{"pk":985,"title":"A Piercing Diagnosis – Occult Foreign Body as the Cause of Acute Inguinal Pain","subtitle":null,"abstract":"Case Presentation:\n A 35-year-old woman presented to the emergency department with severe right inguinal pain. Her medical history was non-contributory and there was no known trauma or injury to the region. Amid concern for an incarcerated inguinal hernia, a computed tomography was obtained revealing a linear foreign body (FB) lateral to the femoral vessels. The FB was removed without complication at bedside and found to be a beading needle likely occultly lodged three days prior. \n \nDiscussion:\n Occult inguinal FBs are rare but can lead to deep venous thrombosis or pulmonary embolism if in or near vessels. By nature of being occult, an absence of ingestion, insertion, or penetrative history should not preclude consideration of a FB etiology. Computed tomography imaging is crucial in determining the urgency of, and approach to, inguinal foreign body removal.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Occult foreign body"},{"word":"inguinal pain"}],"section":"Images in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/863662fd","frozenauthors":[{"first_name":"Coral","middle_name":"","last_name":"Bays-Muchmore","name_suffix":"","institution":"University of Washington School of Medicine, Seattle, Washington","department":"None"},{"first_name":"Deion","middle_name":"T.","last_name":"Sims","name_suffix":"","institution":"University of Washington School of Medicine, Seattle, Washington","department":"None"},{"first_name":"Joel","middle_name":"A.","last_name":"Gross","name_suffix":"","institution":"University of Washington School of Medicine, Department of Radiology, Seattle, Washington","department":"None"},{"first_name":"Jonathan","middle_name":"S.","last_name":"Ilgen","name_suffix":"","institution":"University of Washington School of Medicine, Department of Emergency Medicine, Seattle, Washington","department":"None"}],"date_submitted":"2021-01-26T23:32:51-06:00","date_accepted":"2021-01-26T23:32:51-06:00","date_published":"2021-01-26T02:00:00-06:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/985/galley/733/download/"}]}