Pseudotumor of Hand Foreign Body Granuloma

2019 ◽  
Vol 1 ◽  
pp. 72-74
Author(s):  
Gurpreet Singh Sandhu ◽  
Mahesh Parkash ◽  
Vikas Bhatia
Keyword(s):  
Foreign Body ◽  
Soft Tissue ◽  
Foreign Body Granuloma ◽  
Soft Tissue Neoplasm ◽  
Characteristic Appearance ◽  
Peripheral Ring ◽  
Previous Trauma ◽  
History Of ◽  
Detection And Diagnosis ◽  
Magnetic Resonance Imaging Mri

Foreign body granuloma develops following a skin penetrating injury with retention of a foreign body, which subsequently causes a reactive inflammatory granulation tissue around it. It can mimic as a pseudotumor; hence, its early detection and diagnosis with imaging can help in its management and prevent further complications. We report a 10-year-old boy with swelling on the dorsum of the hand causing scalloping of the 3rd metacarpal presenting as pseudotumor and was confirmed to be a foreign body (thorn) granuloma on ultrasonography and magnetic resonance imaging (MRI). The characteristic appearance of foreign body in soft tissue on ultrasound is an echogenic structure giving posterior acoustic shadowing, and on MRI it typically appears as a low signal intensity structure on T1- and T2-weighted images with peripheral ring enhancement. Hence, the possibility of a foreign body granuloma should be ruled out in cases of suspected soft tissue neoplasm in extremities, despite no significant history of previous trauma.

scholarly journals Foreign Body Granuloma

2021 ◽  
Vol 4 (6) ◽  
pp. 01-02
Author(s):  
Pooja Agarwal
Keyword(s):  
Foreign Body ◽  
Biological Response ◽  
Foreign Body Granuloma ◽  
Diagnostic Challenge ◽  
Surgical Sponge ◽  
Radiographic Appearance ◽  
Previous Trauma ◽  
History Of ◽  
The Individual ◽  
Time Of Presentation

Penetration of foreign bodies may present a diagnostic challenge to the surgeon. The foreign body granuloma is a biological response of tissue to any foreign body in the tissue. The pathway of arriving to the diagnosis of foreign body granuloma becomes difficult when patient presents with non specific symptoms such as pain/ swelling, and in history- no recollection of previous trauma. It can be of two types- a) Iatrogenic gossypiboma by retained surgical sponge intra-operatively b) Granulation by a penetrating foreign body such as wooden splinter or other materials. -The most frequent reported injury is to hand, thigh, knee and feet; these may be limited to soft tissue of may be intra articular. The time and type of presentation varies according to the immune status of the individual. In cases, where history of trauma is uncertain, the presentation is very late and the radiographic appearance may be confusing - Median time of presentation: 4 months to 20 years

scholarly journals Imaging features of foreign body granuloma in the lower extremities mimicking a soft tissue neoplasm

2009 ◽  
Vol 114 (1) ◽  
pp. 46-51 ◽  
Author(s):  
Akira Ando ◽  
Masahito Hatori ◽  
Yoshihiro Hagiwara ◽  
Shuji Isefuku ◽  
Eiji Itoi
Keyword(s):  
Foreign Body ◽  
Soft Tissue ◽  
Lower Extremities ◽  
Foreign Body Granuloma ◽  
Imaging Features ◽  
Soft Tissue Neoplasm

scholarly journals Morel-Lavallée lesion in a ‘non-traumatic’ thigh: a diagnostic challenge!

2019 ◽  
Vol 18 (1) ◽  
pp. 145-148
Author(s):  
Devesh Sanjeev Ballal ◽  
Balaji Jayasankar ◽  
Gabriel Rodrigues ◽  
Ranjini Kudva
Keyword(s):  
Soft Tissue ◽  
Medical Science ◽  
Surgical Excision ◽  
Diagnostic Challenge ◽  
Soft Tissue Neoplasm ◽  
Diagnostic Dilemma ◽  
Degloving Injury ◽  
Closed Degloving Injury ◽  
History Of ◽  
Closed Degloving

Background: Morel-Lavallée Lesion (MLL) or Morel-Lavallée Seroma (MLS) is a posttraumatic seroma that occurs following a closed degloving injury. It is very important for trauma surgeons to be aware of this relatively rarely reported entity as early diagnosis increases the likelihood of successful management. Case report: We present a patient, wherein the patient had no history of trivial trauma and presented with a gradually growing swelling of left thigh, that was clinically and radiologically diagnosed as a soft tissue neoplasm, successfully managed by surgical excision and were reported to be a MLS. The clinical diagnostic dilemma was solved by the histopathologist! Conclusion: A differential diagnosis of MLL should be kept in mind in patients presenting with soft tissue swellings. Bangladesh Journal of Medical Science Vol.18(1) 2019 p.145-148

scholarly journals COVID-19 Associated Rhino-orbito-cerebral Mucormycosis: Clinical Profile and Imaging Spectrum

2021 ◽  
Author(s):  
Ritema Mangal ◽  
Prateek Singh Gehlot ◽  
Anuj Bang ◽  
Arushi Kaushal ◽  
Rishikesh Kolare
Keyword(s):  
Soft Tissue ◽  
Paranasal Sinuses ◽  
Bone Erosion ◽  
Supplemental Oxygen ◽  
Imaging Data ◽  
Related Factors ◽  
Single Centre Study ◽  
History Of ◽  
Magnetic Resonance Imaging Mri ◽  
Nasal Region

Introduction: Rhino-orbito-cerebral mucormycosis is a fatal disease caused by saprophytic fungi seen almost exclusively in diabetic and immunocompromised patients. Aim: To describe various imaging findings of mucormycosis, and to emphasise the importance of imaging in its diagnosis and management. Materials and Methods: A retrospective, observational, single centre study was done including patients with clinical and microbiological evidence of rhino-orbito-cerebral mucormycosis, who had a history of Coronavirus Disease 2019 (COVID-19) infection and had undergone Computed Tomography (CT) and/ or Magnetic Resonance Imaging (MRI) scan of the head, orbit, and paranasal sinuses during the period of one month from 1st-31st May 2021. The clinical and imaging data of 67 such cases were interpreted and analysed by two radiologists. Results: The study included 67 patients out of which 44 were male and 23 were female, and the average age of patients was 49±13 years. During their treatment for COVID-19, 55 (82.08%) patients had a history of hospitalisation and administration of supplemental oxygen, all 67 (100%) patients had taken broad spectrum antibiotics, 56 (83.58%) patients had taken steroids, 20 (29.85%) patients previously had a history of diabetes with worsening of glycaemic control during COVID-19 infection, and 47 (70.15%) patients were diagnosed with new onset hyperglycaemia. On imaging i.e., on CT and/or MRI with or without contrast, the infection was found to primarily affect the sino-nasal region. There was unilateral or bilateral involvement of single or multiple paranasal sinuses in all 67 patients with involvement of nasal cavity in 42 patients. Maxillary sinus was the most common and consistently involved sinus seen in all 67 patients, followed by ethmoid sinus seen in 54 patients. Additionally, 56 patients had extra-sinus disease with spread along vessels, nerves, or via bone erosion. CT showed soft tissue thickening, oedema, and fat stranding with or without bone erosion as the predominant finding in involved areas, while MRI showed Short Tau Inversion Recovery (STIR) hyperintense soft tissue thickening and postcontrast enhancement as the main finding. Conclusion: There is a complex interplay of various COVID-19 infection and treatment related factors that are responsible for increased susceptibility to mucormycosis infection. Imaging plays an important role in aiding the diagnosis, determining the extent and spread of infection, guiding the extent of the surgical intervention, and determining the prognosis of these patients. The contrast enhanced MRI along with plain CT should be the preferred choice of imaging.

scholarly journals Diagnosis dan Penatalaksanaan Abses Retrofaring pada Anak

2012 ◽  
Vol 1 (3) ◽  
Author(s):  
Novialdi Novialdi ◽  
Dolly Irfandy
Keyword(s):  
Foreign Body ◽  
Soft Tissue ◽  
Rare Case ◽  
Radiographic Finding ◽  
Retropharyngeal Abscess ◽  
Retropharyngeal Space ◽  
Fluid Level ◽  
Intravenous Antibiotics ◽  
History Of ◽  
Potential Area

Abstrak Pendahuluan: Abses retrofaring adalah terkumpulnya nanah di ruang retrofaring yang merupakan salah satu daerah potensial di leher dalam. Abses retrofaring merupakan kasus yang jarang tetapi dapat menyebabkan kematian terutama pada umur di bawah 5 tahun. Sejak ditemukannya antibiotika, angka kesakitan dan kematian akibat abses menurun drastis. Metode: Dilaporkan satu kasus abses retrofaring dengan riwayat ketulangan pada anak gizi kurang umur 9 tahun. Diagnosis ditegakkan berdasarkan anamnesis, pemeriksaan fisik dan pemeriksaan radiologi. Pada pemeriksaan foto polos jaringan lunak leher, terlihat gambaran pelebaran ruang retrofaring dan air fluid level. Diskusi: Penatalaksanaan meliputi pemberian antibiotika, drainase dan eksplorasi abses serta perbaikan keadaan umum. Kata kunci: abses retrofaring, benda asing, drainase Abstract Introduction: Retropharyngeal abscess is defined as accumulation pus in retropharyngeal space which is a potential area in deep neck space. Retropharyngeal abscess is a rare case but it can cause death especially in children under five years old. Since antibiotics were found, morbidity and mortality of this case was drastically decreased. Methods: A retropharyngeal abscess of child 9 years old with history of swallowed foreign body (fishbone) and lack of nutrition has been reported. Diagnosis was based on anamnesis, physical examination and radiographic finding. In soft tissue cervical radiograph we found, widening of retropharyngeal space with air fluid level. Discussion: Management for abscess is intravenous antibiotics, drainage and exploration abscess and improve general condition has been performed Keywords:Retropharyngeal abscess, foreign body, drainage

scholarly journals Delayed Nontuberculous Mycobacterium Manifestation 1 Year after a Dog Bite on the Hand

2020 ◽  
Vol 16 (1) ◽  
pp. 56-58
Author(s):  
Jong Keun Song ◽  
Jeong Hwan Shin ◽  
Jun Yong Lee
Keyword(s):  
Soft Tissue ◽  
Nontuberculous Mycobacteria ◽  
Clinical Manifestations ◽  
Nontuberculous Mycobacterium ◽  
Soft Tissue Infections ◽  
Dog Bite ◽  
Wound Site ◽  
Previous Trauma ◽  
History Of ◽  
Animal Bites

Nontuberculous mycobacteria infection can show various clinical manifestations as over 190 different species of nontuberculous mycobacteria have been identified. Among them, skin and soft tissue infections are commonly related with invasive procedures or trauma. The typical incubation period of rapidly growing mycobacteria is 3 to 6 weeks, whereas slowly growing mycobacteria takes 32 to 265 days of incubation. There have been a few cases of nontuberculous mycobacterium skin and soft tissue infections associated with animal bites, but none of them, not even mycobacteria with slow growth, had incubated for more than a year from the initial trauma. We present our case of delayed manifestation of nontuberculous mycobacterium skin and soft tissue infections at a year after receiving a dog bite on the hand. This case serves as a reminder that patients with delayed onset of local inflammation and granulation tissue on the hand must be reviewed for history of any previous trauma at the wound site and evaluated for the possibility of concealed nontuberculous mycobacterium infection.

scholarly journals Foreign Body Granulomas Induced by Intramuscular Leuprorelin Acetate Injection for Prostate Cancer: Clinical Mimics of Soft Tissue Sarcoma

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Khin Thway ◽  
Dirk C. Strauss ◽  
Myles J. Smith ◽  
Cyril Fisher
Keyword(s):  
Foreign Body ◽  
Soft Tissue ◽  
Clinical Intervention ◽  
Clinical Suspicion ◽  
Granulomatous Reaction ◽  
Soft Tissue Neoplasm ◽  
Leuprorelin Acetate ◽  
Depot Injection ◽  
Diagnostic Confusion ◽  
Soft Tissue Masses

We describe two cases of florid, foreign body granulomatous reaction occurring in the upper arms of males in their eighth decade, who were undergoing treatment with depot injection of leuprorelin acetate for prostatic carcinoma. These patients presented with rapidly enlarging extremity soft tissue masses and were referred to a tertiary sarcoma center with clinical suspicion of a primary soft tissue neoplasm. The occurrence of injection site granulomas secondary to leuprorelin acetate administration is rarely known outside the urological and dermatological communities, and their recognition is important due to the spectrum of clinical differential diagnoses and potential for diagnostic confusion with metastatic prostatic cancer and primary sarcoma and in order to avoid unnecessary stress and clinical intervention for patients.

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 Fascia Lata Donor Site Foreign Body Granuloma: An Unusual Presentation of a Rare Mimic of Soft Tissue Sarcoma

2021 ◽  
Vol 12 (03) ◽  
pp. 31-36
Author(s):  
Olakunle F. Babalola ◽  
Adedayo I. Salawu ◽  
Abiodun I. Okunlola ◽  
Oladipo Omoseebi
Keyword(s):  
Foreign Body ◽  
Soft Tissue ◽  
Soft Tissue Sarcoma ◽  
Donor Site ◽  
Fascia Lata ◽  
Foreign Body Granuloma ◽  
Unusual Presentation

scholarly journals An Unusual Presentation of Foreign Body Granuloma of Ankle Mimicking a Neoplastic Lesion

2021 ◽  
Vol 10 (20) ◽  
pp. 1547-1550
Author(s):  
Mohit Dadlani ◽  
Ankit Jaiswal ◽  
Kiran Saoji ◽  
Gajanan Pisulkar
Keyword(s):  
Foreign Body ◽  
Soft Tissue ◽  
Foreign Body Granuloma ◽  
Unusual Presentation ◽  
Retained Foreign Body ◽  
Neoplastic Lesion ◽  
Wood Particles ◽  
Diagnostic Confusion

Granulomas of foreign body can mimic features of neoplasia, especially when history and odd location create diagnostic confusion. Penetrating foot wounds are not that unusual. Thorns or wood particles that are stored in the foot are the cause of granuloma of the alien body. Later, soft tissue and osseous complications can arise from an untreated retained foreign body.

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