Wood foreign bodies in the thenar

Case contributed by Bálint Botz
Diagnosis certain

Presentation

Woodworking injury of the left thenar region caused by a splinter a few months earlier, plain radiographs at the time were normal, the wound healed uneventfully. Recurrent swelling and tenderness in the same area. Foreign body? Abscess?

Patient Data

Age: 20 years
Gender: Male
ultrasound

In the left thenar region two about 30 and 6 mm long reflecting, elongated foreign bodies are visible, surrounded by a 35 x 20 x 12 mm inhomogeneous hypoechogenic soft tissue mass showing internal vascularity. 

Case Discussion

Remarkably large wood foreign bodies considering that they escaped detection until an associated foreign body granuloma developed. 

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