Unusual implant-related soft tissue reaction presenting as a swollen leg: a case reportReport as inadecuate




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Journal of Medical Case Reports

, 8:187

First Online: 13 June 2014Received: 10 February 2014Accepted: 31 March 2014DOI: 10.1186-1752-1947-8-187

Cite this article as: Ozkanli, S., Soylemez, M.S., Sahin, A. et al. J Med Case Reports 2014 8: 187. doi:10.1186-1752-1947-8-187

Abstract

IntroductionThere are several causes of peri-implant edema, pain, and swelling around implants after orthopedic fixation device application for fracture repair. The most common and well-known reason is infection, however, granulomas associated with foreign body reactions are rarely seen. In this report we present a case of a granulomatous reaction mimicking a hydatid cyst and sarcoma. We emphasize the importance of differential diagnosis in triggering appropriate management of the patient. Our case was unusual; to the best of our knowledge no similar clinical or pathological findings have been reported in current literature.

Case presentationA 56-year-old Turkish man who had been treated for a right femoral fracture via a plate fixation 10 years prior underwent an operation to treat pain and swelling around the plate. A hydatid cyst-like mass was observed during surgery, but subsequent examination revealed that no hydatid cyst was present; both malignancy and infection were also absent.

ConclusionsAlthough infection is generally the first possibility that should be considered in a patient complaining of pain and swelling in the vicinity of an implant, malignancies, hydatid cysts, and finally foreign body reactions should also be kept in mind as differential diagnoses. A soft-tissue reaction around a previously implanted plate should be managed carefully. Pre-operative radiological assessment, and biopsy to allow pathological and microbiological examination, should be considered in all suspected cases.

KeywordsSoft-tissue reaction Granuloma Malignancy Orthopedic hardware AbbreviationsCRPC-reactive protein

CTComputerized tomography.

Electronic supplementary materialThe online version of this article doi:10.1186-1752-1947-8-187 contains supplementary material, which is available to authorized users.

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Author: Seyma Ozkanli - Mehmet Salih Soylemez - Adem Sahin - Serkan Senol - Kerem Bilsel - Hasan Hüseyin Ceylan

Source: https://link.springer.com/



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