scholarly journals A CASE REPORT: CLINICAL INSIGHT ON RETAINED WOODEN FOREIGN BODY IN THE FOOT

2021 ◽  
pp. 5-7
Author(s):  
M. Christan ◽  
S.Daniel Sundar Singh ◽  
Tabassum Fathima ◽  
Prukruthi R
Keyword(s):  
Foreign Bodies ◽  
Imaging Modality ◽  
Plain Film ◽  
Plain Radiography ◽  
Initial Visit ◽  
History Of ◽  
Wooden Foreign Body ◽  
Missed Diagnosis ◽  
History Of Pain ◽  
Area Unit

The foot is the second commonest location for foreign bodies. The foremost common foreign bodies are needles, metal, glass, wood, and plastic. Though bimetal foreign bodies area unit promptly seen on plain film radiographs, radiolucent bodies like wood area unit pictured poorly, if at all.Though plain radiography is thought to be ineffective for demonstrating radiolucent foreign bodies, it's usually the primary imaging modality used. Herein, we present the case of a 42 years old man who had presented to the clinic with history of pain and swelling in his right foot. On examination, his vitals, heart sounds and breathing during auscultation were found to be normal. This particular individual had no other significant chronic illness. A brief history obtained from the patient revealed that penetrated wooden foreign bodies in his hind sole region. In view of his present complaints, he was successfully managed with antibiotics and pain relieving medications. Our patient comes under the small percentage of cases that had a missed diagnosis as the expulsion of the wooden particles occurred 3 months after the initial visit to the clinic. This case is being presented to enlighten understanding on clinical picture of retained wooden foreign bodies in foot.

Retained Wooden Foreign Body in the Second Metatarsal

2018 ◽  
Vol 108 (2) ◽  
pp. 168-171
Author(s):  
Ahmed Abdelbaki ◽  
Sadaf Assani ◽  
Neeraj Bhatt ◽  
Ian Karol ◽  
Alan Feldman
Keyword(s):  
Foreign Bodies ◽  
Imaging Modality ◽  
Young Male ◽  
Plain Film ◽  
Plain Radiography ◽  
Common Location ◽  
Second Metatarsal ◽  
Surgical Extraction ◽  
Wooden Foreign Body ◽  
The Right

The foot is considered the second most common location for foreign bodies. The most common foreign bodies include needles, metal, glass, wood, and plastic. Although metallic foreign bodies are readily seen on plain film radiographs, radiolucent bodies such as wood are visualized poorly, if at all. Although plain radiography is known to be ineffective for demonstrating radiolucent foreign bodies, it is often the first imaging modality used. In such cases, complete surgical extraction cannot be guaranteed, and other imaging modalities should be considered. We present a case of a retained toothpick of the second metatarsal in a young male patient who presented with pain in the right foot of a few weeks' duration. Plain radiography showed an oval cyst at the base of the second metatarsal of the right foot. Magnetic resonance imaging revealed a toothpick penetrating the second metatarsal. The patient recalled stepping on a toothpick 8 years previously. Surgical exploration revealed a 2-cm toothpick embedded inside the second metatarsal.

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

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.

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.

scholarly journals Chronic Discharging Sinus of Upper Lid Due to the Missed Wooden Foreign Body

2018 ◽  
Vol 10 (2) ◽  
pp. 176-179
Author(s):  
Anupam Singh ◽  
Madhubari Vathulya ◽  
S. K. Mittal ◽  
Ajai Agrawal ◽  
Barun Kumar ◽  
...  
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Purulent Discharge ◽  
Minor Trauma ◽  
Upper Eyelid ◽  
Diverse Range ◽  
Surgical Exploration ◽  
History Of ◽  
Upper Lid ◽  
Wooden Foreign Body

Background: Foreign bodies of the orbit can have a diverse range of clinical presentations, which may be perplexing to the most Ophthalmologists. Wooden foreign bodies can remain quiescent for a long time, before presenting with various complications. We report a case of Post-traumatic chronic non-healing discharging sinus in the left upper lid, which on exploration revealed the presence of the missed wooden foreign body. Case: A 48-year-old male, presented to Ophthalmic OPD with  a complaint of discharge from the left upper eyelid for 18 months. The patient had a history of minor trauma to the left upper eyelid while collecting wood in the forest, 18 months back. The patient was misdiagnosed on previous examinations elsewhere. The diagnosis of retained wooden foreign body was made at our center and surgical exploration was done to remove the same. Observation: On clinical examination, there was a 2-3mm long sinus in the left upper eyelid with purulent discharge and granulation tissue. Surrounding skin showed hyperpigmentation and excoriation. CT scan orbit was inconclusive. MRI orbit revealed a peripherally enhancing extraconal/conal collection in the left orbit with a central hypo intense structure suggestive of a foreign body. Surgical exploration of the wound was done and a small wooden foreign body measuring 9mm was removed with excision of the sinus tract. Conclusion: A history of trauma followed by chronic discharging sinus should evoke suspicion of a retained foreign body. Prompt imaging, followed by surgical exploration should be done to prevent misdiagnosis and inappropriate management.

scholarly journals Double magnets causing double perforations-a case report

2020 ◽  
Vol 7 (11) ◽  
pp. 3840
Author(s):  
Anusiri Inugala
Keyword(s):  
Foreign Bodies ◽  
Bowel Perforation ◽  
Exploratory Laparotomy ◽  
Abdominal Radiograph ◽  
Pain Abdomen ◽  
Post Operative Period ◽  
History Of ◽  
Magnet Ingestion ◽  
History Of Pain ◽  
Gastrointestinal Foreign Bodies

Magnets are unusual gastrointestinal foreign bodies. Ingestion of multiple magnets may lead to serious complications including bowel perforation. Presenting the case of an 11-year-old girl who ingested 2 singing magnets. The patient presented with a history of pain abdomen and bilious vomiting and constipation of one day duration, 20 days after ingestion of the magnets. On examination there was distension of abdomen and severe tenderness all over the abdomen along with rigidity. Abdominal radiograph showed the presence of foreign bodies in the abdomen. In view of features of peritonitis, the patient was taken up for an exploratory laparotomy. Intraoperatively two perforations were found, one in the jejunum and the other in the ileum. The perforations were caused due to the pressure necrosis caused by the presence of magnets in different loops of the bowel. The perforations were closed. Post-operative period was uneventful. In conclusion, it is important to be aware of the problems that can be caused in cases of multiple magnet ingestion and to intervene at the earliest to prevent further complications.

The history of pain and hysteria

1997 ◽  
Vol 8 (3) ◽  
pp. 157-162 ◽  
Author(s):  
H Merskey
Keyword(s):  
History Of ◽  
History Of Pain

Popliteal artery thrombosis secondary to a tibial osteochondroma

VASA ◽  
2011 ◽  
Vol 40 (3) ◽  
pp. 251-255 ◽  
Author(s):  
Gruber-Szydlo ◽  
Poreba ◽  
Belowska-Bien ◽  
Derkacz ◽  
Badowski ◽  
...  
Keyword(s):  
Case Report ◽  
Magnetic Resonance Angiography ◽  
Popliteal Artery ◽  
Doppler Ultrasonography ◽  
Histopathological Examination ◽  
Previous History ◽  
Plain Radiography ◽  
Artery Thrombosis ◽  
History Of ◽  
The Right

Popliteal artery thrombosis may present as a complication of an osteochondroma located in the vicinity of the knee joint. This is a case report of a 26-year-old man with symptoms of the right lower extremity ischaemia without a previous history of vascular disease or trauma. Plain radiography, magnetic resonance angiography and Doppler ultrasonography documented the presence of an osteochondrous structure of the proximal tibial metaphysis, which displaced and compressed the popliteal artery, causing its occlusion due to intraluminal thrombosis..The patient was operated and histopathological examination confirmed the diagnosis of osteochondroma.

Sacral plexus disorder caused by a wooden toothpick in the rectum

2021 ◽  
Vol 14 (1) ◽  
pp. e238690
Author(s):  
Takuro Endo ◽  
Taku Sugawara ◽  
Naoki Higashiyama
Keyword(s):  
Lower Limb ◽  
Spinal Nerve ◽  
Leg Pain ◽  
Sacral Plexus ◽  
Lateral Recess ◽  
Lateral Recess Stenosis ◽  
Preoperative Ct ◽  
History Of ◽  
History Of Pain ◽  
The Right

A 67-year-old man presented with a 2-month history of pain in his right buttock and lower limb. MRI depicted right L5/S1 lateral recess stenosis requiring surgical treatment; however, preoperative CT showed an approximately 7 cm long, thin, rod-shaped structure in the rectum, which was ultimately determined to be an accidentally ingested toothpick. It was removed surgically 6 days after diagnosis, because right leg pain worsened rapidly. The pain disappeared thereafter, and the symptoms have not recurred since. The pain might have been localised to the right buttock and posterior thigh in the early stages because the fine tip of the toothpick was positioned to the right of the anterior ramus of the S2 spinal nerve. Although sacral plexus disorder caused by a rectal foreign body is extremely rare, physicians should be mindful to avoid misdiagnosis.

scholarly journals Factors Associated with Clinician Adherence to USPSTF Diabetes Screening Recommendations

2021 ◽  
Vol 12 ◽  
pp. 215013272110165
Author(s):  
Elaine Seaton Banerjee ◽  
Kyle Shaak ◽  
Nicole Burgess ◽  
Melanie Johnson ◽  
Beth Careyva
Keyword(s):  
Gestational Diabetes ◽  
Adult Population ◽  
Correct Diagnosis ◽  
Retrospective Chart Review ◽  
Diabetes Screening ◽  
Factors Associated ◽  
The Us ◽  
History Of ◽  
Missed Diagnosis ◽  
Significant Health

Introduction/Objectives: Diabetes and prediabetes impact nearly half of the US adult population and are associated with significant health risks but may be underdiagnosed. Effective screening may improve diagnosis and give patients opportunity to manage their disease. The purpose of this study was to determine screening rates, identify characteristics predictive of screening, and evaluate correct diagnosis of diabetes and prediabetes. Methods: Retrospective chart review of 71 433 patients eligible for diabetes screening, defined by completing A1c test within the 3-year study period. Results: A total of 31.3% of eligible patients received diabetes screening. Factors associated with screening include older age, female sex, non-white race, Hispanic ethnicity, Medicare or Medicaid insurance, higher BMI, and having a medical comorbidity. History of prediabetes or gestational diabetes were the strongest predictors for diabetes screening, but history of gestational diabetes was under-documented. Of those screened, 10.4% had a result consistent with diabetes and 51.8% had a result consistent with prediabetes. However, 52.9% of these patients had a missed diagnosis. Conclusions: Findings of this study indicate the need for uniform coverage for diabetes screening for all insurances, increased documentation of gestational diabetes to improve screening for patients with this history, and improving accurate diagnosis after screening is completed.

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