Minimally invasive extraction of foreign bodies by USG and fluoroscopy

Congress:

ECR 2019

Poster Number:

C-1795

Type:

Educational Exhibit

Keywords:

Foreign bodies, Education and training, Artifacts, Treatment effects, Surgery, Removal, Ultrasound, Fluoroscopy, Musculoskeletal soft tissue, Interventional non-vascular, Extremities

Authors:

J. Murillo¹, C. RIVERA²; ¹Tegucigalpa, FM/HN, ²Tegucigalpa,D.C./HN

DOI:

10.26044/ecr2019/C-1795

DOI-Link:

https://dx.doi.org/10.26044/ecr2019/C-1795

Fig. 2: RX. Simple with projections A. Oblique and B. Lateral. Showing radio opaque...

Fig. 3: US showing hyperechoic linear image of 27 mm in length, in soft tissue in the...

Fig. 4: Multiple images, extraction a foreign body guided by US. Minimal soft tissue...

Learning objectives

Show the usefulness of Ultrasound and fluoroscopy in the extraction of foreign bodies with minimally invasive technique.

Background

Foreign bodies accidentally introduced into soft tissues are a common cause of consultation in emergency services, treated in our institution by the traumatology service. A foreign body that is not removed can lead to both acute and chronic complications, such as pain, inflammation and local infection of the affected area. The use of image-guided techniques gives a new option for the extraction of foreign bodies allowing minimally invasive procedures, accelerating patient recovery and reducing the possibility of complications; As well as reducing hospital costs.

Findings and procedure details

In these two cases the usefulness of the US / Fluoroscopy is shown; although very basic, gives a lot of utility and benefits to the patients, allowing less aggressive procedures, which lead to a quick recovery. in both case aUS with linear 9 Mhz transducer was used. The fluoroscopic study was performed for the location of the foreign body; using minor surgery equipment to remove it. The performing technique uses a minimally invasive incisions and extracting the foreign body with minimal tissue damagewhich accelerates its...

Conclusion

The use of guided imagery techniques for extraction of foreign bodies in these two cases, resulted in the minimal invasion the tissues, impacting the patient with shorter recovery periods and reducing the possibility of complications. In the same way, reduction of hospital costs and attention time.

Personal information

Dr. JORGE A. MURILLO Radiologist, Department of Radiology, Hospital Escuela Universitario, Blv. Suyapa, Tegucigalpa Honduras. Cel.+54 9 341 217 9824 +504 9992 3040 Email: [email protected] Dr. CARLOS RIVERA interventional Radiologist, interventional Section, Department of Radiology, Hospital Escuela Universitario, Blv. Suyapa, Tegucigalpa Honduras. Email: [email protected] Department of Radiology, Hospital Escuela Universitario: Interventional radiology section: Dr. C. Rivera Resident in training: Dr. J. Murillo

References

Del Cura J.L, Zabala R. Corta I. Intervencionismo guiado por ecografía: lo que todo radiólogo debe conocer. Radiología. SERAM2010; 52(3):198-207doi:10.1016/j.rx.2010.01.014 Figueredo Casadei, Gustavo. CUERPOS EXTRAÑOS EN PARTES BLANDAS: DIAGNÓSTICO Y EXTRACCIÓN MEDIANTE GUÍA ECOGRÁFICA.Revista de Imagenología - Epoca II - Vol. XVI, N°1 / Octubre 2012. Gibbs S. T. The use of sonography in the identification, localization, and removal of soft tissueforeingbodies.Journalof diagnostic medical sonography.January 2006 22: 5-21. M. L. Rozas Rodríguez1, M. E. Banegas Illescas2, M. Y. Torres Sousa2, A. Pérez Durán2, L. Caminero...