Foreign material

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Revision as of 18:05, 25 November 2014 by Michael (talk | contribs) (→‎Microscopic)
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Foreign material is something that is extrinsic to the body.

Foreign body redirect to this article.

Fecal material is dealt with separately in the article fecal material.

General

  • Relatively common.
  • Seen in a number of contexts.
  • Embolization procedures.
  • Degradable surgical sponges.[1]

Gross

  • Looks like it doesn't belong, e.g. food.
  • Obvious foreign bodies are gross only diagnoses.
    • Examples:
      • A dildo removed surgically from a body orifice.
      • A bullet removed in surgery - should be handled with care, photographed... probably will become evidence.

Microscopic

Features:

  • Material with out nuclei.
  • May be honeycomb-like, cartilage-like or muscle-like.
  • Often homogenous or patterned.

DDx:

Images

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FOREIGN BODY, RIGHT LOWER LOBE, RETRIEVAL:
- MORPHOLOGICALLY CONSISTENT WITH A GREEN PEA (GROSS ONLY).
FOREIGN BODY, BRONCHUS INTERMEDIUS, RETRIEVAL:
- MUCOUS WITH NEUTROPHILS AND MACROPHAGES.
- BENIGN CALCIFICATIONS.
- FOREIGN MATERIAL (HONEYCOMB-LIKE AND CARTILAGE-LIKE WITHOUT NUCLEI) -- COMPATIBLE
  WITH FOOD.
- SCANT STRIPPED BRONCHIAL LINING EPITHELIUM WITHOUT APPARENT PATHOLOGY.
SOFT TISSUE, LEFT ARM, EXCISION:
- FOREIGN BODY, APPEARANCE COMPATIBLE WITH A PIECE OF WOOD (GROSS ONLY).
- FOREIGN BODY-REACTION (ACUTE AND CHRONIC INFLAMMATION WITH ACTIVATED FIBROBLASTS,
  HISTIOCYTES AND RARE GIANT CELLS).
- NEGATIVE FOR MALIGNANCY.

See also

References