Detection of Foreign Bodies using Ultrasound: A Possible Pitfall

1994 ◽  
Vol 2 (1) ◽  
pp. 35-38 ◽  
Author(s):  
Bing Siang Gan ◽  
Lawrence N Hurst ◽  
H Brian Evans ◽  
Donal Downey
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Hand Surgery ◽  
Diagnostic Ultrasound ◽  
Clinical Suspicion ◽  
Ultrasound Scanning ◽  
Flexor Tendons ◽  
Anatomical Localization ◽  
Wooden Foreign Body ◽  
Exploratory Surgery

Recently, a number of reports have brought the use of ultrasound scanning in the detection of foreign bodies to the field of hand surgery. A case is presented in which ultrasound was not able to diagnose the presence of a large (3.5 × 0.5 × 0.5 cm) nonradiopaque wooden foreign body lying between the flexor tendons of the forearm. However, embedded in ultrasound gel, the piece could readily be identified. This report serves as a reminder that the anatomical localization of a foreign body amid structures with vastly different echogenicity from its surroundings (such as flexor tendons of the hand and forearm) may reduce the usefulness of diagnostic ultrasound and that in such circumstances clinical suspicion may be a more reliable indication for exploratory surgery.

Retained Wooden Foreign Body in a Child's Parotid Gland: A Case Report

1998 ◽  
Vol 77 (2) ◽  
pp. 140-143 ◽  
Author(s):  
Audie L. Woolley ◽  
Lee T. Wimberly ◽  
Stuart A. Royal
Keyword(s):  
Foreign Body ◽  
Parotid Gland ◽  
Foreign Bodies ◽  
Interesting Case ◽  
Radiologic Diagnosis ◽  
Diagnostic Challenge ◽  
Experienced Surgeon ◽  
Wooden Foreign Body ◽  
Current Guidelines ◽  
Review Current

Foreign bodies can present a diagnostic challenge to even the experienced surgeon. In one review of 200 surgical cases involving retained foreign bodies, one-third of the cases had been initially missed.1 Wooden foreign bodies in particular pose a challenge to the physician. In the review cited above, only 15% of wooden foreign bodies were well visualized on plain radiographs.1 Acutely, on computed tomography (CT) scans, wooden foreign bodies will usually mimic air.2 However, with time, the attenuation value of a wooden foreign body may increase as moisture is absorbed from the surrounding tissues.3 Once this occurs, the wooden foreign body may mimic fat, water or muscle.2 We present an interesting case of a wooden foreign body in the parotid gland in order to illustrate a common presentation of such a foreign body, to review current guidelines for their clinical and radiologic diagnosis, and to suggest strategies for the management of their unique complications.

scholarly journals Foreign Bodies in the Abdominal Area: Review of the Literature

2019 ◽  
Vol 62 (3) ◽  
pp. 85-93 ◽  
Author(s):  
Evangelos Nastoulis ◽  
Maria-Valeria Karakasi ◽  
Maria Alexandri ◽  
Vasileios Thomaidis ◽  
Aliki Fiska ◽  
...  
Keyword(s):  
Foreign Body ◽  
Drug Trafficking ◽  
Foreign Bodies ◽  
Relevant Literature ◽  
Review Of The Literature ◽  
Therapeutic Approaches ◽  
Comprehensive Review ◽  
Neurological Illness ◽  
Legal Implications ◽  
Anatomical Localization

The aim of this paper is to update and summarize the relevant literature on the anatomical localization, incidence, and diagnostic and therapeutic approaches to abdominal foreign bodies. A comprehensive review was carried out on recorded cases related to the presence of foreign bodies in the abdominal area throughout the literature. Moreover, the phenomenon was discussed in relation to different patient categories associated with childhood, mental or neurological illness, incarceration, and drug trafficking as well as sexual accident or abuse. Particular importance is ascribed to the underlying psychopathology and motivation of foreign body ingestion in each category of patients. The surgical, psychiatric and legal implications of the issue are discussed in detail.

scholarly journals An unusual wooden foreign body in the face: a case report

2017 ◽  
Vol 32 (1) ◽  
pp. 50
Author(s):  
Gilberto Leal Grade ◽  
Roberta Dalmolin Bergoli De Almeida ◽  
Leandro Calcagno Reinhardt ◽  
Marcos Antonio Torriani
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Emergency Services ◽  
Anatomical Site ◽  
Initial Examination ◽  
Diagnostic Challenge ◽  
Maxillofacial Region ◽  
Level Of Consciousness ◽  
The Face ◽  
Wooden Foreign Body

Although injuries with the presence of foreign bodies in the maxillofacial region are relatively common in urgency and emergency services, they still pose a diagnostic challenge that is related to several factors, such as type of trauma, foreign body material, patient’s level of consciousness and anatomical site involved. A third of foreign bodies in the face are not detected upon initial examination and may remain in deep tissues until they are accidentally encountered by imaging tests for other purposes or until the patient shows symptoms such as pain or swelling. This article reports a case of a 9 cm piece of wood extracted from a patient’s middle third region of the left midface after 30 days of trauma occurrence, with associated infection suggesting a clinical picture of neoplasia.

scholarly journals Foreign Body Inside the Tunnel: A Rare Cause of Acute Cubital Tunnel Syndrome

2019 ◽  
Vol 05 (04) ◽  
pp. e170-e171
Author(s):  
Gokce Yildiran ◽  
Mustafa Sutcu ◽  
Osman Akdag ◽  
Zekeriya Tosun
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Hand Surgery ◽  
Acute Onset ◽  
Cubital Tunnel Syndrome ◽  
Cubital Tunnel ◽  
Acute Trauma ◽  
History Of ◽  
Tunnel Syndrome ◽  
Unconscious State

AbstractForeign bodies are common entities found in hand surgery practice. However, they are a very rare cause of the acute cubital tunnel syndrome. A 48-year-old male patient was consulted for cubital tunnel symptoms after 2-day unconscious state in the intensive care unit. The ulnar nerve was explored, a piece of glass was removed inside the cubital tunnel, and the nerve was repaired. However, compression neuropathy symptoms due to the acute trauma are interesting. Nerve laceration with a foreign body should be considered in acute-onset cubital tunnel syndrome, in which the foreign body history of a trauma patient cannot be determined explicitly.

scholarly journals Intraorbital Wooden Foreign Body: A Case Report

2015 ◽  
Vol 3 (3) ◽  
pp. 119-121 ◽  
Author(s):  
Sanjeeta Sitaula ◽  
Vijay Gautam
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Good Prognosis ◽  
Ocular Motility ◽  
Intravenous Antibiotics ◽  
Severity Of Injury ◽  
Orbital Problems ◽  
Life Threatening ◽  
History Of ◽  
Wooden Foreign Body

Intraorbital foreign bodies are one of the commonly encountered orbital problems. They may be sight threatening due to the severity of injury or its complications and even life threatening if not managed appropriately. We present a case of a 24-year old female with history of fall injury from a tree with an impacted intraorbital wooden foreign body. The patient was treated with prophylactic intravenous antibiotics and prompt removal of the foreign body was done under general anesthesia in the operation theatre. The post operative visual recovery was excellent with significant improvement of ocular motility and limited improvement of ptosis. Hence even organic foreign bodies can have good prognosis with timely intervention.DOI: http://dx.doi.org/10.3126/jkmc.v3i3.12248Journal of Kathmandu Medical CollegeVol. 3, No. 3, Issue 9, Jul.-Sep., 2014, Page: 119-121

Intraorbital wooden foreign body, legacy of a notorious scrap: a case report

2021 ◽  
Vol 14 (4) ◽  
pp. e242885
Author(s):  
Sujeeth Modaboyina ◽  
Sahil Agrawal ◽  
Ragib Khan ◽  
Anju Bhari
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Wound Site ◽  
Loss Of Vision ◽  
Primary Surgery ◽  
Upper Lid ◽  
Wooden Foreign Body ◽  
The Right

Wooden foreign bodies are notorious to be fragile and get retained as bits and bobs in the orbit. A 50-year-old woman presented to casualty with complaints of loss of vision and pain in the right eye associated with discharge from a wound in right eye upper lid. On imaging, a wooden foreign body was seen as continuous track of air. Meticulous dissection and search were done to remove bits and bobs of the wood. Patient, however, after 15 days of primary surgery reported with pus collection over wound site. Keeping suspicion of remnant wooden body piece(s), imaging and further exploration were carried out, removal of a 1 cm residual wooden piece was done. Retained wooden foreign body should always be suspected in postoperative cases of intraorbital wooden foreign body with infection. A close follow-up and knowledge of the same stay useful to remove any needless apprehension both of patient and surgeon.

Large wooden orbital foreign body: case report and literature review

2020 ◽  
pp. 004947552094616
Author(s):  
Pallavi Singh ◽  
Arjun Desai ◽  
Deepsekhar Das ◽  
Mandeep Singh Bajaj
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Soft Tissues ◽  
Infection Prophylaxis ◽  
Orbital Trauma ◽  
Perioperative Antibiotics ◽  
History Of ◽  
Cosmetic Outcomes ◽  
Wooden Foreign Body ◽  
Wooden Stick

Orbital trauma is often associated with foreign bodies. Wooden foreign bodies pose an urgent need for removal owing to their reactive nature and the high risk for infection. Though visual prognosis depends on associated ocular trauma, in selected cases, excellent visual and cosmetic outcomes are possible. An 18-year-old woman presented to our trauma facility with a history of fall directly onto a wooden stick from a height. On examination, there was a large wooden foreign body in the left medial orbit, extending into the ethmoidal sinus as visualised on imaging. After administration of perioperative antibiotics, the foreign body was removed in toto using careful tissue dissection and the soft tissue was closed in layers. Postoperatively at six months, the vision in the left eye was 20/20 with mild ptosis. Early surgery, careful dissection of soft tissues and adequate infection prophylaxis can lead to good outcomes in such cases.

scholarly journals Management of a large intraorbital wooden foreign body: Case report

2020 ◽  
Vol 11 ◽  
pp. 158
Author(s):  
John Nute Jabang ◽  
Lamin Dampha ◽  
Binta Sanyang ◽  
Charles Adeyemi Roberts ◽  
Bakary Ceesay
Keyword(s):  
Foreign Body ◽  
Multidisciplinary Approach ◽  
Foreign Bodies ◽  
Bone Fragment ◽  
Computed Tomography Scan ◽  
Periorbital Edema ◽  
Male Population ◽  
Wooden Foreign Body ◽  
Tomography Scan ◽  
Body Case

Background: Intraorbital foreign bodies are a global injury and occur with a frequency of one in six orbital injuries; however, intraorbital wooden foreign bodies are uncommon. Intraorbital wooden foreign bodies predominantly affect the male population with a mean age ranging from 21 to 22 years. The diagnosis of intraorbital wooden foreign bodies depending on their size can be challenging on imaging and if not removed early the risk of infection is high. Case Description: A 23-year-old motorcyclist presented to the ER following a collision with a donkey cart carrying wood 3 h before presentation. Examination revealed an acutely ill-looking man in painful distress with a right supraorbital laceration associated with ipsilateral ptosis and periorbital edema. There was a retained intraorbital wooden foreign body. Computed tomography scan showed evidence of both an intraorbital bone fragment and a wooden foreign body. Surgery was done 3rd day of admission before which vision has declined with only perception to light. Only the wooden foreign body was removed. Evolution was favorable with recovery of vision and improvement of the ptosis. Conclusion: The management of intraorbital wooden foreign bodies demands a multidisciplinary approach after a thorough history, examination, and imaging. Treatment of choice is timely and meticulous removal of the foreign body to avoid infection and other associated complications.

Wooden Foreign Bodies in CT

1995 ◽  
Vol 36 (2) ◽  
pp. 148-151 ◽  
Author(s):  
J. Pyhtinen ◽  
E. Ilkko ◽  
S. Lähde
Keyword(s):  
Foreign Body ◽  
Soft Tissue ◽  
Foreign Bodies ◽  
Soft Tissues ◽  
Gas Bubble ◽  
Bone Fragment ◽  
Peak Enhancement ◽  
Water Logging ◽  
Wooden Foreign Body ◽  
Orbital Region

CT findings in 2 patients with a wooden foreign body in the orbital region soft tissue, and a series of CT measurements of wooden elements are presented. The wooden foreign bodies presented low HU numbers in CT and were initially interpreted as a gas collection. Different species of trees presented a large spectrum of densities, varying from the −550 HU of pine up to the +289 HU of ebony. The density of a spruce plank increased along with water-logging from −470 HU to −86 HU in 4 weeks, and peak enhancement up to 106 HU was found in the layer closest to the surface. It was concluded that a wooden foreign body in soft tissues may present CT patterns simulating materials as different as a gas bubble or a bone fragment.

Penetrating intracranial wood wounds: clinical limitations of computerized tomography

1988 ◽  
Vol 68 (5) ◽  
pp. 752-756 ◽  
Author(s):  
James E. Hansen ◽  
Steven K. Gudeman ◽  
Richard C. Holgate ◽  
Richard A. Saunders
Keyword(s):  
Foreign Body ◽  
Computerized Tomography ◽  
Case History ◽  
Foreign Bodies ◽  
Content Type ◽  
History Of ◽  
Wooden Foreign Body ◽  
Type Of Injury ◽  
Different Sources ◽  
Fine Print

✓ The case history of a patient with a periorbital penetrating wooden foreign body is presented. The computerized tomography (CT) densities of several different sources of wood were compared using an experimental model. The clinical usefulness and practical limitations of CT in the evaluation of intracranial foreign bodies is discussed, and the management of this type of injury is reviewed.

Sign in / Sign up

Export Citation Format

Share Document