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To the Editor: Retained grenade fragments may slowly migrate in the body over time and thus may not become symptomatic for many years. For instance, Wittich¹ reported a case of a grenade fragment that migrated from the leg 35 years after injury. Similarly, retained shrapnel may migrate several decades after the original injury and has been reported to cause late effects such as biliary obstruction,² bowel perforation,³ and brain abscess.⁴ These reports describe cases in which the fragment is embedded in a relatively large space within the body. Herein I report a case of fragment extrusion from the face 60 years after the original injury.

Report of a Case

In the fall of 2002, a 70-year-old man complained of an inflammatory nodule that had developed on the left side of his chin during the preceding few days (Figure 1, A). The nodule was firm, well circumscribed, erythematous, and slightly warm. Other areas . . . [Full Text of this Article]

Pierre-Dominique Ghislain, MD
Department of Dermatology
Université Catholique de Louvain
Bruxelles, Belgium

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