J Korean Neurosurg Soc.  2017 Feb;60(2):269-272. 10.3340/jkns.2014.1112.008.

An Intradiscal Granuloma Due to a Retained Wooden Foreign Body

• Aladag MA
• Durak MA

• KMID: 2374891
• DOI: http://doi.org/10.3340/jkns.2014.1112.008

Abstract

We report a patient with a wooden foreign body granuloma in the intervertebral disc space being symptomatic 17 years after a paraspinal penetrant trauma. According to the our result of the search for wooden foreign body granulomas, this is the first case suffered from a wooden foreign body granuloma in the intervertebral disc space that reported in the literature. In this report, we emphasized the importance of rigorous examination and follow up in paraspinal wooden penetrant traumas.

Keyword

Spinal injuries; Intervertebral disc; Granuloma; Foreign-body

MeSH Terms

Follow-Up Studies
Foreign Bodies*
Granuloma*
Granuloma, Foreign-Body
Humans
Intervertebral Disc
Spinal Injuries

Figure

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  Fig. 1 Clinical appearance of bad-healed scar on left lower back.

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  Fig. 2 Axial CT slice at the level according to L4 vertebral upper end plate. It is seen a hypodense lesion surrounding a linear hyperdense structure in the vertebral corpus. CT: computed tomography.

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  Fig. 3 A: Sagittal T1-weighted MRI image of lumbar spine demonstrated the fusion of anterior parts of L3 and L4 vertebral bodies and a hypointense lesion that lodged in posterior parts of disc space between these vertebrae. The lesion also expanded into the corpuses of these vertebrae. B: Sagittal T2-weighted MRI image of lumbar spine. The lesion was seen as hyperintense. C: Sagittal STIR sequence MRI image of lumbar spine. The lesion was seen as hyperintense. It is also seen a linear horizontal area of decreased signal intensity representing the intranuclear cleft in the center of posterior pars of disc space. D: Axial T1 weighted MRI image of lumbar spine at the level according to L4 vertebral upper end plate.

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  Fig. 4 A: Sagittal postcontrast T1-weighted image of lumbar vertebrae. A nodular enhancement around the peripheral areas of the lesion is seen. B: Axial postcontrast T1-weighted image. A marked enhancement around the peripheral areas of the lesion is seen.

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  Fig. 5 The wooden foreign body removed from posterior part of disc space between fourth and ÿfth lumbar vertebrae.

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  Fig. 6 The photomicrograph of wooden foreign body (H&E ×200).

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  Fig. 7 Histopathological appearance of inflammatory granulation tissue surrounding the foreign body (H&E ×200).

Reference

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