Wood foreign body and resultant granuloma in finger

Case contributed by Dr Balint Botz

Presentation

Rose thorn injury while gardening about a month earlier. Localized swelling and pain along the dorsal aspect of the PIP joint of the left index finger which has developed gradually. Foreign body? Abscess?

Patient Data

Age: 50 years
Gender: Female

On the x-rays no bony abnormality or radioopaque foreign body can be discerned.

On the dorsal aspect of the index finger a 8 x 5 x 2 mm hypoechogenic, superficial soft tissue infiltrate is visible likely representing non-circumscribed inflammatory response. Within this region an about 1 mm triangular reflective structure can be discerned which can represent a foreign body. 

Case Discussion

The foreign body was surgically removed, during which it was found to be surrounded by soft tissue granuloma

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