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.

Technical Intricacies Involved in Surgical Retrieval of a Long Standing Foreign Body in Hand- A Case Report

2022 ◽  
Vol 3 (1) ◽  
pp. 01-02
Author(s):  
Narendra S M
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Soft Tissue ◽  
Foreign Bodies ◽  
Initial Examination ◽  
Long Time

Foreign Bodies (F.B) are not uncommon in hand as it is involved in Day to day activities. Prompt removal during the initial examination is the norm, but sometimes foreign bodies (F.B) may be missed and they remain within the soft tissue for a long time either revealing itself at a later date as a sinus, swelling or an abscess. We present a case of retained FB in the dorsum of hand and the technique involved in retrieval of such a long standing FB.

scholarly journals A CLINICAL CASE OF REMOVING A RESIDUAL FOREIGN BODY FROM THE LEFT SUPRACLAVICULAR REGION

2017 ◽  
Vol 4 (3) ◽  
pp. 120-122
Author(s):  
V.V. Boyko ◽  
V.V. Makarov ◽  
A.L. Sochnieva ◽  
V.V. Kritsak
Keyword(s):  
Surgical Treatment ◽  
Foreign Body ◽  
Soft Tissue ◽  
Clinical Case ◽  
Foreign Bodies ◽  
Soft Tissues ◽  
Life Quality ◽  
The Other ◽  
Practical Case ◽  
The One

Boyko V.V., Makarov V.V., Sochnieva A.L., Kritsak V.V.Residual foreign bodies in soft tissues are one of the main causes of chronical infection lesions and decrease in life quality. Surgical treatment is the most common way to relieve the patient from a foreign body. Often there is a question whether to remove a foreign body? On the one hand, all foreign bodies that are in the human body must be removed. On the other hand, in the absence of symptoms, the risk of surgery performed for the purpose of removal exceeds the risk associated with finding the foreign body. We would like to describe a practical case of removing a foreign body (Kirschner`s wires) from the left supraclavicular region. The young patient lived with a fragment of Kirschner's wire left after the osteosynthesis of the fractured clavicle for 5 years. Surgery to remove the residual foreign body was successful. On the 7th postoperative day the patient was discharged from the hospital under the supervision of surgeons at the place of residence.Key words: foreign body in soft tissue, Kirschner`s wire, surgical treatment. КЛІНІЧНИЙ ВИПАДОК ВИДАЛЕННЯ ЗАЛИШКОВ СТОРОННЬОГО ТІЛА З ЛІВОЇ НАДКЛЮЧИЧНОЇ ОБЛАСТІБойко В.В., Макаров В.В., Сочнева А.Л.,  Крицак В.В.Залишкові чужорідні тіла м'яких тканин залишаються однією з основних причин виникнення вогнища хронічної інфекції та зниження рівня якості життя. Хірургічне лікування основний спосіб позбавити хворого від наявності чужорідного агента. Часто виникає питання чи видаляти чужорідне тіло. З одного боку, усі сторонні тіла, що знаходяться в тілі людини, підлягають видаленню, з іншого боку при відсутності симптомів ризик операції, проводимої з метою видалення, перевищує ризик, пов'язаний з перебуванням чужорідного тіла. Ми хотіли б поділитися випадком видалення залишкового стороннього тіла (спиці Кіршнера) лівої надключичної ділянки із власної практики. Молода пацієнтка прожила з уламком спиці Кіршнера, залишеної після металлоостеосинтезу поламаної ключиці протягом 5 років. Операція з видалення залишкового стороннього тіла пройшла успішно. На 7 післяопераційну добу пацієнтка була виписана зі стаціонару під спостереження хірурги за місцем проживання.Ключові слова: чужорідне тіло м'яких тканин, спиця Кіршнера, хірургічне лікування. кЛИНИЧЕСКИЙ СЛУЧАЙ УДАЛЕНИЯ ОСТАТКОВ ИНОРОДНОГО ТЕЛА ИЗ ЛЕВОЙ ПОДКЛЮЧИЧНОЙ ОБЛАСТИ Бойко В.В., Макаров В.В., Сочнева А.Л.,  Крицак В.В.Остаточные инородные тела мягких тканей остаются одной из основных причин возникновения очага хронической инфекции и снижения уровня качества жизни. Хирургическое лечение основной способ избавить больного от наличия чужеродного агента. Часто возникает вопрос удалять ли инородное тело? С одной стороны, все инородные тела, находящиеся в теле человека, подлежат удалению, с другой стороны при отсутствии симптомов риск операции, производимой с целью удаления, превышает риск, связанный с нахождением инородного тела. Мы хотели бы поделится случаем удаления остаточного инородного тела (спицы Киршнера) левой надключичной области из собственной практики. Молодая пациентка прожила с обломком спицы Киршнера, оставленной после металлоостеосинтеза поломанной ключицы в течении 5 лет. Операция по удалению остаточного инородного тела прошла успешно. На 7 послеоперационные сутки пациентка была выписана из стационара под наблюдение хирурги по месту жительства.Ключевые слова: инородное тело мягких тканей, спица Киршнера, оперативное лечение.

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 Fish Bone Migrating into the Thyroid Gland

2014 ◽  
Vol 5 (1) ◽  
pp. 42-44
Author(s):  
Jay Kantilal Kotecha
Keyword(s):  
Foreign Body ◽  
Soft Tissue ◽  
Thyroid Gland ◽  
Foreign Bodies ◽  
Fish Bone ◽  
Left Lobe ◽  
Rare Phenomenon ◽  
Head Neck

ABSTRACT Many cases have been reported in the literature about foreign bodies lodged in the hypopharynx. A foreign body penetrating the esophagus and migrating into the soft tissue of neck is a rare phenomenon. We report a case of 35 years male who ingested a fish bone which then migrated into left lobe of thyroid and the role of imaging in its detection and management. How to cite this article Kotecha JK. Fish Bone migrating into the Thyroid Gland. Int J Head Neck Surg 2014;5(1):42-44.

scholarly journals ENCAPSULATION OF METALLIC SOFT-TISSUE FOREIGN BODIES WITH A LONG CARRIER LIFE

2020 ◽  
pp. 160-164
Author(s):  
V. V. Negoduyko ◽  
R. M. Mikhailusov ◽  
T. P. Yakimova ◽  
P. M. Zamyatin ◽  
S. O. Beresnev ◽  
...  
Keyword(s):  
Foreign Body ◽  
Soft Tissue ◽  
Foreign Bodies ◽  
Soft Tissues ◽  
Clinical Laboratory ◽  
Gunshot Wounds ◽  
Analysis Data ◽  
Capsule Formation ◽  
Iron And Steel ◽  
Morphological Studies

Sumary. The aim is to investigate the features of pathogenesis in capsule formation around metallic foreign bodies of soft tissues. Materials and methods. The results of a study of 6 patients with metallic foreign bodies of soft tissues with a carrier period of 16 to 50 years were analyzed. 3 injured had foreign bodies of gunshot origin and 3 patients had foreign bodies as a result of personal injury. Used clinical, laboratory, instrumental, histological, immunohistochemical, X-ray spectrometric studies. Results. All foreign soft tissue bodies were removed with the capsule. By gender: 5 men and 1 woman. By localization - the lower extremity. Pain was present in all the victims. Radiography and ultrasound were informative, magnetodetection is informative only at the superficial location of a foreign body. The foreign bodies were made of gray cast iron and steel needle wire. Histologically, immunohistochemically and radiospectrometrically, it has been found that the capsule formation around the foreign body is affected by the mechanism and extent of damage to the soft tissues, the composition of the metal and its coating, and the carrier term of the foreign body. Conclusions. Depending on the composition of the metal and its coating, there is a different rate of oxidation of the foreign body in the soft tissues: oxidation of metal foreign bodies of fire origin is faster. The formation of the capsule around the foreign body is affected by the mechanism of tissue damage: when the needle penetrates, the soft tissues are destroyed minimally, in the case of gunshot wounds, they are destroyed more. Spectral analysis data in conjunction with morphological studies are the basis for the removal of a foreign body of inflammatory origin along with the capsule.

scholarly journals Residual foreign body in the foot causing chronic osteomyelitis mimicking a pseudotumor: A case report

2020 ◽  
Vol 48 (6) ◽  
pp. 030006052092537
Author(s):  
Yin-Ming Huang ◽  
Shan-Wei Yang ◽  
Chun-Yu Chen ◽  
Chine-Jen Hsu ◽  
Wei-Ning Chang
Keyword(s):  
Foreign Body ◽  
Chronic Osteomyelitis ◽  
Osteolytic Lesion ◽  
Fluid Collection ◽  
Plantar Fascia ◽  
Resonance Imaging ◽  
X Ray ◽  
Retained Foreign Body ◽  
Magnetic Resonance Imaging Mri ◽  
The Right

Osteomyelitis from a retained foreign body should be included in the differential diagnosis of any osteolytic lesion of the foot. We report here a case of a 59-year-old man who presented with swelling over the dorsolateral aspect of the right foot. Plain x-ray showed an osteolytic lesion that mimicked a pseudotumor. Magnetic resonance imaging (MRI) showed multilocular fluid collection over the right cuboid with a hypointense lesion over the plantar fascia. The patient underwent surgery and a rubber fragment (1 cm × 0.8 cm) was removed from his foot that had been present for two years following a stabbing injury. The patient fully recovered without complication or disability.

scholarly journals The Role of Ultrasonography in Detection and Localization of Radiolucent Foreign Body in Soft Tissues of Extremities

2009 ◽  
Vol 48 (173) ◽  
Author(s):  
Dipak Shrestha ◽  
UK Sharma ◽  
R Mohammad ◽  
D Dhoju
Keyword(s):  
Foreign Body ◽  
Soft Tissue ◽  
Foreign Bodies ◽  
Anatomical Location ◽  
Local Health ◽  
Duration Of Symptoms ◽  
X Ray ◽  
Linear Probe ◽  
Detection And Localization ◽  
Ct And Mri

INTRODUCTION:Retained non-radiopaque foreign body inside soft tissue can be a cause of prolonged morbidity. Detection and localization is difficult task with conventional radiography. Ultrasonography, CT and MRI are other modes of evaluation but both of CT and MRI are expensive and not easily available.METHODS:Twenty three patients were evaluated with ultrasonography (8 MHz linear probe) and X-ray for clinically suspicious non-radiopaque foreignbody in soft tissue of extremities. Clinical presentation, duration of symptoms, anatomical location and foreign bodies retrieved after surgical explorations were recorded.RESULTS:X-ray could not detect any foreign body in all 23 patients. Ultrasound findings were suggestive of foreign body in 19 patients (male: female=2:1, mean age 31.68+/-11.8 years, range 12 - 54 years) which was confirmed after surgical exploration except in one where only foreign bodygranuloma was found. 4 (21%) were not aware of prick injury. Fifteen patients had attempted removal of foreign body themselves or at medical shop or local health post. Interval between injury / symptoms appearance to hospital ranged from 4-56 days. Foot and ankle was involved in 10 (52.6%), calf in 3 (15%), dorsum of hand in 2 (10.5%), palm in 2 (10.5%), shoulder in 1 (5.2%) and knee in 1 (5.2%) case. Foreign bodies retrieved were wood in 12 (63%), thorn in 4 (21%) and bamboo twig in 2 (10.5%) patients.CONCLUSION:Plain X-ray isn't sensitive for detection of non-radiopaque foreign body in soft tissue. Ultrasonography is sensitive and specific fordetection and localization of foreign body which should be included in evaluation for clinically suspicious retained non-radiopaque foreign body in softtissue of extremities.KEYWORDS:non-radiopaque foreign body; sensitivity; specificity; ultrasonography

scholarly journals Retained Metallic Foreign Body in Cheek: A Diagnostic and Surgical Challenge

2013 ◽  
Vol 4 (2) ◽  
pp. 107-109
Author(s):  
Varsha Sunil Manekar ◽  
Ankush Chavan
Keyword(s):  
Foreign Body ◽  
Soft Tissue ◽  
Unusual Case ◽  
Foreign Bodies ◽  
Soft Tissues ◽  
Metallic Foreign Body ◽  
Industrial Accidents ◽  
Traumatic Injuries ◽  
Orofacial Region ◽  
Head Neck

ABSTRACT Foreign body lodged in the soft tissue is fairly common in the vehicular or industrial accidents. Traumatic injuries in orofacial region often drive foreign bodies in the soft tissues. The immediate closure of the soft tissue wounds become the emergency treatment for the control of bleeding. The foreign body may sometimes remain unnoticed. The purpose of reporting this unusual case of metallic foreign object in the cheek is to highlight the difficulties in detection of foreign bodies and discuss its clinical management. We also discuss the usefulness of various imaging modalities for assessment of its nature, location, size, shape and relation to vital structures. How to cite this article Manekar VS, Chavan A. Retained Metallic Foreign Body in Cheek: A Diagnostic and Surgical Challenge. Int J Head Neck Surg 2013;4(2):107-109.

scholarly journals Foreign Body (Bamboo Splinter of Broom Stick) in Soft Tissue

1970 ◽  
Vol 20 (1) ◽  
pp. 67-70 ◽  
Author(s):  
MA Kasem Pramanik ◽  
Joydeep Bhaduri ◽  
AM Rashid ◽  
M Nazmul Hasan
Keyword(s):  
Foreign Body ◽  
High Resolution ◽  
Soft Tissue ◽  
Foreign Bodies ◽  
Soft Tissues ◽  
Cost Effective ◽  
Daily Practice ◽  
Radiation Hazard ◽  
X Ray ◽  
High Resolution Ultrasonography

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

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