Ezomike Uo, Ituen Ma, Ekpemo Sc
Paediatric Surgery Unit, Department of Surgery, Federal Medical Centre, Umuahia, Nigeria.
J West Afr Coll Surg. 2011 Oct;1(4):53-9.
Foreign bodies in the thigh are uncommon. Rarer is the presence of a foreign body in the posterior compartment of the thigh following a wood puncture injury to the anterior thigh compartment. The purpose of this report is to highlight this unusual presentation. We present a six-year old boy presenting with a tumor-like mass in the posterior compartment of the right thigh thirteen months after a puncture injury to the anterior compartment of the right thigh. He sustained the injury while playing with a sharp wooden object. Part of the foreign body was expressed out while part of it was unknowingly left behind. The patient presented 13 months after with a mass in the posterior compartment of the thigh. He was promptly evaluated and he had exploration of the mass. A plain wooden foreign body was extracted which measured 6cm by 2cm. He made an uneventful postoperative recovery and has been followed up for more than twelve months without further symptoms. Adequate initial wound exploration with removal of all foreign bodies and necrotic tissues would have prevented this prolonged morbidity.
大腿部的异物并不常见。更罕见的是，在前侧大腿间隙遭受木刺穿刺伤后，后侧大腿间隙出现异物。本报告的目的是强调这种不寻常的表现。我们报告一名6岁男孩，在右大腿前侧间隙穿刺伤13个月后，右大腿后侧间隙出现一个肿瘤样肿块。他在玩尖锐木质物品时受伤。部分异物被挤出，而部分异物却在不知不觉中残留了下来。该患者在受伤13个月后出现大腿后侧间隙肿块。他很快接受了评估并对肿块进行了探查。取出了一块长6厘米、宽2厘米的普通木质异物。他术后恢复顺利，已接受随访超过12个月，未出现进一步症状。充分的初始伤口探查并清除所有异物和坏死组织本可避免这种长期的发病情况。
