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Ultrasound picture of a wooden splinter evolved in phlegmon of the hand

S Montechiarello¹, F Miozzi, M Martinelli

¹Department of Radiological Sciences, University Hospital Policlinico Umberto I, Viale Regina Margherita, Rome, Italy.

Journal of Ultrasound

|February 12, 2013

Abstract

Introduction:

To demonstrate the usefulness of ultrasound (US) in quickly and effectively diagnosing the presence of a foreign body in the superficial soft tissues.

Materials And Methods:

A young lumberjack underwent US examination due to pain and swelling of the back of his right hand. These symptoms are often due to the presence of a wooden splinter.

Results:

On the back of the right hand, US demonstrated a hyperechoic line with acoustic shadowing surrounded by a hypoechoic halo suggesting a foreign body. Next to it in the same area, several hypoechoic areas were observed.

Conclusions:

US can quickly identify the exact position of a foreign body embedded in the skin and soft tissues; US can furthermore provide information about the inflammatory process and its spreading.

Keywords:

Foreign body Phlegmon Subcutaneous US examination

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