Author/Editor		Roić, Goran; Ercegović, Suzana; Vlahović, Tomislav; Čop, Slavko; Bumči, Igor; Višnjić, Stjepan
Title		Sonographic diagnosis of soft-tissue foreign bodies in children
Translated title		Ultrazvočno diagnosticiranje tujkov v mehkih tkivih pri otrocih
Type		članek
Source		Radiol Oncol
Vol. and No.		Letnik 33, št. 3
Publication year		1999
Volume		str. 189-92
Language		eng
Abstract		Background. The aim of our study was to establish the successfulness of the ultrasound (US) method in diagnosing a soft-tissue foreign body. Patients and methods. We analysed US findings of 14 children with a foreign body in soft-tissue structures. In 6 patients with negative X ray findings of a foreign body, the identtfication and extraction of the foreign body during the surgical excision did not succeed. In 5 patients with a small superficial punctured wound, soreness and swelling of soft-tissue structures appeared after a few weeks to a few months and after a negative X ray finding the US examination was done to diagnose a posibble soft-tissue foreign body. In 2 children with foreign body granuloma, which developed after the foreign body had been in soft-tissue for a few months, a soft-tissue solid tumour was suspected. In just 1 patient the foreign body was visible ou X ray too (glass), but it was impossible to define its position and depth. Results. According to the US diagnosis and the precise localisation and marking of a foreign body immediately before a surgical excision, the operation was successful in all examined patients. Only in patients with multiple foreign bodies it was necessary to repeat the surgical excision to remove the remaining pieces of the foreign body. Conclusions. The US has indubitably shown the presence of the foreign body and a surrounding granulomatous inflammatory reaction.
Summary		Izhodišča. Želeli smo ugotoviti uspešnost ultrazvočne metode pri diagnosticiranju tujkov mehkega tkiva. Bolniki in metode. Analizirali smo ugotovitve ultrazvoka pri 14 otrocih s tujkom v strukturah mehkega tkiva. Predhoden klinični potek je bil pri bolnikih različen. Pri 6 bolnikih z rentgensko preiskavo niso našli tujka v telesu in sta bili identifikacija in odstranitev tujka neuspešni. Pri 5 bolnikih z manjšo površinsko prebodno rano sta po nekaj tednih do nekaj mesecih nastopili bolečina in oteklina struktur mehkega tkiva, rentgenski izvid pa je bil pravtako negativen. Pri 2 otrocih je nastal tujkov granulom, ko je bil tujek v mehkem tkivu že nekaj mesecev. Posumili smo na solidni tumor mehkega tkiva. Samo pri 1 bolniku je bil tujek (steklo) viden z rentgensko preiskavo, ni pa bilo mogoče določiti njegovega položaja in globine. Rezultati. S pomočjo ultrazvoka smo natačno lokalizirali in označili položaj tujka v mehkih tkivih neposredno pred kirurškim posegom. Operacijo smo uspešno opravili pri vseh pregledanih bolnikih, le pri bolniku z več tujki je bilo potrebno kirurški poseg ponoviti, da bi odstranili preostale tujke. Zakjučki. Z ultrazvokom lahko uspešno dokažemo prisotnost tujka v mehkih tkivih, pa tudi okolišno granulaomatozno vnetno reakcijo.
Descriptors		FOREIGN BODIES CHILD