Retrospective evaluation of 377 patients with penetrating foreign body injuries: a university hospital experience (a present case of missed sponge foreign body injury)

Abstract

Retrospective evaluation of 377 patients with penetrating foreign body injuries: a university hospital experience (a present case of missed sponge foreign body injury) Background/aim: This study aimed to analyze retrospectively patients with FB injuries in our hospital and to present a patient with missed penetrating sponge FB injury. Materials and methods: This study covered 12 years (2008-2020) and reviewed all patients with FB injury who were admitted to the emergency department of our hospital. Besides our total results, we also present a case with missed penetrating sponge FB injury in detail. Results: 377 patients were included in the study (age 28.3 ± 18.3 years, m/f 229/148). Foot (n = 148, 39.3%) and hand (n = 143, 37.9%) were most frequently injured body parts. Regarding to the FBs types sewing needle (n = 140, 37.1%), metal pieces (n = 91, 24.1%) and glass (n = 80, 21.2%) were frequently observed objects. Most of the patients had been injured at home often by needles or glass. Injury-admission mean time was 7.38 ± 2.5 days. FBs frequently were removed in the emergency department (n = 176, 46.7%). Plain radiography is the first line in identifying FBs. Soft tissue infection was the most common complication. The MRI was much useful than USG in detecting of the missed penetrating sponge injury of the patient. Conclusion: For diagnosis of FBs, besides taking history from a patient, obtaining two-sided radiogram are of great importance. For non-radiolucent or deeply located FBs further clinical or radiological investigation must be considered to avoid complications. Although most of the FBs can be removed in the emergency department, depending upon the site of FB and age of the patient may require hospitalization and operation for its removal.

Migrated subcutaneous sharp foreign body in the anterior chest wall: An unusual presentation

“…Furthermore, if the foreign bodies get undetected, it may lead to a worse patient outcome, longer hospital stays and repetitive surgeries. 4 Extraluminal migration is rare and can lead to potentially life threatening complications. 2 bodies among the 321 cases.…”

“…Foreign bodies may be located superficially or deeply, and may require radiological investigations to demonstrate the exact location for the surgical approach for foreign body removal. Conventional radiography such as x‐ray, remains the first line investigation of choice for the preliminary imaging due to its high rate of success, low cost and low dose of radiation exposed 4 . It is very necessary to locate the exact site of foreign body due to the proximity to the tendons, neurovascular structure and other visceral structure.…”

“…It is very necessary to locate the exact site of foreign body due to the proximity to the tendons, neurovascular structure and other visceral structure. Furthermore, if the foreign bodies get undetected, it may lead to a worse patient outcome, longer hospital stays and repetitive surgeries 4 . Extraluminal migration is rare and can lead to potentially life threatening complications 2 .…”

“…In order to prevent the damage to the surrounding organs, it is advised to not remove the foreign body forcibly rather to dissect the surrounding tissues carefully 7 . A multidisciplinary approach is required; some foreign bodies may not be visible only via conventional imaging and may require advanced technologies for the further management 3,4,8,9 . Sharma et al.…”

“…7 A multidisciplinary approach is required; some foreign bodies may not be visible only via conventional imaging and may require advanced technologies for the further management. 3,4,8,9 Sharma et al presents and labels a case of retained Stienman pins interesting for how the pin remained undetected even after "removal" of the pin. 10 Similarly, Moshin et al also reported a case of a 24 year male, presenting with the complaint of subcutaneous swelling in the neck which gradually migrated to the subcutaneous plane, on the anterior chest.…”