Forehead foreign body

Case contributed by Dr Maulik S Patel

Presentation

About 4 years prior to the presentation, the patient had a small laceration on the forehead region due to a road traffic accident. Since then the patient was able to palpate a tiny nodule at the site of injury.

Patient Data

Age: 20 years
Gender: Male
Ultrasound

There is a linear echogenic focus (2.1 x 1.2 mm) in the forehead superficial connective tissue. It is a foreign body. There is no surrounding granuloma formation. An adjacent vein is patent. There is no bone cortex irregularity.

Photo

An intraoperative photo shows a small incision and dark-colored foreign body in the soft tissue. 2nd photo shows a retrieved foreign body with a blood clot around it.

Case Discussion

The case shows post traumatic foreign body implantation in the forehead region. The surgical exploration revealed a piece of gravel which was expected by the patient as well as the doctor.

Photos Courtesy: Operating surgeon Dr. Niraj I. Patel.

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