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.
Meurer
William J
WJ
Department of Emergency Medicine, University of Michigan, Ann Arbor, MI 48109-5303, USA. wmeurer@med.umich.edu
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