Occult Orbital Injury with Dagger Fragment with Resulting Pneumocephalus
| Autor: | Esperanza Gutiérrez-Díaz, Enrique Mencía-Gutiérrez, Laura Zarratea-Herreros, Luis F Moreno-García-Rubio, Álvaro Bengoa-González, Silvia Pérez-Trigo, Lucía Jáñez-García |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
business.operation
business.industry Case Report General Medicine Anatomy medicine.disease Occult eye diseases 03 medical and health sciences 0302 clinical medicine Hematoma Pneumocephalus medicine.anatomical_structure lcsh:Ophthalmology Anterior cranial fossa lcsh:RE1-994 030221 ophthalmology & optometry medicine Eyelid sense organs Foreign body business Transorbital 030217 neurology & neurosurgery Orbit (anatomy) |
| Zdroj: | Repositorio Institucional de la Consejería de Sanidad de la Comunidad de Madrid Consejería de Sanidad de la Comunidad de Madrid Case Reports in Ophthalmological Medicine Case Reports in Ophthalmological Medicine, Vol 2018 (2018) |
| Popis: | Penetrating injuries of the cranium are relatively uncommon, only 0.4% of all head injuries. In patients with disturbed conscious level, an extensive examination should be performed in the emergency unit to rule out transorbital penetrating brain injury. A 25-year-old male was attacked with a dagger. He presented with ethylic intoxication and the physical examination demonstrated a small skin injury on the lateral canthus of the left eye with a large periocular hematoma which prevented eyelid opening. Cranial CT scan showed a metallic intraorbital foreign body consisting of a fragment of a dagger which perforated the eyeball, and penetrated through the superomedial wall of the orbit into the anterior cranial fossa. Reconstruction of the eyeball was performed and the fragment was removed. Orbital injuries with a knife in situ are very unusual. Early identification and removal of retained foreign bodies are essential. |
| Databáze: | OpenAIRE |
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