Forgotten injury: a late benign complication of an unremoved shrapnel fragment--case report.
A patient is described with a mortar shell shrapnel fragment in the anterior compartment of the right lower leg that had been in situ for 46 years without causing symptoms, when a large hematoma leading to a "chocolate cyst" developed around it. Initially, the patient was thought to have a malignant tumor. Roentgenograms and CT scans showed shrapnel fragments, and the cyst was removed surgically. A digital subtraction angiogram ruled out any other involvement.
Ligtenstein
D A
DA
Department of Surgery and Orthopaedics, Reinier de Graaf Hospital, Delft, The Netherlands.
Krijnen
J L
JL
Jansen
B R
BR
Eulderink
F
F
D000368:Aged; D003560:Cysts / Q000209:etiology* / Q000473:pathology; D005547:Foreign Bodies / Q000150:complications*; D006801:Humans; D007866:Leg; D008297:Male; D009132:Muscles / Q000473:pathology; D013997:Time Factors; D014950:Wounds, Penetrating / Q000150:complications*