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Use of Ultrasound in the Diagnosis of Soft Tissue Foreign Bodies. Case Report and Review of the Literature
Avner A., Herrtage M. E., Segal U.
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The diagnosis of retained subcutaneous, muscular, and deep soft tissue foreign bodies can be challenging from both a clinical and imaging perspective. The main challenges lie in identification and localization of the foreign body within soft tissues. Retained foreign bodies present a variety of potentially serious complications, so prompt diagnosis and removal is necessary to avoid poor outcomes. An eight-year-old intact male pointer presented to the Veterinary Health Center for two years of intermittent lameness after exercise. On physical examination, a small non-painful swelling was palpated in the distal antebrachium. Ultrasound revealed a 20x2 mm hyperechoic linear foreign body surrounded by a well circumscribed hypoechoic region. The foreign body was surgically removed. While radiography is usually the first imaging modality used for diagnosing foreign bodies, it has significant limitations in that not all foreign bodies are radiopaque and localization can be imprecise. Ultrasound is an excellent adjunct or primary imaging modality for diagnosing retained foreign bodies. Ultrasound is extremely sensitive and specific for identifying even extremely small foreign bodies present in the soft tissues. Ultrasound is also extremely useful to demonstrate the exact location, orientation, and depth of a retained foreign body, as well as adjacent or surrounding complications, allowing for more targeted surgical removal with less iatrogenic tissue damage.
Ultrasound; Soft Tissue; Foreign Bodies; Superficial; Diagnosis
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Affiliation of the authors at the time of publication
Kansas State University Veterinary Health Center, Manhattan, USA.
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