title: Every wound counts: a case of undiscovered wound in mons pubis resulting in a chronic foreign body granuloma of the abdominal wall.
abstract: A 33-year-old male patient presented to clinic with a tender, discharging wound at mons pubis area. Three months before, he was a victim in a blast injury and received lifesaving emergency laparotomy at a field hospital in Baghdad, where shrapnel was removed from the abdomen and he was subsequently discharged. We present this unusual case of chronic wound from an undiscovered injury that was not formally explored at initial treatment, highlighting the importance of systematic exploration of all wounds particularly in sensitive body areas, despite cultural barriers both for the assessing clinicians and for the patients in that part of the world.
authors.affiliation: The Department of Plastic Surgery, The Royal Preston Hospital, Preston, UK.
authors.forename: Saif
authors.initials: S
authors.lastname: Ramman
authors.forename: Hassan
authors.initials: H
authors.lastname: Al-Rubayee
mesh_terms: D000007:Abdominal Injuries / Q000150:complications* / Q000601:surgery; D034861:Abdominal Wall; D000328:Adult; D001753:Blast Injuries / Q000150:complications* / Q000601:surgery; D002908:Chronic Disease; D057210:Delayed Diagnosis; D015745:Granuloma, Foreign-Body / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male
keywords: Blast injury; Foreign body reaction; Granuloma; Shrapnel