Foreign bodies (FBs) can seldom be identified and removed on the basis of clinical examination alone, and usually only when in a superficial location. Otherwise, imaging techniques are required to identify the FB and establish its exact location prior attempting surgical removal. The surgical removal of FBs is invasive, costly and technically challenging. In some cases it can fail and complications may occur. Our study describes a technique for the ultrasound-guided removal of FBs devised from our experience and, if tendons, nerves and vascular lesions...

From October 2005 to January 2018 we enrolled in our Hospital, 323 patients (aged from 9 to 79 years, median age 43 years) with clinical suspect of foreign bodies located in the soft tissues. All patients had traditional radiograms and ultrasound investigation. The diagnosis in 55.7% of cases (195/348) was made in the acute phase, immediately after the trauma. In 153/348 patients (44.3%) the time interval between the traumatic event and the diagnosis was variable between a minimum of 4 days to a maximum of...

On our study sample of 323 patients, 348 FB of different nature were identified: 134/348 metallic FBs, 98/348 glassy FBs, 95/348 vegetable FBs, 19/348 mineral FBs (stone) and 2/348 plastic FBs. FBs showed variable sizes, from less than 2 mm to 25 mm, located in different body districts, with greater frequency at the distal end of the upper limb (hand and fingers) and the distal end of the lower limb (leg and foot). The FBs were successfully removed from all patients under ultrasound guidance and...

Ultrasound-guided removal of an FB retained in the soft tissues is a valid alternative to surgery as is its relatively straightforward, inexpensive, repeatable and carries a low risk of complications. Therefore, surgery plays a secondary role, only in the presence of lesions of noble structures.

Callegari L1, Leonardi A ,Bini A,Sabato C, Nicotera P,Spanò E,Mariani D,Genovese EA,Fugazzola C. “Ultrasound-guided removal of foreign bodies: personal experience.” Eur_Radiol 2009 May;19(5):1273-9. doi: 10.1007/s00330-008-1266-5. Epub 2009 Jan 20. Tubiana, et al. Atlante della via chirurgica all’accesso dell’arto superiore. Antonio Delfino Editore 1996; 1-2. McArthur T, Abell BA, Levsky ME. A procedure for soft tissue foreign body removal under real-time ultrasound guidance. Mil Med 2007; 172 (8): 858-9. Bekler H, Gokce A, Beyzadeoglu T, Parmaksizoglu F. The surgical treatment and outcomes of hight-pressure injection injuries...