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

J Int Med Res. 2020 Jun;48(6):300060520925379. doi: 10.1177/0300060520925379.

Abstract

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.

Keywords: Foot; foreign body; osteolysis; pseudotumor.

Publication types

  • Case Reports

MeSH terms

  • Chronic Disease
  • Diagnosis, Differential
  • Foot / physiology
  • Foot Injuries / metabolism*
  • Foreign Bodies / diagnosis*
  • Humans
  • Magnetic Resonance Imaging / methods
  • Male
  • Middle Aged
  • Osteomyelitis / diagnostic imaging*
  • Osteomyelitis / etiology
  • Osteomyelitis / physiopathology
  • Radiography / methods