RUTİN PANORAMİK RADYOGRAFİDE TESADÜFEN SAPTANAN KURŞUN SAÇMALARI: OLGU SUNUMU
ISPEC 12. ULUSLARARASI TIP VE SAĞLIK BİLİMLERİ KONGRESİ , Tokyo, Japonya, 23 Ağustos - 01 Eylül 2026, ss.16, (Özet Bildiri)
- Yayın Türü: Bildiri / Özet Bildiri
- Basıldığı Şehir: Tokyo
- Basıldığı Ülke: Japonya
- Sayfa Sayıları: ss.16
- Recep Tayyip Erdoğan Üniversitesi Adresli: Evet
Özet
Objective:
Panoramic radiography (PR) is widely used for routine evaluation of the maxillofacial region. Although it provides valuable diagnostic information, incidental radiopaque findings such as foreign bodies may complicate image interpretation and may be confused with pathological calcifications or other radiopaque lesions. Accurate identification of these findings is essential to avoid unnecessary investigations and interventions. This case report emphasizes the importance of recognizing incidentally detected metallic foreign bodies on routine PR and highlights the contribution of detailed medical history to accurate diagnosis and appropriate patient management.
Materials and Methods:
A 35-year-old male patient presented for a routine dental examination. Clinical examination revealed no symptoms or pathological findings. PR revealed five millimetric, well-defined radiopaque foreign bodies in the maxillofacial region, which were considered compatible with retained shotgun pellets. A detailed medical history revealed a previous shotgun pellet injury approximately three years earlier. The localization of the metallic foreign bodies and their relationship with adjacent anatomical structures were evaluated based on clinical and radiographic findings.
Results:
The radiopaque findings were diagnosed as retained metallic foreign bodies associated with previous trauma. No clinical signs of infection or pathological changes related to the foreign bodies were observed. The patient reported that the retained pellets were under the follow-up of his physician and that removal was not considered necessary due to the absence of symptoms. The patient was advised to inform healthcare providers about the presence of retained metallic foreign bodies, especially before magnetic resonance imaging (MRI) examinations.
Conclusion:
Routine PR is valuable for the incidental detection of asymptomatic retained metallic foreign bodies. Correlation of radiographic findings with the patient’s medical history facilitates accurate diagnosis, prevents unnecessary surgical procedures, and supports appropriate patient management. Awareness of retained metallic foreign bodies before MRI is essential for ensuring patient safety.