Shang Cong, Zhang Jin, Wang Qian, Zhang Li
Pediatric Surgery Pediatrics, Qingdao Women and Children's Hospital, Liaoyang Road Department of Ultrasound Department of Pathology, The Affiliated Hospital of Qingdao University, Jiangsu Road, Qingdao, China.
Medicine (Baltimore). 2017 Dec;96(49):e8907. doi: 10.1097/MD.0000000000008907.
Retained foreign body (FB) in soft tissues of children is commonly encountered in the emergency room. The FBs include different kinds of material and associate with some nonspecific symptoms. They usually penetrate the skin or other soft tissues and show some entry holes.
A 4-month-old male infant was admitted to our department due to the edema on the right of scrotum, higher skin temperature, and a funicular lump with serious haphalgesia in the right groin and scrotum.
Imaging studies revealed a foreign body in right spermatic cord. A surgical exploration was performed, and a hair was dislodged. The pathological diagnosis was hyperplastic fibrous connective tissue and inflammatory reaction.
A surgical exploration was performed to dislodge the foreign body.
The boy had an uneventful course after the surgery and was discharged from the hospital one week later. The incision healed well when the boy came back for follow-up one week later.
We still have no idea that how this FB got to the soft tissue. Few previous studies can be retrieved to help us. But we can learn that foreign body should be one of consideration for the origin of inflammation or infection of soft tissues even there is not any laceration and penetration injuries.
儿童软组织内异物残留常在急诊室遇到。这些异物包括不同种类的物质，并伴有一些非特异性症状。它们通常穿透皮肤或其他软组织并出现一些入口孔。
一名4个月大的男婴因阴囊右侧水肿、皮肤温度升高以及右侧腹股沟和阴囊出现条索状肿块且伴有严重压痛而入住我科。
影像学检查显示右侧精索有异物。进行了手术探查，取出一根毛发。病理诊断为增生性纤维结缔组织和炎症反应。
进行手术探查以取出异物。
术后患儿恢复顺利，一周后出院。一周后患儿回来复诊时切口愈合良好。
我们仍然不知道这个异物是如何进入软组织的。几乎没有检索到以前的研究来帮助我们。但我们可以了解到，即使没有任何撕裂伤和穿透伤，异物也应被视为软组织炎症或感染起源的考虑因素之一。
