Article Data

  • Views 4162
  • Dowloads 186

Case Reports

Open Access

Glass foreign body in the lumbosacral junction of the spinal canal: a case report

  • Kook-Jong Kim1
  • Hyun-Chul Shon1
  • Eic-Ju Lim1
  • Jae-Young Yang1,*,

1Chungbuk National University Hospital, 28644 Cheongju, Republic of Korea

DOI: 10.22514/sv.2024.104 Vol.20,Issue 8,August 2024 pp.103-107

Submitted: 08 February 2024 Accepted: 29 March 2024

Published: 08 August 2024

*Corresponding Author(s): Jae-Young Yang E-mail: hahayourdead@naver.com

Abstract

Foreign bodies in soft tissue after trauma are common, and the smaller the wound, the easier it is to miss them. Moreover, undetected foreign bodies can lead to severe complications. A 60-year-old male patient presented to our emergency room with a 4-cm back laceration and a slightly decreased sensation in the left S1 dermatome after falling over a glass fish tank. A foreign body on the left side of the L5/S1 epidural space and S1 nerve root compression in the lateral recess were observed. Consequently, a midline longitudinal incision was made at the L5/S1 level, a paravertebral muscle subperiosteal dissection was performed, and the foreign body was carefully removed. Foreign bodies may exist even in simple, small wounds. Therefore, their presence should be confirmed or excluded through appropriate imaging and history-taking.


Keywords

Foreign body; Lumbosacral junction; Spinal canal


Cite and Share

Kook-Jong Kim,Hyun-Chul Shon,Eic-Ju Lim,Jae-Young Yang. Glass foreign body in the lumbosacral junction of the spinal canal: a case report. Signa Vitae. 2024. 20(8);103-107.

References

[1] Jesmanas S, Norvainytė K, Gleiznienė R, Mačionis A. Retained glass fragment in the cervical spinal canal in a patient with acute transverse myelitis: a case report and literature review. Case Reports in Neurological Medicine. 2018; 2018: 5129513.

[2] Kawtharani S, Bsat SA, El Houshiemy M, Moussalem C, Halaoui A, Omeis I. Retained foreign needle in the thoracic spinal canal in a child: case report. Surgical Neurology International. 2021; 12: 484.

[3] Kirby D, Seigerman D. Pre-operative ultrasound localization for removal of a penetrating foreign body of forearm. Cureus. 2022; 14: e26940.

[4] Verma A, Tran Z, Hadaya J, Williamson CG, Rahimtoola R, Benharash P. Factors associated with retained foreign bodies following major operations. The American Surgeon. 2021; 87: 1575–1579.

[5] Graham DD. Ultrasound in the emergency department: detection of wooden foreign bodies in the soft tissues. The Journal of Emergency Medicine. 2002; 22: 75–79.

[6] Kaiser CW, Slowick T, Spurling KP, Friedman S. Retained foreign bodies. The Journal of Trauma and Acute Critical Care. 1997; 43: 107–111.

[7] Grocutt H, Davies R, Heales C. Ultrasound compared with projection radiography for the detection of soft tissue foreign bodies—a technical note. Radiography. 2023; 29: 1007–1010.

[8] Tok S, Kadioglu E. Ultrasonography in soft-tissue foreign-body detection: a phantom study. Polish Journal of Radiology. 2021; 86: 496–499.

[9] Voss JO, Maier C, Wüster J, Beck-Broichsitter B, Ebker T, Vater J, et al. Imaging foreign bodies in head and neck trauma: a pictorial review. Insights into Imaging. 2021; 12: 20.


Submission Turnaround Time

Top