Retained foreign body misdiagnosed as a low flow vascular malformation: A case report
A 21-year-old woman presented with 1 year history of progressive dorsal right foot pain with no recollection of trauma. The physical exam did not reveal any unusual appearance to the plantar or dorsal skin surfaces. Specifically, no scars were seen. Foot radiographs were unremarkable. The presumed e...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-01-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043323007483 |
| _version_ | 1797454721863122944 |
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| author | Daniel Armstrong, BS Robert Owens, MD Terri Carlson, DO Brian Ching, DO |
| author_facet | Daniel Armstrong, BS Robert Owens, MD Terri Carlson, DO Brian Ching, DO |
| author_sort | Daniel Armstrong, BS |
| collection | DOAJ |
| description | A 21-year-old woman presented with 1 year history of progressive dorsal right foot pain with no recollection of trauma. The physical exam did not reveal any unusual appearance to the plantar or dorsal skin surfaces. Specifically, no scars were seen. Foot radiographs were unremarkable. The presumed etiology after Doppler ultrasound (US) and MRI was a likely venous or venolymphatic malformation. She received 2 rounds of sclerotherapy 12 months apart with transient symptomatic clinical improvement. After the second sclerotherapy treatment, repeat MRI revealed dorsal extension of the lesion with skin involvement, prompting referral for surgical intervention. At surgery, a 3 cm wood splinter was found surrounded by granulation tissue. After showing the patient the resected splinter, she recalled stepping on a wooden broomstick that punctured the bottom of her foot in her childhood. She stated she also remembered pulling a splinter out of her foot. This case demonstrates the unusual and rare appearance of a chronic retained foreign body creating a cystic lesion in the foot presumed to be a low-flow vascular malformation on US and MRI. |
| first_indexed | 2024-03-09T15:41:11Z |
| format | Article |
| id | doaj.art-bc32f713fb854038a2823d1092f2debd |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-03-09T15:41:11Z |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-bc32f713fb854038a2823d1092f2debd2023-11-25T04:47:26ZengElsevierRadiology Case Reports1930-04332024-01-01191164171Retained foreign body misdiagnosed as a low flow vascular malformation: A case reportDaniel Armstrong, BS0Robert Owens, MD1Terri Carlson, DO2Brian Ching, DO3Uniformed Services University of the Health Sciences, 4301 Jones Bridge Rd, Bethesda, MD, 20814, USADepartment of Radiology, Tripler Army Medical Center, 1 Jarrett White Rd, Honolulu, HI, 96859, USADepartment of Plastic and Reconstructive Surgery, Tripler Army Medical Center, 1 Jarrett White Rd, Honolulu, HI, 96859, USADepartment of Radiology, Tripler Army Medical Center, 1 Jarrett White Rd, Honolulu, HI, 96859, USA; Corresponding author.A 21-year-old woman presented with 1 year history of progressive dorsal right foot pain with no recollection of trauma. The physical exam did not reveal any unusual appearance to the plantar or dorsal skin surfaces. Specifically, no scars were seen. Foot radiographs were unremarkable. The presumed etiology after Doppler ultrasound (US) and MRI was a likely venous or venolymphatic malformation. She received 2 rounds of sclerotherapy 12 months apart with transient symptomatic clinical improvement. After the second sclerotherapy treatment, repeat MRI revealed dorsal extension of the lesion with skin involvement, prompting referral for surgical intervention. At surgery, a 3 cm wood splinter was found surrounded by granulation tissue. After showing the patient the resected splinter, she recalled stepping on a wooden broomstick that punctured the bottom of her foot in her childhood. She stated she also remembered pulling a splinter out of her foot. This case demonstrates the unusual and rare appearance of a chronic retained foreign body creating a cystic lesion in the foot presumed to be a low-flow vascular malformation on US and MRI.http://www.sciencedirect.com/science/article/pii/S1930043323007483ArteriovenousForeign bodyMalformationSplinterTraumaVenous |
| spellingShingle | Daniel Armstrong, BS Robert Owens, MD Terri Carlson, DO Brian Ching, DO Retained foreign body misdiagnosed as a low flow vascular malformation: A case report Radiology Case Reports Arteriovenous Foreign body Malformation Splinter Trauma Venous |
| title | Retained foreign body misdiagnosed as a low flow vascular malformation: A case report |
| title_full | Retained foreign body misdiagnosed as a low flow vascular malformation: A case report |
| title_fullStr | Retained foreign body misdiagnosed as a low flow vascular malformation: A case report |
| title_full_unstemmed | Retained foreign body misdiagnosed as a low flow vascular malformation: A case report |
| title_short | Retained foreign body misdiagnosed as a low flow vascular malformation: A case report |
| title_sort | retained foreign body misdiagnosed as a low flow vascular malformation a case report |
| topic | Arteriovenous Foreign body Malformation Splinter Trauma Venous |
| url | http://www.sciencedirect.com/science/article/pii/S1930043323007483 |
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