Foreign body granuloma

Case contributed by Mostafa Elfeky
Diagnosis almost certain

Presentation

History of left wrist trauma since 1.5 months with the development of a subcutaneous lump.

Patient Data

Age: 20 years
Gender: Male
ultrasound

An oval-shaped hypoechoic subcutaneous area is seen at the ventral aspect of the wrist superficial to the flexor retinaculum and flexor tendons. It is well-circumscribed with mild peripheral vascularity. There is a linear hyperechoic structure within suggestive of a foreign body.

Case Discussion

The patient claimed a previous injury with a wooden structure which appeared on ultrasound as a hyperechoic structure surrounded by an area of granulomatous reaction, consistent with foreign body granuloma.

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