How not to miss foreign body during wound debridement: A case report

International Conference on Dental Medicine, Trauma and Reconstructive Surgery

September 10-11, 2018 Singapore

Rio Aditya and John Butar Butar

Universitas Pelita Harapan, Indonesia
Siloam Hospitals, Indonesia

Scientific Tracks Abstracts: Surgery 2018

Abstract :

Background: Nearly 38% of foreign bodies were missed during initial wound inspection. Failure to identify foreign bodies leads to complications such as infection, delayed wound healing and loss of function. Imaging studies such as plain radiograph should be considered when there is a suspicion for a foreign body. Case Report: A 24-years-old male was referred to the authorâ??s clinic with symptoms of recurrent pain and swollen left dorsal foot since two months prior to admission. Pain described as a dull, intermittent and worsening pain. Patient had a history of motor vehicle accident two months before with multiple lacerations on left dorsal foot and left proximal antebrachii region. Initial management has been done in the emergency department of local general hospital and the patient undergone wound cleansing and suturing of the lacerated skin. The following weeks, the patient suffered a recurrent wound infection because of a retained foreign body (stone) and successfully treated with wound exploration surgery. Over next several weeks, the wound healed completely without any complications. Discussion: Foreign bodies can be easily missed during initial evaluation of an open wound. The initial examiner may easily overlooked probable foreign bodies while focusing more on the visible wound or vital diagnoses. Failure to identify foreign bodies leads to complications such as infection, delayed wound healing and loss of function. Because of these reason, we found proposed an algorithm to help emergency physician diagnose retained foreign bodies. References: 1. Anderson M A, Newmeyer W L, Kilgore E S (1982) Diagnosis and treatment of retained foreign bodies in the hand. Am J Surg.; 144(1): 63-7. 2. DeBoard R H, Rondeau D F, Kang C S, Sabbaj A, McManus J G (2007) Principles of Basic Wound Evaluation and Management in the Emergency Department. Emerg Med Clin North Am.; 25(1): 23-39. 3. Chang C, Lin H, Foo N, Chen K, Chi-Chen Chang, Hung-Jung Lin, Ning-Ping Foo, Kuo-Tai Chen (2012) Secret devil: knife unexpectedly stuck in the chest wall. Turkish J Trauma Emerg Surg.; 18(5): 453-4.

Biography :

Rio aditya completed his Medical Doctor graduation from Faculty of Medicine Unviersitas Pelita Harapan in the year 2017. Present he is working in the Faculty of Medicine Universitie Pelita Harapan as medical doctor. He has Research Experience on Effects of Dynamic and Static Stretching on Hamstring muscle flexibility in Recreational Athlete.

E-mail: rioaditya12@gmail.com