Splinter Removal with the Aid of Ultrasonography: A Case Report

Lee, CK; Ahmad, Tunku Sara; Abdullah, Baharudin

doi:10.5704/moj.0811.012

Cited by 4 publications

(8 citation statements)

References 3 publications

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“…Foreign body implantation of the skin occurs frequently in both pediatric and adult patient populations. Wood, glass, and metallic splinters are the most common retained foreign bodies, and, if left in the body, can cause inflammation, infection, toxin mediated contact urticaria (stinging nettles) or mechanical irritant dermatitis (glochid dermatitis from cacti such as prickly pears), or granuloma formation [ 1 , 2 ]. Patients may not be aware of the initial injury and at times, deeply penetrating splinters cannot be visualized.…”

Section: Discussionmentioning

confidence: 99%

“…When possible, they should be removed before inflammation or infection occurs. Because plant splinters and spines can penetrate deep into the skin, particularly when entering the skin perpendicularly, they often go undetected [ 2 ]. When unrecognized and left unremoved, they can cause inflammation, granuloma formation, and possibly localized or disseminated infection [ 1 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

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Unusual presentation of cactus spines in the flank of an elderly man: a case report

et al. 2010

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IntroductionSplinters and spines of plant matter are common foreign bodies in skin wounds of the extremities, and often present embedded in the dermis or subcutaneous tissue. Vegetative foreign bodies are highly inflammatory and, if not completely removed, can cause infection, toxic reactions, or granuloma formation. Older patients are at increased risk for infection from untreated plant foreign bodies. The most common error in plant splinter and spine management is failure to detect their presence.Case presentationHere we report a case of cactus spines in an 84-year-old Caucasian man presenting on the right flank as multiple, red papules with spiny extensions. This presentation was unusual both in location and the spinous character of the lesions, and only after punch biopsy analysis was a diagnosis of cactus matter spines made.ConclusionsOur patient presented with an unusual case of cactus spines that required histopathology for identification. Skin lesions with neglected foreign bodies are a common cause of malpractice claims. If not removed, foreign bodies of the skin, particularly in elderly individuals, can result in inflammatory and infectious sequela. This report underscores the importance of thoroughly evaluating penetrating skin lesions for the presence of foreign bodies, such as splinters and spines.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Unusual presentation of cactus spines in the flank of an elderly man: a case report

et al. 2010

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“…Retained foreign bodies in the soft tissue of the extremities that were initially overlooked and discovered later are unfortunately common [11]. Localization of embedded foreign body may prove to be very difficult.…”

Section: Case Presentationmentioning

confidence: 99%

“…Given the markedly different acoustic impedance of wood and soft tissues, retained wooden foreign bodies are easily identified by radiologists, with the leading edge of the echogenic wood resulting in marked acoustic shadowing [ 10 ]. Retained foreign bodies in the soft tissue of the extremities that were initially overlooked and discovered later are unfortunately common [ 11 ]. Localization of embedded foreign body may prove to be very difficult.…”

Section: Case Presentationmentioning

confidence: 99%

Case report and brief review of literature on sonographic detection of accidentally implanted wooden foreign body causing persistent sinus

Borgohain

Handique

et al. 2012

Crit Ultrasound J

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Despite advances in imaging techniques, the detection of vegetative foreign bodies in soft tissues remains a difficult and sometimes even a challenging task. Clinical evaluation of such patient may present several months or even years after the initial injury and clinician may fail to elicit an antecedent skin puncture. X-ray examination will miss radiolucent foreign bodies. A 15-year-old boy presented with a draining non-healing sinus at the lateral aspect of his right thigh for 9 months. Musculoskeletal ultrasonography was ordered after ruling out chronic osteomyelitis to detect possible lesions around the thigh. High-frequency linear ultrasonic probe readily detected an elongated foreign body within the vastus lateralis muscle. A long piece of wood was confirmed at surgery. Non-healing sinus with normal finding in radiograph following old trauma should raise the suspicion of implanted radiolucent foreign body/bodies. The role of diagnostic ultrasound as a valuable screening tool for the detection of foreign body is briefly reviewed.

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“…Mostly the working class people are affected. Wooden foreign body, blackthorn injury, glass particle, metallic pieces are the major causes of granuloma formation along with sinus [1][2][3]. A case of fisherman penetrating injury by fish bone along with granuloma formation is reported [4].…”

Section: Introductionmentioning

confidence: 99%

A Rare Case of Fish Bone Penetrating Injury to Radius Causing Osteitis and Non-Healing Sinus

Gogoi¹,

Kakati²,

Poonia³

et al. 2013

OJO

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Penetrating injury to radius or any other bone by fish bone is a rare kind of injury. Commonly metallic sharp objects, bullets, sharpnels, glass particles, hard wooden pieces are the causes of penetrating injury to bones. Radio-opaque objects are easy to detect and thus retrieval is relatively simpler than the radiolucent objects. Non-biological foreign bodies do not incite any reaction in the host bone whereas biological foreign bodies of either plant or animal origin cause hypersensitivity reaction. Osteitis along with excessive formation of new bones may be presented as a part of host reaction to the foreign body. We are presenting here an interesting case of a fisherman boy who sustained penetrating injury to radius by fish bone resulting in osteitis and a chronic non-healing sinus with watery discharge.

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Splinter Removal with the Aid of Ultrasonography: A Case Report

Cited by 4 publications

References 3 publications

Unusual presentation of cactus spines in the flank of an elderly man: a case report

Unusual presentation of cactus spines in the flank of an elderly man: a case report

Case report and brief review of literature on sonographic detection of accidentally implanted wooden foreign body causing persistent sinus

A Rare Case of Fish Bone Penetrating Injury to Radius Causing Osteitis and Non-Healing Sinus

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