Foreign Body Induced Osteomyelitis in the Hand – Commonly Missed Clinical and Radiological Diagnosis

2021 ◽  
Vol 11 (6) ◽  
Author(s):  
Meghna Regmi ◽  
Sanjay Desai ◽  
Sandeep Patwardhan ◽  
Wipula Deshmukh ◽  
Tushar Kapoor ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Foreign Body ◽  
Chronic Osteomyelitis ◽  
Medical Attention ◽  
Not Given ◽  
Retrospective Evaluation ◽  
History Of ◽  
Ct And Mri ◽  
Rule Out ◽  
Body Case

Introduction: Thorn prick is commonly seen in people that are involved in gardening. In some cases, they are unaware of the precedent thorn prick or present for medical attention quite late and forget about the history of thorn prick. In such cases, it is challenging for the clinicians and the radiologist to rule out the cause of the osteomyelitis caused by an unrecognized foreign body. Case Report: A 14-year-old girl presented with a swelling of the hand and discharging sinuses with a radiographic picture of osteomyelitis of the 5th metacarpal. The CT and MRI showed features consistent with osteomyelitis as well, possibly tuberculous in etiology. Even after the completion of AKT (anti-tubercular treatment), the patient continued to have discharging sinuses out of which a plant thorn spontaneously egressed, and subsequently, the patient was completely relieved of her symptoms. Retrospective evaluation of the MRI showed the presence of a foreign body that was hyperdense on CT and was initially thought to be a sequestrum. Conclusion: Hence, even though a definite history of trauma/thorn prick is not given (although highly unusual in the case of hand), an organic foreign body should be considered in the etiologic differential diagnosis of non-responding chronic osteomyelitis and discharging sinuses. Keywords: Thorn, osteomyelitis, hand.

scholarly journals Denture Impaction Causing an Upper Esophageal Diverticulum

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Shireen Samargandy ◽  
Hani Marzouki ◽  
Talal Al-Khatib ◽  
Mazin Merdad
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
The Elderly ◽  
Barium Swallow ◽  
Diagnostic Challenge ◽  
Case Presentation ◽  
History Of ◽  
Endoscopic Diverticulotomy ◽  
Tomography Scan ◽  
Rule Out

Background. Dentures are a common cause of inadvertent foreign body ingestion particularly in the elderly. Due to their radiolucent nature, they often present a diagnostic challenge to care providing physicians. Case Presentation. A 66-year-old female presented to our otolaryngology clinic with a 2-year history of dysphagia. Her physical examination was unremarkable. Computed tomography scan of the neck and barium swallow suggested Zenker diverticulum. She was planned for endoscopic diverticulotomy; however, during surgery, a foreign body was incidentally found and retrieved, which was a partial lower denture. The diverticulum resolved thereafter, and the patient's symptoms abated. Conclusion. The authors recommend evaluating the esophagus endoscopically first in cases of upper esophageal diverticular formation, even when planning an open repair approach, to rule out any concealed foreign bodies.

Long-Retained Vaginal Foreign Body Causing Chronic Vaginitis in a Bulldog

2010 ◽  
Vol 46 (1) ◽  
pp. 56-60 ◽  
Author(s):  
Elisabeth C. Snead ◽  
John W. Pharr ◽  
Brendon P. Ringwood ◽  
Jennifer Beckwith
Keyword(s):  
Differential Diagnosis ◽  
Foreign Body ◽  
Vaginal Discharge ◽  
Foreign Bodies ◽  
History Of

A vaginal foreign body consisting of a piece of retained calvarium from a macerated fetus was identified and removed using vaginoscopy in a 4-year-old, spayed female bulldog. The dog had a 12-month history of chronic mucopurulent vaginitis. Vaginal foreign bodies, although uncommon, are a differential diagnosis for recurrent mucopurulent or hemorrhagic chronic vaginal discharge. A case of chronic vaginitis caused by a long-retained intravaginal foreign body in a dog is described and compared to four other canine cases reported in the literature.

scholarly journals Delayed Presentation Of A Girl With A Sour Plum Seed In The Trachea

2013 ◽  
Vol 12 (2) ◽  
pp. 231-234
Author(s):  
Wan Emelda Wan Mohamad ◽  
Norasnieda Mohd Shukri ◽  
Irfan Mohamad ◽  
Norhafiza Mat Lazim
Keyword(s):  
Foreign Body ◽  
Airway Obstruction ◽  
Alimentary Tract ◽  
Medical Science ◽  
Medical Attention ◽  
Delayed Presentation ◽  
Emergency Condition ◽  
Number Of Patients ◽  
History Of ◽  
Food Particles

Foreign body in the airway is very rare as compared to the alimentary tract. Food particles constitute among the commonest foreign body. The airway obstruction caused by foreign body dislodgement often present with acute emergency condition. The pathognomonic history includes history of choking and noisy breathing. It is an acute emergency and requires immediate medical attention. However in small number of patients the earliest symptom may be ignored leaving only mild neck discomfort. We report a case of comfortable girl with foreign body airway who finally sought treatment after presented with delayed sign and symptoms of partial airway obstruction. Bangladesh Journal of Medical Science Vol. 12 No. 02 April’13 Page 231-234 DOI: http://dx.doi.org/10.3329/bjms.v12i2.14979

scholarly journals Extra Gastrointestinal Stromal Tumor Pada Ovarium, Kasus Jarang

2020 ◽  
Vol 4 (2) ◽  
pp. 173-182
Author(s):  
Nana Liana ◽  
RZ Nizar ◽  
Aswiyanti Asri ◽  
Hera Novianti ◽  
Andi Friadi
Keyword(s):  
Differential Diagnosis ◽  
Gastrointestinal Stromal Tumor ◽  
Ovarian Tumor ◽  
Stromal Tumor ◽  
Ovarian Malignancy ◽  
Tumor Surgery ◽  
Pathological Anatomy ◽  
History Of ◽  
Gynecological Disorder ◽  
Rule Out

Objective : This article objective is to describe a woman with extra gastrointestinal stromal tumor (extra GIST) in ovary; Method : A case report and literature review; The author reports a woman 54 years old with complaints of swelling in the abdomen. Tumors suspected originate from ovary with an extension to abdominal wall. The patient had history of previous ovarian tumor surgery with pathological anatomy diagnosis was thecoma. Working diagnosis of the patient was residif ovarian malignancy and then suboptimal debulking was performed. Microscopically, ovarian tumors appear cellular and diffuse, partially arranged fascicles. Cells with rounded-spindle nuclei, mitosis ≥ 4 per 10 HPF. The conclusion was malignant thecoma which metastasizes to peritoneum and omentum. Differential diagnosis were GIST and leiomyosarcoma. Immunohistochemistry examination was performed with  Calretinin and CD117 to rule out the differential diagnosis. Calretinin were negative  and CD117 were strongly positively smeared. Based on the morphology and positive CD117 results, diagnosis was extra GIST of ovary.; Conclusion: Extra GIST in the ovary is an unusual location so that it can be misdiagnosed as a gynecological disorder. The differential diagnosis at this location is quite limited including thecoma, fibrothecoma and leiomyosarcoma.Keywords: extra gastrointestinal stromal tumor, ovary, thecoma

The Blind Leading the Blindable

2020 ◽  
pp. 99-104
Author(s):  
Pat Croskerry
Keyword(s):  
Foreign Body ◽  
Malignant Melanoma ◽  
High Velocity ◽  
Metallic Foreign Body ◽  
Aged Patient ◽  
Tertiary Referral ◽  
Pigmented Lesion ◽  
History Of ◽  
Metallic Object ◽  
Rule Out

In this case, a middle-aged patient is referred to a tertiary referral eye hospital by an ophthalmologist for the diagnostic assessment of a pigmented lesion on the sclera of his left eye. Ostensibly, the referral is to rule out malignant melanoma. The patient has a history of a penetrating injury to his left eye from a high-velocity metallic object 10 years earlier. He is seen by multiple ophthalmologists who ruled out melanoma, concluding the lesion is a metallic foreign body exterior to the globe that did not require removal. However, an obvious and important detail is missed by all but one ophthalmologist.

scholarly journals Extra Gastrointestinal Stromal Tumor Pada Ovarium, Kasus Jarang

2020 ◽  
Vol 4 (2) ◽  
pp. 204-213
Author(s):  
Nana Liana ◽  
RZ Nizar ◽  
Aswiyanti Asri ◽  
Hera Novianti ◽  
Andi Friadi
Keyword(s):  
Differential Diagnosis ◽  
Gastrointestinal Stromal Tumor ◽  
Ovarian Tumor ◽  
Stromal Tumor ◽  
Ovarian Malignancy ◽  
Tumor Surgery ◽  
Pathological Anatomy ◽  
History Of ◽  
Gynecological Disorder ◽  
Rule Out

Objective : This article objective is to describe a woman with extra gastrointestinal stromal tumor (extra GIST) in ovary; Method : A case report and literature review; The author reports a woman 54 years old with complaints of swelling in the abdomen. Tumors suspected originate from ovary with an extension to abdominal wall. The patient had history of previous ovarian tumor surgery with pathological anatomy diagnosis was thecoma. Working diagnosis of the patient was residif ovarian malignancy and then suboptimal debulking was performed. Microscopically, ovarian tumors appear cellular and diffuse, partially arranged fascicles. Cells with rounded-spindle nuclei, mitosis ≥ 4 per 10 HPF. The conclusion was malignant thecoma which metastasizes to peritoneum and omentum. Differential diagnosis were GIST and leiomyosarcoma. Immunohistochemistry examination was performed with  Calretinin and CD117 to rule out the differential diagnosis. Calretinin were negative  and CD117 were strongly positively smeared. Based on the morphology and positive CD117 results, diagnosis was extra GIST of ovary.; Conclusion: Extra GIST in the ovary is an unusual location so that it can be misdiagnosed as a gynecological disorder. The differential diagnosis at this location is quite limited including thecoma, fibrothecoma and leiomyosarcoma.Keywords: extra gastrointestinal stromal tumor, ovary, thecoma

scholarly journals Unusual presentation of a rectal foreign body: a diagnostic dilemma

2019 ◽  
Vol 6 (7) ◽  
pp. 2587
Author(s):  
Pei Pei Lee ◽  
Jitt Aun Chuah ◽  
Ratha Krishnan Sriram
Keyword(s):  
Foreign Body ◽  
Acute Urinary Retention ◽  
Foreign Bodies ◽  
Correct Diagnosis ◽  
Medical Attention ◽  
Pelvic Cavity ◽  
Diagnostic Dilemma ◽  
Rectal Foreign Bodies ◽  
History Of ◽  
Abdominal Perineal Resection

Rectal foreign bodies present a challenge to surgeons from obtaining the correct diagnosis to managing the patient due to a wide array of presentation. Diagnostic dilemmas often arise as patients are sometimes unwilling to disclose the actual history and seek medical attention late. We present a case of a 65 year old Asian gentleman who present with history of per-rectal bleeding, tenesmus, acute urinary retention, constitutional symptoms with investigations suggestive of rectal malignancy. Intraoperatively identified a rubber-like foreign body tightly packed in the pelvic-cavity with severe injury to the rectum requiring abdominal-perineal resection. 

scholarly journals Light Emitting Diode (LED) Bulb Aspiration in Northern Ghana: A Case Report and Literature Review

2020 ◽  
pp. 26-29
Author(s):  
Theophilus Adjeso ◽  
Adamu Issaka
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Foreign Body ◽  
Literature Review ◽  
Light Emitting Diode ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
Northern Ghana ◽  
Light Emitting ◽  
History Of

Light emitting diode (LED) bulb is an unusual cause of foreign body aspiration. We present a case of a 6-year-old boy who reported with a four-day history of difficulty in breathing and cough following a LED bulb aspiration retrieved via rigid bronchoscopy. This present case suggests that LED bulb should be considered in the differential diagnosis of foreign body aspirations in our environment.

Case Exercise: Toxic Exposure-Related Illness: Causation, Diagnosis, and Permanent Impairment

2007 ◽  
Vol 12 (2) ◽  
pp. 4-8
Author(s):  
Frederick Fung
Keyword(s):  
Concentration Level ◽  
Treatment Plan ◽  
Toxic Exposure ◽  
Dose Response Relationship ◽  
Specialty Board ◽  
History Of ◽  
Subjective Complaints ◽  
Based Medicine ◽  
Illness Causation ◽  
Rule Out

Abstract A diagnosis of toxic-related injury/illness requires a consideration of the illness related to the toxic exposure, including diagnosis, causation, and permanent impairment; these are best performed by a physician who is certified by a specialty board certified by the American Board of Preventive Medicine. The patient must have a history of symptoms consistent with the exposure and disease at issue. In order to diagnose the presence of a specific disease, the examiner must find subjective complaints that are consistent with the objective findings, and both the subjective complaints and objective findings must be consistent with the disease that is postulated. Exposure to a specific potentially causative agent at a defined concentration level must be documented and must be sufficient to induce a particular pathology in order to establish a diagnosis. Differential diagnoses must be entertained in order to rule out other potential causes, including psychological etiology. Furthermore, the identified exposure at the defined concentration level must be capable of causing the diagnosis being postulated before the examiner can conclude that there has been a cause-and-effect relationship between the exposure and the disease (dose-response relationship). The evaluator's opinion should make biological and epidemiological sense. The treatment plan and prognosis should be consistent with evidence-based medicine, and the rating of impairment must be based on objective findings in involved systems.

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