reported case in the hands in the past decade. The patient initially presented with persistent joint discomfort following removal of a retained plum thorn fragment from the skin overlyin the proximal interphalangeal joint of the left middle finger. Initial radiography and sonography imaging following the removal revealed no foreign bodies. However, the patient’s symptoms were worsening and refractory to anti-inflammatory and antibiotic treatment. An exploratory surgery was carried out, which revealed multiple plant thorn fragments within the synovium, each measuring approximately 1 mm in size. A synovectomy was performed and the patient recovered with full function. Our case of plant thorn synovitis is discussed along with a review of the current literature on plant thorn synovitis in the hands.

scholarly journals Small Bowel Perforation due to Gossypiboma Caused Acute Abdomen

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Tahsin Colak ◽  
Tolga Olmez ◽  
Ozgur Turkmenoglu ◽  
Ahmet Dag
Keyword(s):  
Foreign Body ◽  
Small Bowel ◽  
Foreign Body Reaction ◽  
Acute Abdominal Pain ◽  
Surgical Complication ◽  
Bowel Perforation ◽  
Abdominal Cavity ◽  
Surgical Sponge ◽  
Palpable Mass ◽  
Retained Foreign Body

Gossypiboma, an infrequent surgical complication, is a mass lesion due to a retained surgical sponge surrounded by foreign body reaction. In this case report, we describe gossypiboma in the abdominal cavity which was detected 14 months after the hysterectomy due to acute abdominal pain. Gossypiboma was diagnosed by computed tomography (CT). The CT findings were a rounded mass with a dense central part and an enhancing wall. In explorative laparotomy, small bowel loops were seen to be perforated due to inflammation of long standing gossypiboma. Jejunal resection with end-to-end anastomosis was performed. The patient was discharged whithout complication. This case was presented to point to retained foreign body (RFB) complications and we believed that the possibility of a retained foreign body should be considered in the differential diagnosis of who had previous surgery and complained of pain, infection, or palpable mass.

Transdiaphragmatic Gastrotomy for the Extraction of Distal Esophageal Foreign Bodies in 13 Dogs (1997–2016)

2020 ◽  
Vol 56 (1) ◽  
pp. 17-22
Author(s):  
Anna Delligianni ◽  
Lysimachos G. Papazoglou ◽  
Ioannis Savvas ◽  
Georgios Kazakos ◽  
Michail Patsikas ◽  
...  
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Clinical Signs ◽  
Clinical Results ◽  
Endoscopic Management ◽  
Animal Bones ◽  
Foreign Body Extraction ◽  
Foreign Body Obstruction ◽  
Esophageal Foreign Bodies

ABSTRACT The records of 13 dogs with distal esophageal foreign body obstruction not amenable to endoscopic management that had transdiaphragmatic gastrotomy (TG) for the foreign body extraction were reviewed. West Highland white terriers were over-represented. Mean age of the dogs at presentation was 38.6 mo, and mean duration of clinical signs associated with esophageal foreign bodies was 5.8 days. A TG was performed via an eighth or ninth left intercostal thoracotomy, and clinical results were successful in 12 dogs. In 1 dog, gastrotomy failed to retrieve a foreign body and esophagotomy was performed. Foreign bodies that were removed included 3 fishhooks and 10 animal bones. Postoperatively, all dogs developed esophagitis, 1 dog showed esophageal stricture, and 1 dog died of pyothorax associated with esophageal perforation 1 day postsurgery. Overall, 12 dogs survived and were free of clinical signs after a median follow-up time of 17 mo. TG is an effective surgical technique for the retrieval of distal esophageal foreign bodies.

scholarly journals Retained Foreign Body in the Nasal Cavity After Oral Maxillofacial Surgery

2018 ◽  
Vol 65 (2) ◽  
pp. 111-112
Author(s):  
Masanori Tsukamoto ◽  
Jun Hirokawa ◽  
Takeshi Yokoyama
Keyword(s):  
Foreign Body ◽  
Nasal Cavity ◽  
Pressure Ulcer ◽  
Foreign Bodies ◽  
Maxillofacial Surgery ◽  
Maxillofacial Region ◽  
Retained Foreign Body ◽  
Oral And Maxillofacial Region ◽  
Nasal Pressure ◽  
Materials Used

Retained foreign bodies sometimes occur in various surgical procedures and can lead to severe complications. Foreign bodies in the oral and maxillofacial region are not rare because of the use of many small items and the natural communication with the outside environment in some areas. We experienced a case of foreign body in the nasal cavity, which was discovered 1 year later at a second operation for hardware removal after maxillofacial surgery. A small, soft material is usually placed between the nasal endotracheal tube and nostril to avoid nasal pressure ulcer at the ala of nose after prolonged anesthesia after our group's experiencing some cases of this complication. The foreign body was found in the pharynx during induction of a second anesthesia. Attention should be directed to not leaving any materials in the patient after surgery. In addition to the normal counts of sponges, needles, etc, other small nonsurgical materials used should be recorded by medical staff to help ensure nothing is retained in the patient.

Sonographic Evaluation of a Perpetual Penetrating Retained Wood Splinter, Ulnar Artery Occlusion, and Soft Tissue Swelling in the Left Arm

2021 ◽  
pp. 154431672110104
Author(s):  
Dianne Masri
Keyword(s):  
Foreign Body ◽  
Soft Tissue ◽  
Foreign Bodies ◽  
Fluid Collection ◽  
Ulnar Artery ◽  
Artery Occlusion ◽  
Open Wound ◽  
Initial Examination ◽  
Palpable Mass ◽  
Magnetic Resonance Imaging Mri

Penetrating foreign bodies are frequently encountered, most commonly wood, glass, or metal slivers. Retained foreign bodies are often overlooked on initial examination and only 15% of wooden foreign bodies are detected by radiographic visualization such as radiography (X-ray), computerized tomography (CT), and magnetic resonance imaging (MRI). Soft tissue infection is the most common complication of a penetrating foreign body. This case report describes a 63-year-old man who was caught under a falling tree limb. His left forearm was speared by a large branch causing an open wound. Ten years later, the patient presented to the emergency department with pain, edema, and erythema. A left arm venous duplex was performed using dynamic B-mode imaging with pulsed Doppler to evaluate the venous system for thrombosis and a palpable mass. Sonography revealed a “perpetual” retained linear foreign body encased in a fluid collection and a distal ulnar artery occlusion with reconstitution of flow at the level of the wrist. Surgical correlation confirmed the presence, size, and location of the foreign body and associated fluid and debris. The foreign body, a wood splinter, was surgically removed without complications.

scholarly journals INTRAOCULAR FOREIGN BODY-A PECULIAR CHALLENGE

2015 ◽  
Vol 05 (02) ◽  
pp. 084-087
Author(s):  
Keshav K Bhat ◽  
Chinnappa A G. ◽  
Muralee Mohan ◽  
Harish Shetty ◽  
Suman Banerjee
Keyword(s):  
Computed Tomography ◽  
Foreign Body ◽  
Unusual Case ◽  
Foreign Bodies ◽  
Blunt Dissection ◽  
Diagnostic Dilemma ◽  
Retained Foreign Body ◽  
Foreign Body Extraction ◽  
Long Time ◽  
Tomography Scan

AbstractIntraorbital foreign bodies often present a confusing clinical picture and managing them remains a challenging experience to the oral and maxillofacial surgeons. Wooden foreign bodies are notorious for remaining quiescent for a long time, before presenting with a variety of complications. The wound of entry may often be small and self-sealing. Wooden foreign bodies also show a propensity to break during attempted removal. Intraorbital wood is often not detected by standard diagnostic tests like the computed tomography scan, adding to the diagnostic dilemma. A retained foreign body can give rise to serious complications, the most devastating of which is loss of the eye. This interventional case report of an unusual case of a wooden intraorbital foreign body reviews the clinical features, radiological appearance and surgical management. Details of ocular history, preoperative ocular examination findings including visual acuity, computed tomography findings were noted. Early surgical exploration was carried out with blunt dissection and careful hemostasis. Thus the foreign body extraction greatly influenced the visual prognosis and final outcome of the patient.

Foreign Bodies

2019 ◽  
pp. 137-138
Author(s):  
Jack Porrino ◽  
Alvin R. Wyatt
Keyword(s):  
Foreign Body ◽  
Soft Tissue ◽  
Foreign Bodies ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Imaging Modality ◽  
The Body ◽  
Clinical Settings ◽  
Retained Foreign Body ◽  
Vehicle Accident

Chapter 29 discusses foreign bodies and trauma. An object that originates from outside the body is by definition considered a foreign body. The retained foreign body can occur in a variety of clinical settings, such as motor vehicle accident, explosion, or gunshot injury and is a common presenting complaint in the acute care setting. Although radiography is often obtained as the first line of imaging in the diagnostic workup of soft tissue foreign bodies, some object compositions, such as wood and plastic, are radiolucent. In this scenario, US is an excellent imaging modality in identifying a retained soft tissue foreign body and can also assist in its removal. Management of the superficial foreign body is typically uneventful, however, the deeply penetrating foreign body may require a more intricate surgical procedure because of proximity of adjacent vital structures.

Delayed brain abscess related to a retained foreign body with culture of Clostridium bifermentans

1986 ◽  
Vol 64 (5) ◽  
pp. 813-815 ◽  
Author(s):  
Terrence L. Pencek ◽  
Kim J. Burchiel
Keyword(s):  
Foreign Body ◽  
Brain Abscess ◽  
Surgical Management ◽  
Foreign Bodies ◽  
Intracranial Abscess ◽  
Content Type ◽  
Retained Foreign Body ◽  
Organism Growth ◽  
Clostridium Bifermentans ◽  
Fine Print

✓ Although it is well documented that retained foreign bodies are associated with delayed intracranial abscess, there are few reports of anaerobic organism growth. A case is presented in which a left parieto-occipital abscess surrounded a metallic fragment implanted when a mortar shell exploded in Vietnam 15 years before. The diagnostic evaluation and surgical management of this case are presented.

A Large Bullet in the Bladder

Swiss Surgery ◽  
2001 ◽  
Vol 7 (3) ◽  
pp. 139-140 ◽  
Author(s):  
Halkic ◽  
Wisard ◽  
Abdelmoumene ◽  
Vuilleumier
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Gross Hematuria ◽  
Suprapubic Cystostomy ◽  
Laparoscopic Port ◽  
Urethral Trauma ◽  
Bullet Injury

All manner of foreign bodies have been extracted from the bladder. Introduction into the bladder may be through self-insertion, iatrogenic means or migration from adjacent organs. Extraction should be tailored according to the nature of the foreign body and should minimise bladder and urethral trauma. We report a case of a bullet injury to the bladder, which finally presented as a gross hematuria after remaining asymptomatic for four years. We present here an alternative to suprapubic cystostomy with a large bladder foreign body treated via a combined transurethral unroofing followed by removal using a grasper passed through a suprapubic laparoscopic port.

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