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2013, Number 1

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Cir Gen 2013; 35 (1)

Foreign body (knife), asymptomatic for eight years

Vargas-Domínguez A, Rodríguez-Báez A, Ortega-León LH, Romero A
Full text How to cite this article

Language: Spanish
References: 8
Page: 56-58
PDF size: 167.34 Kb.


Key words:

Foreign body, knife injury, asymptomatic injury.

ABSTRACT

Objective: To inform on the case of a foreign body (knife) of 16 cm in length, which remained lodged in the thigh aymptomatically for 8 years, discovered by chance in a radiographic study.
Setting: Third Level Health Care Hospital.
Design: Case report.
Description of the case: A 28-year-old patient, who eight years before was attacked with a knife while mounting a motorcycle. He felt the stabbing in the thigh, but was able to escape from the site on his vehicle, and went to a hospital where he was explored clinically but without any cabinet studies, the wound was sutured and the patient coursed without complications nor symptoms. Eight years later, he became aware of the foreign body when he had an X-ray taken of the thigh due to a slight trauma.
Conclusion: Effective diagnostic methods to detect a foreign body are simple radiography, ultrasonography, CAT and MR imaging. Failure in identification can cause complications in the patient, either infectious ones or injuries to other anatomic structures, and could be a cause for liability demands.


REFERENCES

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  3. Valente JH, Lemke T, Ridlen M, Ritter D, Clyne B, Reynert SE. Aluminium foreign bodies: do they show up on x ray? Emerg Radiol. 2005; 12: 30-33.

  4. Macilquham M, Riley RG, Grossberg P. Identifying lost surgical needles using radiographic techniques. AORN J. 2003; 78: 73-78.

  5. Blankenship RB, Baker T. Imaging modalities in wounds and superficial skin infections. Emerg Med Clin North Am. 2007; 25: 223-234.

  6. Lyon M, Brannam L, Johnson D, Blaivas M, Duggal S. Detection of soft tissue foreign bodies in the presence of soft tissue gas. J Ultrasound Med. 2004; 23: 677-681.

  7. Agarwal AK, Passey JC, Ashwani S. CFS leak following extraction of a long-standing fronto orbital bullet: a case report. Inter J Otolaryngol. 2006; 4: 160-163.

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Cir Gen. 2013;35