15Oct 2019

SURGICAL MANAGEMENT OF A FOREIGN BODY OF THE AXILLARY HOLLOW

  • Laboratoire danatomie, de microchirurgie et chirurgie experimentale, faculte de medecine et de pharmacie de Rabat.
  • Service de chirurgie plastique et des br?les, hopital Ibn-Sina, Rabat.
  • Abstract
  • Keywords
  • References
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  • Corresponding Author

Introduction: Deep wounds with foreign bodies are frequent in surgical practice. These foreign bodies can remain unnoticed or they appear after a variable duration depending on their location and nature. Observation: We describe the case of a patient victim of an assault with knife on the left shoulder, causing a deep wound with a metal blade incarceration. This foreign body has migrated abroad for 4 weeks to the axilla while sparing the neurovascular bundle. Discussion: The axilla contains an important nervous and vascular package including the axillary artery, the axillary vein and the brachial plexus. A foreign body located in the axilla has to be extracted with the largest surgical cares and exposes the patient to potentially extremely serious injuries. Conclusion: These wounds are a major handicap when they are associated with neglected foreign body and may endanger the functional or vital prognosis of the patient without appropriate support.


  1. Alemdar C, Demirtaş A, Gem M, ?zkul E et al. Orthopedic approach to foreign body stings. J Clin Exp Invest 2013; 4 (4): 443-448
  2. Maempel JF,? Nicol? G,? Clement? RG,? Porter? A foreign body masquerading as a tumour. BMJ Case Rep 2013; 22
  3. Lee AC, So KT, Wong HL, Lau S. Penetrating pencil injury: an unusual case of child abuse. Child Abuse Negl 1998; 22 (7):749-52.
  4. Revol, JM Servent, Manuel de chirurgie plastique, reconstructrice et esthetique II, 2009?; 651-653
  5. Chevallier JM. Anatomie Flammarion Medecine Sciences. Paris, 1998.
  6. Gray?s anatomy. Elsevier, 2005 (39?me edition).
  7. Rouvi?re H. Anatomie humaine, descriptive et topographique. Masson. Paris, 1984 (12?me edition).
  8. Atin Jaiswal , Masood Habib, Yashwant? Singh Tanwar . Neglected foreign body in contralateral limb in a traumatic transfemoral amputee radiographs can be misleading. Chinese Journal of Traumatology 2013; 16(1):61-64
  9. Lau JM, Mattox KL, Beall AC, DeBakey ME. Use of substitute conduits in traumatic vascular injury. J Trauma 1977; 17 (7): 541 -546.
  10. DeBoard RH, Rondeau DF, Kang CS, et al. Principles of basic wound evaluation and management in the emergency department. Emerg Med Clin North Am 2007; 25(1):23-39.
  11. Anderson MA, Newmeyer WL, Kil gore ES Jr. Diagnosis and treatment of retained foreign bodies in the hand. Am J Surg 1982; 144(1):63-7.
  12. Peterson JJ, Bancroft L W, Kransdorf MJ. Wooden foreign bodies imaging appearance. AJR Am J Roentgenol 2002; 178(3): 557-62.
  13. Thomas SH, Brown DFM. Foreign bodies. In:? Marx JA, Hockberger RS, Walls RM, et al, ed. Rosen?s emergency medicine: concepts and clinical practice.? 6th ed.? Philadelphia, Pa:?? Mosby Elsevier, 2006:859-79.
  14. Blankstein A, Cohen I, Heiman Z, et al. Localization detection and guided removal of soft tissue in the hands using sonography. Arch Orthop Trauma Surg 2000; 120(9):514-7.
  15. Blyme PJ, Lind T, Schantz K, et al. Ultrasonographic detection of foreign bodies in soft tissue. A human cadaver study. Arch Orthop Trauma Surg 1990; 110 (1):24-5.
  16. Bray PW, Mahoney JL, Campbell JP. Sensitivity and Specificity of Ultrasound in the Diagnosis of Foreign Bodies in the Hand. J Hand Surg Am 1995; 20 (4):661-6.
  17. Shiels WE, Babcock DS, Wilson JL, et al. Localization and guided removal of soft-tissue foreign bodies with sonography. AJR Am J Roentgenol 1990; 155(6):1277-81.
  18. American College of Emergency Physicians. Clinical policy for? the? initial? approach? to? patients? presenting? with? penetrating extremity trauma. Ann Emerg Med 1999; 33(5):612-36.
  19. Flom LL, Ellis GL. Radiologic evaluation of foreign bodies. Emerg Med Clin North Am 1992; 10(1):163-77.
  20. Isaacson G. Two stage removal of an impacted foreign body with an epoxied anchor. Ann Otol Rhinol Laryngol 2003; 112(9 Pt 1):777-9.
  21. Joseph M. Graham, Kenneth L. Mattox, David V. Feliciano, Michael E. Debakey. Vascular Injuries of the Axilla. Ann. Surg. 1982; 195 (2):232-238
  22. Resnick CD, Fallat LM. Puncture wounds: therapeutic considerations and a new classification. J Foot Surg 1990; 29(2):147-53.

[J. Hafidi, M.A. Mokfi, M. Raboune, S. El Mazouz, N. Gharib, A. Abbassi, S. El Khloufi, M.L Bouchikhi, M. Jiddane and Y. Bjijou (2019); SURGICAL MANAGEMENT OF A FOREIGN BODY OF THE AXILLARY HOLLOW Int. J. of Adv. Res. 7 (Oct). 852-857] (ISSN 2320-5407). www.journalijar.com


Jawad HAFIDI


DOI:


Article DOI: 10.21474/IJAR01/9885      
DOI URL: https://dx.doi.org/10.21474/IJAR01/9885