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Chronic Ulceration and Sinus Formation due to Foreign Body: An Often-Forgotten Problem

Karin Birgitte Hansen1, Finn Gottrup2

  • 1Hvidovre University Hospital, Copenhagen, Denmark.

The International Journal of Lower Extremity Wounds
|September 27, 2014
PubMed

Insights

Foreign body reactions to surgical materials can cause persistent sinus formation and secretion. Early diagnosis and removal of the foreign body, often aided by fistulography and ultrasound, are crucial for resolution.

Area of Science:

  • Medical Case Reports
  • Surgical Complications
  • Immunology

Background:

  • Foreign bodies, such as suture or mesh remnants, can elicit a foreign body reaction.
  • This reaction may manifest as sinus formation, cavity development, chronic secretion, and ulceration.
  • Such complications can arise even after seemingly simple surgical procedures.

Observation:

  • A case report details a 49-year-old male with a 9-year history of sinus formation stemming from a foreign body reaction.
  • The condition was challenging to diagnose, even with advanced imaging techniques.
  • Persistent secretion and sinus formation were the primary clinical manifestations.

Findings:

  • Foreign body reactions are often overlooked causes of chronic post-surgical complications.
  • Fistulography and ultrasound scanning are identified as optimal diagnostic tools for identifying the causative foreign body.
  • Complete resolution was achieved by diagnosing and removing the inciting foreign material.

Implications:

  • Re-establishing awareness of foreign body reactions within the healthcare system is essential.
  • This is particularly important in fields utilizing implanted foreign materials.
  • Prompt diagnosis and intervention can prevent prolonged morbidity associated with these reactions.
Keywords:
cavity formationfistulaforeign bodiesforeign body reactionsinus

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