Department of Pediatric Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Afr J Paediatr Surg. 2020 Jul-Dec;17(3 & 4):127-130. doi: 10.4103/ajps.AJPS_22_20.
Wooden foreign body (WFB) injuries in children are common. They may report with acute presentation or be delayed as retained foreign body giving rise to complications. Cases with superficial skin penetration by these foreign bodies and acute presentation may be convenient to diagnose and remove. However, localising deeply impacted and chronically retained WFB is challenging, as they are usually not radiopaque and have a tendency to move deeper into the surrounding soft tissues with time. Foreign body retained for prolonged duration may present with either cellulitis, deep tissue infections, sinus, restriction of joint movements, necrotising fasciitis, osteomyelitis or tumour-like mass. We present an 8-year-old boy with discharging sinuses in the right iliac fossa and medial aspect of the right upper thigh, due to an impacted WFB for 3 months. Prompt radiological imaging and surgical removal helped him recover completely.
儿童的木质异物(WFB)损伤很常见。他们可能会出现急性表现,也可能会因遗留的异物而延迟出现,从而引发并发症。对于这些异物通过皮肤浅层并出现急性表现的病例,诊断和去除较为方便。然而,对于深部和慢性遗留的 WFB 的定位具有挑战性,因为它们通常不透射线,并且随着时间的推移有向周围软组织深部移动的趋势。异物遗留时间过长可能会出现蜂窝织炎、深部组织感染、窦道、关节运动受限、坏死性筋膜炎、骨髓炎或类似肿瘤的肿块。我们报告了一例 8 岁男孩,他因 3 个月前遗留的 WFB 导致右髂窝和右大腿内侧出现窦道。及时的影像学检查和手术切除帮助他完全康复。