Residual foreign body in the foot causing chronic osteomyelitis mimicking a pseudotumor: A case report

Osteomyelitis from a retained foreign body should be included in the differential diagnosis of any osteolytic lesion of the foot. We report here a case of a 59-year-old man who presented with swelling over the dorsolateral aspect of the right foot. Plain x-ray showed an osteolytic lesion that mimick...

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Bibliographic Details
Published in:Journal of international medical research 2020-06, Vol.48 (6), p.300060520925379-300060520925379
Main Authors: Huang, Yin-Ming, Yang, Shan-Wei, Chen, Chun-Yu, Hsu, Chine-Jen, Chang, Wei-Ning
Format: Article
Language:English
Subjects:
Case Report
Case reports
Chronic Disease
Diagnosis, Differential
Foot - physiology
Foot Injuries - metabolism
Foreign bodies
Foreign Bodies - diagnosis
Humans
Magnetic Resonance Imaging - methods
Male
Middle Aged
Osteomyelitis - diagnostic imaging
Osteomyelitis - etiology
Osteomyelitis - physiopathology
Radiography - methods
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Summary:Osteomyelitis from a retained foreign body should be included in the differential diagnosis of any osteolytic lesion of the foot. We report here a case of a 59-year-old man who presented with swelling over the dorsolateral aspect of the right foot. Plain x-ray showed an osteolytic lesion that mimicked a pseudotumor. Magnetic resonance imaging (MRI) showed multilocular fluid collection over the right cuboid with a hypointense lesion over the plantar fascia. The patient underwent surgery and a rubber fragment (1 cm × 0.8 cm) was removed from his foot that had been present for two years following a stabbing injury. The patient fully recovered without complication or disability.
ISSN:0300-0605
1473-2300
DOI:10.1177/0300060520925379