A rare complication of trauma:  Residual soft-tissue foreign body

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Volume : 34 Issue : 1 Year : 2020

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A rare complication of trauma: Residual soft-tissue foreign body []

. 2010; 24(3): 141-143 | DOI: 10.5222/JTAPS.2010.141

A rare complication of trauma: Residual soft-tissue foreign body

Elif Emel Erten, Ay�e Karaman, �brahim Karaman, Yusuf Hakan �avu�o�lu, �smet Faruk �zg�ner, Derya Erdo�an
Dr. Sami Ulus Maternity And Children's Health And Diseases Training And Research Hospital, Department Of Pediatric Surgery, Ankara, Turkey

Although children frequently expose to trauma, foreign object in soft tissues as a component of trauma is a rare clinical entity. A 10 years old female patient admitted to our clinic with the complaint of limping of the right leg which was started 1 month ago after she fell from the stairs. The patient was scoliotic and tending to keep her right thigh flexed. On physical examination there was a subcutaneous solid and tender mass with local hyperemia on it which was measured 2 cm in diameter just below the right groin. The ultrasound and CT scans revealed a linear density in the subcutaneous fat tissue of the right groin extending to the muscle plains (foreign object?) which was orientated obliquely. Because of the infected look of the lesion, antibiotic therapy was started and surgical exploration was planed. On surgical exploration, purulent material drained during the procedure and after debridement of infected tissues a broken toothpick was found in the lesion. In cases of atypically located abscess in children, radiologically nonopaque foreign objects that can be overlooked (like pieces of wood) in soft tissues must be reminded.

Keywords: Trauma, fall, foreign body, abscess, child

Ender bir travma komplikasyonu: Yumu�ak doku i�inde kalm�� yabanc� cisim

Elif Emel Erten, Ay�e Karaman, �brahim Karaman, Yusuf Hakan �avu�o�lu, �smet Faruk �zg�ner, Derya Erdo�an
Dr. Sami Ulus Kad�n Do�um, �ocuk Sa�l�� Ve Hastal�klar� E�itim Ve Ara�t�rma Hastanesi, �ocuk Cerrahisi Klini�i, Ankara

�ocukluk �a��nda travmalara s�k olarak rastlanmakla birlikte, travma sonras� yumu�ak dokuda yabanc� cisim g�r�lmesi olduk�a nadirdir. 10 ya��ndaki k�z hasta, bir ay �nce merdivenden d��me sonras� ba�layan topallama �yk�s� ile hastanemize ba�vurdu. Skolyozu olan ve sa� uylu�unu fleksiyonda tutan hastan�n muayenesinde; sa� inguinal b�lge inferiorunda, 2 cm�lik sert, hassas ve hiperemik bir kitle saptand�. Kitleye y�nelik yap�lan ultrasonografi ve bilgisayarl� tomografi incelemelerinde; sa� inguinal b�lgede cilt alt� ya� doku i�erisinden kas planlar�na uzanan oblik oryantasyonda lineer dansite (yabanc� cisim?) izlendi. Lezyonun enfekte g�r�n�ml� olmas� nedeniyle hastaya antibiyoterapi ba�lan�p, yabanc� cisme y�nelik eksplorasyon planland�. Operasyon g�n� hastan�n inguinal b�lgedeki lezyonundan spontan p�r�lan drenaj� oldu, drenaj sonras� lezyonun i�erisinden k�r�k bir k�rdan ��kar�ld�. �ocuklarda atipik yerle�imli apse varl��nda, tahta par�as� gibi direkt r�ntgenle saptanamayan, g�zden ka�m�� bir yumu�ak doku yabanc� cisminin olabilece�i akla getirilmelidir.

Anahtar Kelimeler: Travma, d��me, yabanc� cisim, apse, �ocuk

Elif Emel Erten, Ay�e Karaman, �brahim Karaman, Yusuf Hakan �avu�o�lu, �smet Faruk �zg�ner, Derya Erdo�an. A rare complication of trauma: Residual soft-tissue foreign body. . 2010; 24(3): 141-143

Corresponding Author: Ay�e Karaman, T�rkiye

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