Soft-tissue masses caused by long-standing foreign bodies in the extremities: MR imaging findings.

Monu, Johnny U. V.; McManus, Christopher M.; Ward, William G.; Haygood, Tamara Miner; Pope, Thomas L.; Bohrer, Stanley P.

doi:10.2214/ajr.165.2.7618565

Cited by 56 publications

(22 citation statements)

References 2 publications

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“…Studies have indicated that up to 25%-38% of patients with retained foreign bodies present weeks, months or even years after the initial injury (1,2) . Monu et al reported I n a series of cases of patients whose foreign bodies became symptomatic after 10years of the initial injury and in whom neoplastic lesions were suspected until exploration revealed the foreign bodies (3) . Foreign bodies embedded in the limb may be obvious and symptomatic; they may be symptomatic without being obvious or even asymptomatic.…”

Section: Discussionmentioning

confidence: 99%

Missed Embedded Large Glass Foreign Bodies in the Body

Ibeanusi

Harcourt²

2017

IAM

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Background: Impaled foreign body in traumatic wounds is often a common finding in the Accident and Emergency room of hospitals especially when the mechanism of injury is penetrating. These Foreign bodies can be missed if they are embedded and radiolucent. A high index of suspicion, thorough examination, and appropriate investigations is required for appropriate diagnosis and treatment. Setting: University of Port Harcourt Teaching Hospital Port Harcourt. Case Report: This is a case of a 28-year old soldier who presented with symptoms from missed embedded multiple glass foreign body following injury from a road traffic crash four months earlier. He had further clinical assessment and successful wound exploration to remove the missed foreign body. Conclusion: Missed foreign body in traumatic wounds is possible especially if embedded. A high index of suspicion, thorough clinical assessment and appropriate investigations, are required to identify such objects to enable appropriate and complete treatment.

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Section: Discussionmentioning

confidence: 99%

Missed Embedded Large Glass Foreign Bodies in the Body

Ibeanusi

Harcourt²

2017

IAM

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“…When the history of trauma is not obtained and the foreign body inside the lesion is not recognised on radiographs, foreign body granuloma is easily mistaken for a soft tissue neoplasm 5. MRI or CT is often the investigation first performed in the absence of history of injury 6.…”

Section: Discussionmentioning

confidence: 99%

Thorn-induced pseudotumour of the fibula

2014

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SUMMARYForeign body granulomas are common in the hand and foot. Diagnosis of the same is often delayed or missed, especially in unusual locations and in the paediatric age group. Radiographs usually reveal an osteolytic lesion with absence of periosteal reaction and non-metallic foreign bodies are not visualised in plain radiographs. An ultrasound and MRI can delineate the foreign body. Clinical and radiological presentation mimics that of a tumour and hence is rightly called pseudotumour. We present a case of thorn-induced pseudotumour of the fibula in a 5-year-old boy. BACKGROUND

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“…The morphology of the lesions varies widely depending on the type of the material involved, the size of the foreign body, and the site of trauma. When the history of the previous trauma is not obtained and the foreign body inside the lesion is not recognized radiologically, foreign body granuloma is easily mistaken for a primary soft tissue neoplasm (2). In the first patient we could not find the foreign body, and the differential diagnoses were a liquefied hematoma, a cold abscess, and cystic degeneration within a soft tissue sarcoma.…”

Section: Discussionmentioning

confidence: 99%

“…Foreign body granuloma is mainly divided into iatrogenic gossypiboma by retained surgical sponge during operation (1) and granulation by a penetrating foreign body such as wooden splinter or other materials (2). If a history of antecedent skin-penetrating trauma or previous operation is recognized, it is important to take foreign body granuloma into consideration as a differential diagnosis from soft tissue tumors.…”

Section: Introductionmentioning

confidence: 99%

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

Ando

Hatori

Hagiwara

et al. 2009

Upsala Journal of Medical Sciences

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Foreign body granuloma is a tissue reaction for retained foreign bodies after skin-penetrating trauma. Detection of retained foreign bodies can be extremely difficult when the patients present with non-specific symptoms such as pain and/or swelling without recognizing a previous trauma. We report three patients of foreign body granulomas in the lower extremities with emphasis placed on their unique clinical and radiological features. The involved sites were the foot, posterior thigh, and posterior lower leg, with wooden splinters in two patients and a fragment of tile in one. Plain radiographs could not reveal the existence of foreign bodies. Magnetic resonance imaging (MRI) showed foreign bodies as low intensities on both T1- and T2-weighted images in two patients, and the surrounding reactive lesion as low to iso intensities on T1- and high intensities on T2-weighted images in all the patients. The peripheral areas of the lesion were strongly enhanced after gadolinium injection. Ultrasound sonography could clearly visualize a foreign body as an echogenic area with posterior acoustic shadowing in one patient. The surrounding ring-like reactive lesion is easily mistaken for a soft tissue neoplasm when foreign bodies are not identified. The key to arriving at the correct diagnosis is to clarify the previous trauma and to identify foreign bodies with low signal intensities on both T1- and T2-weighted images and/or the characteristic ring-like enhancement on MRI. It is also necessary to rule out a foreign body granuloma whenever we see patients with a soft tissue tumor in the extremities, irrespective of their previous trauma history.

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Soft-tissue masses caused by long-standing foreign bodies in the extremities: MR imaging findings.

Cited by 56 publications

References 2 publications

Missed Embedded Large Glass Foreign Bodies in the Body

Missed Embedded Large Glass Foreign Bodies in the Body

Thorn-induced pseudotumour of the fibula

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

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