Foreign body in foot

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Thorn injury 4 years previously.

Patient Data

Gender: Male
x-ray

Soft tissue swelling of the dorsal aspect of the forefoot without bony changes. No radio-opaque foreign body identified.

ultrasound

A 1.2 cm long linear echogenic foreign body is seen within the soft tissues of the dorsal foot. Appearances in keeping with a thorn with surrounding granuloma.

Case Discussion

X-ray demonstrates soft tissue swelling but doesn't show the foreign body itself. Ultrasound confirms appearances typical of a thorn foreign body.

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