PMC5992945_01
Pre-operative photograph (right hand - dorsal aspect)
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F1
On evaluation, the swelling was found to involve the flexor aspect of the index finger extending onto the palm [Figures 1 and 2].
Pre-operative photograph (right hand - volar aspect)
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F2
On evaluation, the swelling was found to involve the flexor aspect of the index finger extending onto the palm [Figures 1 and 2].
Pre-operative radiograph of the affected finger (right index)
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F3
A plain radiograph [Figure 3] of the finger was done, and the phalanges and the second metacarpal were found to be free from any visible lesions.
Intra-operative photograph showing rice bodies in the flexor tendon sheath
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F4
This covering was gingerly opened at several places to reveal a synovial sac full of small, shiny rice-bodies, which spilled out from the sac due to the excessive pressure inside the sac [Figure 4].
Rice bodies in histological section showing well-circumscribed homogenous amorphous deposits of fibrin
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F5
Synovial tissue thrown in papillary folds with formation of multiple epitheloid granulomas in the subepithelial zone with minimal necrosis
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F6
Multiple epithelioid granulomas in another area (H and E, x10)
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F7