IMAGES IN EMERGENCY MEDICINE
Penetration of the iliac wing by retained foreign body
Department of Emergency Medicine, Blackpool Victoria Hospital, Blackpool, UK
Correspondence to:
Dr U Salanke, Department of Emergency Medicine, Blackpool Victoria Hospital, Blackpool FY3 8NR, UK; umeshsalanke@gmail.com
Accepted 23 June 2008
| The first 150 words of the full text of this article appear below. |
An 11-year-old girl was admitted to the emergency department (ED) having fallen through a glass door with a wound to her left buttock. She was haemodynamically normal, with no clinical evidence of distal neurovascular deficit. Wound exploration under local anaesthesia revealed no significant bleeding or obvious foreign body. The wound was cleaned and sutured. At 3 months post-injury, her general practitioner referred her for abdominal ultrasound as a result of recurrent infection, persistent abdominal discomfort and a vague palpable mass. Abnormal ultrasound prompted a computed tomography scan, which revealed a large retained foreign body (fig 1 and fig 2). She underwent exploration and removal of the foreign body under general anaesthesia. She made an uneventful postoperative recovery.
Figure 1 Computed tomography scan confirmed the presence of large glass fragments deep in the gluteal muscles and penetrating the right wing of the left iliac bone.
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Figure 2 Three-dimensional computed tomography reconstruction illustrates the | |||||||||
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