Radial artery pseudoaneurysm caused by occult retained glass from a hand laceration.
Retained soft tissue foreign bodies are an area of potentially serious complications. Glass presents unique problems; however, conventional radiography is usually sufficient for its identification. We present the case of a 15-year-old adolescent boy who had several imaging modalities, which failed to identify a large glass fragment. The patient subsequently developed a radial artery pseudoaneurysm, which required surgical repair. The existing evidence regarding the performance of clinical examination and various imaging modalities to identify foreign bodies is presented.
Department of Emergency Medicine, University of Michigan, Ann Arbor, MI 48109-5303, USA. wmeurer@med.umich.edu
William J
WJ
Meurer
D000293:Adolescent; D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D004630:Emergencies; D005188:False Negative Reactions; D005547:Foreign Bodies / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D005898:Glass; D006230:Hand Injuries / Q000150:complications* / Q000628:therapy; D006801:Humans; D022125:Lacerations / Q000150:complications* / Q000628:therapy; D008279:Magnetic Resonance Imaging; D008297:Male; D010019:Osteomyelitis / Q000175:diagnosis; D017534:Radial Artery / Q000293:injuries* / Q000601:surgery; D011859:Radiography; D018461:Soft Tissue Infections / Q000175:diagnosis; D013536:Suture Techniques; D014463:Ultrasonography
D000900:Anti-Bacterial Agents