Retained wooden foreign body in groin in a child: A case report and review of literature

Abstract

Wooden foreign body (WFB) injuries in children are common. They may report with acute presentation or be delayed as retained foreign body giving rise to complications. Cases with superficial skin penetration by these foreign bodies and acute presentation may be convenient to diagnose and remove. However, localising deeply impacted and chronically retained WFB is challenging, as they are usually not radiopaque and have a tendency to move deeper into the surrounding soft tissues with time. Foreign body retained for prolonged duration may present with either cellulitis, deep tissue infections, sinus, restriction of joint movements, necrotising fasciitis, osteomyelitis or tumour-like mass. We present an 8-year-old boy with discharging sinuses in the right iliac fossa and medial aspect of the right upper thigh, due to an impacted WFB for 3 months. Prompt radiological imaging and surgical removal helped him recover completely.

Nearly Missed Pharyngeal Foreign Body: A Three-Year-Old van Gogh

“…The choice of imaging tools depends on the chemical composition of the suspected foreign body and its presumed location [ 1 ]. Foreign bodies frequently include metal, glass, plastic, wooden, and other vegetative materials such as thorns or ceramics [ 5 ].…”

“…Apart from acute injuries, long-term complications may arise. For example, persisting pain, restriction of joint movements, impaired wound healing, inflammatory responses with potential abscess formation, fistulas, osteomyelitis, necrotizing fasciitis, and foreign body migration have all been detailed in the literature [ 5 ]. Therefore, foreign body injuries in the head and neck area bear the risk of lifelong consequences for the patient.…”

“…Moreover, symptoms can be nonspecific and thereby misinterpreted by mimicking GI or respiratory infections [ 4 ]. On top of that, asymptomatic cases of long-duration impaction have already been described [ 4 , 5 ].…”

Use of ultrasound in differential diagnosis of soft tissue foreign bodies in children – a case series

“…Penetrating foreign body injuries in children are common [1]. Many types of foreign bodies can be found in soft tissues in children, e.g.…”

“…Many types of foreign bodies can be found in soft tissues in children, e.g. metal, ceramic, stone, wood, plastic, clothing, flesh, bone, or vegetable matter [1,2].…”