Authors
Ezekiel Baguma, Mark Jjuuko, Paul Kabazzi, Daniel Ezati, Phillip Mulepo, Peter Muwanguzi
Published in
Journal of surgical case reports. Volume 2026. Issue 10. Pages rjag903. Epub Oct 10, 2026.
Abstract
A 28 year old woman presented with local wound infection two weeks after sustaining an anterior thigh laceration in a high energy motorbike crash that killed the co-riding motorcyclist. X-ray revealed a non-identifiable radio-opaque fragment and computed tomography identified a bony foreign body deep in the thigh adjacent to the femoral vessels, with the host femur intact. A 6 x 3 cm fragment of cortical bone was removed at surgery. Histopathology and genetic studies to confirm its origin were not feasible in this resource-limited setting, but an intact host femur suggested it originated from the deceased rider. The wound healed by secondary intention, HIV and hepatitis serology were negative at 6 weeks. This case highlights the unusual occurrence of a bone missile and the importance of early advanced imaging and prompt post-exposure prophylaxis following high-energy, multi-victim trauma.
PMID:
42859837
Bibliographic data and abstract were imported from PubMed on 11 Oct 2026.
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