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

Gossypiboma - A Diagnostic Dilemma

2021 ◽  
Vol 11 (5) ◽  
pp. 329-332
Author(s):  
Faaizah Shaikh ◽  
Sujoy Mani ◽  
Abhay Gursale
Keyword(s):  
Abdominal Pain ◽  
Foreign Body ◽  
Exploratory Laparotomy ◽  
Diagnostic Challenge ◽  
Diagnostic Dilemma ◽  
Surgical Sponge ◽  
Retained Foreign Body ◽  
History Of ◽  
Gastric Mass ◽  
Vague Abdominal Pain

A surgical sponge is the most common type of retained foreign body (RFB) also known as a gossypiboma (gossypium = cotton, boma = concealment). It is mostly asymptomatic but can lead to a host of symptoms in the patient ranging from pain in the abdomen to anorexia and weight loss. It poses a diagnostic challenge not just for the surgeon but also the radiologist as it can mimic an intraabdominal mass. Here we present a case of a 58 yrs old male who presented with dysphagia and abdominal pain on and off who was radiologically diagnosed as a case of gastric mass and subsequently underwent exploratory laparotomy where it was proven to be a gossypiboma. The case attempts to highlight the importance of keeping gossypiboma as a differential diagnosis for patients with vague abdominal pain and history of a surgery in the past. Key words: gossypiboma, sponge, abdominal pain, computed tomography, foreign body.

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 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.

scholarly journals Gossypiboma: case report and review of literature

2019 ◽  
Vol 6 (11) ◽  
pp. 4148
Author(s):  
Tulasi Ram ◽  
Divya Dahiya ◽  
Anil Naik
Keyword(s):  
Foreign Body ◽  
Radio Frequency Identification ◽  
Surgical Complication ◽  
Tissue Reaction ◽  
Mesenteric Cyst ◽  
Significant Morbidity ◽  
Surgical Sponge ◽  
Chronic Abscess ◽  
History Of ◽  
Enhanced Computed Tomography

Gossypiboma or retained surgical sponge is an entirely preventable surgical complication; it is associated with significant morbidity to patient and medico legal issues to the surgeon. Clinical presentation depends upon location of the foreign body and tissue reaction to the foreign body. Pre-operative diagnosis is the most difficult part and treatment of choice is surgery. A 30 year female presented with 16 months history of gradually increasing lump on left side of lower abdomen following a caeserian section. Ultrasonography was suggestive of infected mesenteric cyst and contrast enhanced computed tomography scan of abdomen was suggestive of either chronic abscess or gossypiboma. She was treated surgically; intra-operatively there was a 10×10 cm well circumscribed lesion in sigmoid mesentery which was adherent to sigmoid colon. It was a single surgical sponge with about 1000 ml of pus. Gossypiboma is an entirely avoidable surgical complication which is associated with significant morbidity and medico-legal implications. Meticulous counts with thorough exploration of site before closure can lessen the undue morbidity or mortality. Radio frequency identification verification by barcode scanner can reduce the error rate.

Foreign body reaction to a retained surgical sponge (gossypiboma) mimicking an implant associated sarcoma in a dog after a tibial plateau levelling osteotomy

2013 ◽  
Vol 26 (02) ◽  
pp. 147-153 ◽  
Author(s):  
R. P. Cavanaugh ◽  
J. L. Fick ◽  
K. P. McAbee ◽  
B. Powers ◽  
E. E. Corbin
Keyword(s):  
Foreign Body ◽  
Revision Surgery ◽  
Tibial Plateau ◽  
Foreign Body Reaction ◽  
Acute Onset ◽  
Surgical Sponge ◽  
Retained Surgical Sponge ◽  
Pelvic Limb ◽  
Time Of Presentation

SummaryA dog was presented with the complaint of an acute onset left pelvic limb lameness three years after a right tibial plateau levelling osteotomy had been performed. Radiographs taken at the time of presentation showed signs that were consistent with a diagnosis of an implant associated sarcoma. At revision surgery, a retained surgical sponge was identified, leading to a diagnosis of a gossypiboma. This is the first reported case of a gossypiboma as a complication of a tibial plateau levelling osteotomy surgery.

scholarly journals Ear Foreign Body: A Study of 148 Cases

2017 ◽  
Vol 29 (2) ◽  
pp. 5-8
Author(s):  
Jahangir Alam Mazumder ◽  
Rafiqul Islam Sarker ◽  
AHM Delwar ◽  
Kamrunnahar
Keyword(s):  
Foreign Body ◽  
Successful Outcome ◽  
Complication Rates ◽  
Age Group ◽  
College Hospital ◽  
Female Ratio ◽  
Medical College ◽  
History Of ◽  
The Right ◽  
Time Of Presentation

Ear foreign body is a common ENT emergency and a challenge also to otolaryngologist worldwide. Prompt and appropriate management of it can reduce the morbidity. An observational retrospective study of 148 cases of foreign body in the ear done in Comilla Medical College Hospital and two upazilla health complexes (Nangalkot and Chowddagram) of Bangladesh within the period of January 2014 to December 2014 to evaluate the nature, mode of presentation, technique of removal and outcome of it. Data were collected from hospital records including age, sex of patient and mode and time of presentation, nature of foreign body, management outcome and complication, and the result showed that children o funder 15 year age group were mostly affected (60%), among them highest incidence were in 5-10 year age group (25%) with male to female ratio 1:1.28. The most common foreign body was the seeds of various vegetables (25.67%) followed by plastic beads (18.24%) and cotton bud (15.54%), the right ear affected more (54%). Almost half of them (47.97%) presented with history of insertion of a foreign body and most of them (91.98%) were removed in OPD or emergency department under direct vision and remaining required general anesthesia. Despite a high proportion of cases managed in the office setting, complication rates were within acceptable level. It is inversely proportional to the skill of the personnel, number of attempts &availability of equipment. Key to successful outcome are prompt help by well-trained doctor and otolaryngological equipment set up.Medicine Today 2017 Vol.29(2): 5-8

Extraskeletal Osteosarcoma Induced by a Foreign Body Granuloma

2015 ◽  
Vol 51 (5) ◽  
pp. 315-319 ◽  
Author(s):  
Jennifer E. Slovak ◽  
Nina R. Kieves ◽  
Joseph Haynes
Keyword(s):  
Foreign Body ◽  
Poor Prognosis ◽  
Foreign Bodies ◽  
Foreign Body Granuloma ◽  
Preliminary Evaluation ◽  
Extraskeletal Osteosarcoma ◽  
Surgical Sponge ◽  
Retained Surgical Sponge ◽  
Histopathological Findings ◽  
Abdominal Organs

An 8 yr old spayed female Italian greyhound was presented with a mass in the cranial abdomen. Preliminary evaluation of the dog revealed a large, cavitary, irregularly shaped mass with no definitive association with any abdominal organs. During an exploratory celiotomy, a 16 cm × 12 cm × 6 cm mass was removed. On subsequent histopathology, extraskeletal osteosarcoma induced by a foreign body granuloma was diagnosed. The foreign body granuloma, based on histopathological findings, was suspected to be secondary to a retained surgical sponge from her routine ovariohysterectomy performed 7 yr prior to presentation. Animals with granulomas induced by foreign bodies can remain asymptomatic for years; however, those granulomas can progress to extraskeletal osteosarcomas, which carry a poor prognosis.

scholarly journals Foreign Body In Airways

JMS SKIMS ◽  
2014 ◽  
Vol 17 (1) ◽  
pp. 36
Author(s):  
Manzoor Latoo ◽  
Aleena Jallu ◽  
Rafiq Pampori ◽  
Mudasir Ul Islam
Keyword(s):  
Foreign Body ◽  
Chest Radiograph ◽  
Main Bronchus ◽  
Lower Lobe ◽  
Lung Parenchyma ◽  
Left Lower Lobe ◽  
Chest Examination ◽  
History Of ◽  
Time Of Presentation ◽  
Relevant Finding

A 13 year old girl presented with history of foreign body (metallic pin) inhalation/ingestion the day before, which was associated with an episode of choking and cough. Patient was asymptomatic at the time of presentation and had no relevant finding on chest examination and I/L examination. Chest radiograph revealed foreign body in the periphery outside the main bronchus and secondary bronchus giving an impression of the foreign body in left lower lobe lung parenchyma (Fig. 1) following which CT chest was ordered. JMS 2014;17(1):36

scholarly journals Retained surgical sponge presenting as a case of intestinal obstruction

2021 ◽  
Vol 10 (3) ◽  
pp. 412-416
Author(s):  
Chiemelu Dickson Emegoakor ◽  
Henry Chukwuka Nzeako ◽  
Kenneth Oluchukwu Ugwuanyi ◽  
Celestine Ifeanacho Okafor ◽  
Arinze Chukwuma Ijezie
Keyword(s):  
Abdominal Pain ◽  
Foreign Body ◽  
Intestinal Obstruction ◽  
Private Hospital ◽  
The Body ◽  
Abdominal Distention ◽  
Surgical Sponge ◽  
Retained Surgical Sponge ◽  
Retained Foreign Body ◽  
History Of

Retained surgical sponge or gossypiboma is a term used to describe a retained swab in the body after operation. There are different surgical materials that can be left in the abdomen during operation such as sponge, artery forceps, scissors, and pieces of broken instrument. Mop is the most commonly retained foreign body. Inadvertent retention of foreign body in the abdomen often requires another operation, increasing the morbidity and mortality in these patients. Despite the complications associated with this condition, they are rarely published because of medicolegal implications. We report a case of 28-year-old woman who presented on account of 9 months history of colicky abdominal pain, abdominal distention and mass following open myomectomy in a private hospital.

scholarly journals Retained Foreign Body in a Diabetic Patient’s Hand

2018 ◽  
Vol 12 (1) ◽  
pp. 203-207
Author(s):  
Frank Liaw ◽  
Odhrán Murray ◽  
Yan Yu Tan ◽  
Timothy Hems
Keyword(s):  
Foreign Body ◽  
Metacarpophalangeal Joint ◽  
Acute Injury ◽  
Delayed Presentation ◽  
Retained Foreign Body ◽  
Increased Risk ◽  
Limb Injuries ◽  
Previous Trauma ◽  
Risk Patients ◽  
History Of

Background: Diabetic peripheral neuropathy puts patients at increased risk of acute injury by foreign bodies and also contributes to delayed presentation and diagnosis. Case report: We describe a 57-year-old patient with poorly controlled type 1 diabetes who presented with a three-week history of worsening swelling and erythema in the metacarpophalangeal joint of his left thumb. He denied any previous trauma or injury and was initially treated with intravenous antibiotics. Subsequent imaging revealed septic arthritis and osteomyelitis secondary to a retained foreign body, which was surgically removed in theatre. Conclusion: This is the first reported case of a retained foreign body in the hand of a diabetic patient, and demonstrates the importance of early radiological imaging of peripheral limb injuries in high-risk patients.

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