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Unusual foreign body in the neck.

D S Sardana¹, P Sardana

¹Department of ENT G.S.V.M. Medical College, Kanpur, U.P.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India

|November 3, 2012

Summary

A metallic knife fragment was found in a patient's neck, presenting an unusual case due to a healed wound and lack of initial injury history. Delayed diagnosis occurred because the patient was asymptomatic.

Area of Science:

Medical Case Reports
Surgical Pathology
Trauma Management

Background:

Foreign bodies in the neck can present diagnostic challenges.
Unexplained neck wounds and asymptomatic patients may indicate retained foreign objects.
Metallic foreign bodies require careful surgical consideration.

Purpose of the Study:

To report an unusual case of a retained metallic knife fragment in the neck.
To highlight diagnostic difficulties in cases of healed neck wounds with foreign bodies.
To emphasize the importance of thorough investigation in asymptomatic patients with prior trauma.

Main Methods:

Case study of a patient presenting with a retained metallic foreign body.
Diagnostic imaging and surgical exploration were utilized.

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Review of clinical presentation and patient history.

Main Results:

A broken metallic knife end was identified as a foreign body within the neck.
The entry wound was healed, and the patient was asymptomatic prior to diagnosis.
Diagnosis was significantly delayed due to the lack of a clear injury history and symptoms.

Conclusions:

Retained metallic foreign bodies in the neck can be asymptomatic with healed wounds.
Diagnostic delays are common in such unusual presentations.
Thorough clinical evaluation and imaging are crucial for identifying occult foreign bodies.