A Rare Complication of Neglected Workplace Trauma Leading to Fistula Formation
A long-term retained foreign body is rare and could lead to abnormal fistula formation. We present the case of a 25-year-old male with purulent discharge from the dorsal aspect of the left foot caused by a retained foreign body. The retained foreign body, a piece of rubber slipper retained over the past one year due to workplace injury to his left foot resulted in the formation of a fistula, a rare complication. The diagnosis was confirmed intraoperatively. We performed an emergency exploration of the left foot, the adhesions around the fistula were dissected, and we excised the fistula along with the foreign body. No severe complications occurred after surgery. We report this case to highlight that neglected foreign bodies can lead to various complications and healthcare professionals should be able to diagnose them with adequate imaging modalities.
How to cite this article:
Ravikumar D, Babu K. A Rare Complication of Neglected Workplace Trauma Leading to Fistula Formation. Chettinad Health City Med J. 2023;12(1):107-110.
Kurer MA, Davey C, Khan S, Chintapatla S. Colorectal foreign bodies: a systematic review. Colorectal Dis. 2010;12(9):851-61. [PubMed] [Google Scholar]
Kelly J. Vesico-vaginal and recto-vaginal fistulae. JR Soc Med. 1992;85:257-8. [PubMed] [Google Scholar]
Rafique M. Intravesical foreign bodies: review and current management strategies. Urol J. 2008;5(4):223-31. [PubMed] [Google Scholar]
Anderson MA, Newmeyer WL 3rd, Kilgore ES Jr. Diagnosis and treatment of retained foreign bodies in the hand. Am J Surg. 1982;144(1):63-7. [PubMed] [Google Scholar]
Graham Jr DD. Ultrasound in the emergency department: detection of wooden foreign bodies in the soft tissues. J Emerg Med. 2002;22(1):75-9. [PubMed] [Google Scholar]
Rockett MS, Gentile SC, Gudas CJ, Brage ME, Zygmunt KH. The use of ultrasonography for the detection of retained wooden foreign bodies in the foot. J Foot Ankle Surg. 1995;34(5):478-84. [PubMed] [Google Scholar]
Saul T, Siadecki SD, Rose G, Berkowitz R, Drake AB, Delone N, Avitabile N. Ultrasound for the evaluation of soft tissue foreign bodies before and after the addition of fluid to the surrounding interstitial space in a cadaveric model. Am J Emerg Med. 2016;34(9):1779-82. [PubMed] [Google Scholar]
Siegel IM. Identification of non-metallic foreign bodies in soft tissue: Eikenella corrodens metatarsal osteomyelitis due to a retained toothpick: a case report. J Bone Joint Surg Am. 1992;74(9):1408-10. [PubMed] [Google Scholar]
Yanay O, Vaughan DJ, Diab M, Brownstein D, Brogan TV. Retained wooden foreign body in a childâ€™s thigh complicated by severe necrotizing fasciitis: a case report and discussion of imaging modalities for early diagnosis. Pediatr Emerg Care. 2001;17(5):354-5. [PubMed] [Google Scholar]
Gulati D, Agarwal A. Wooden foreign body in the forearm - presentation after eight years. Ulus Travma Acil Cerrahi Derg. 2010;16(4):373-5. [PubMed] [Google Scholar]