Neglected foreign body in contralateral limb in a traumatic transfemoral amputee--radiographs can be misleading  

作　　者：Atin Jaiswal Masood Habib Yashwant Singh Tanwar 

机构地区：[1]Department of Orthopedic Surgery, PGIMER & Dr RMLHospital, New Delhi 11001, India

出　　处：《Chinese Journal of Traumatology》2013年第1期61-64,共4页中华创伤杂志（英文版）

摘　　要：Missed or neglected foreign bodies are not infrequent in surgical practice. This case report high- lights the fact that thorough clinical examination and de- tailed evaluation of trauma patients are very necessary so that any associated injuries or foreign bodies will not be missed and any unforeseen clinical or medico-legal complications can be prevented. We present a case of a 35-year- old male patient who had traumatic transfemoral amputation of the right lower limb with a clean laceration （size 2 cmx I cm） over the medial aspect of the left thigh. Radiographs suggested a single radioopaque foreign body which proved misleading, as during surgical removal multiple radiolucent and radiopaque foreign bodies were discovered.Postoperative ultrasound was performed and showed no retained foreign bodies. A secondary closure of the right thigh amputation was done and patient was discharged. At the last follow-up, 9 months after injury, the patient had no complaints, and both the amputation stump and the wound over the left thigh were healthy. Thus in the cases of re- tained foreign bodies, in addition to thorough clinical examination and radiography, ultrasonograpy should be supplemented. And if required, use of CT scan as well as MRI should be also considered.

关 键 词：Foreign bodies Radiography Diagnos- tic errors Uitrasonography 

分 类 号：S858.937.1[农业科学—临床兽医学] TH774[农业科学—兽医学]