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Open Access 01-12-2012 | Case report

Peri-orbital foreign body: a case report

Authors: Antonio Moretti, Melissa Laus, Domenico Crescenzi, Adelchi Croce

Published in: Journal of Medical Case Reports | Issue 1/2012

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Abstract

Introduction

Foreign bodies inside the orbital cavity are rare. They can cause more or less serious complications, depending on their nature and size.

Case presentation

We report a case of a work-related accident involving a peri-orbital foreign body. The patient was a 50-year-old Caucasian man whose face was injured on the right side while he was working with an agricultural machine. On admission, he was fully conscious and did not have any neurological deficits. He had no loss of vision or ocular motility, but had a laceration of the lateral side of his right upper eyelid. A computed tomographic scan revealed a 6-cm-long bended metal object lodged in the lateral bulbar space of the right orbit. The patient recovered well after surgery and a course of antibiotic therapy.

Conclusion

The original aspects of this case are the singularity of the foreign body and its relative harmlessness in spite of its large size.
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Literature
1.
go back to reference Al-Mujaini A, Al-Senawi R, Ganesh A, Al-Zuhaibi S, Al-Dhuhli H: Intraorbital foreign body: clinical presentation, radiological appearance and management. Sultan Qaboos Univ Med J. 2008, 8: 69-74.PubMedPubMedCentral Al-Mujaini A, Al-Senawi R, Ganesh A, Al-Zuhaibi S, Al-Dhuhli H: Intraorbital foreign body: clinical presentation, radiological appearance and management. Sultan Qaboos Univ Med J. 2008, 8: 69-74.PubMedPubMedCentral
2.
go back to reference Fulcher TP, McNab AA, Sullivan TJ: Clinical features and management of intraorbital foreign bodies. Ophthalmology. 2002, 109: 494-500. 10.1016/S0161-6420(01)00982-4.CrossRefPubMed Fulcher TP, McNab AA, Sullivan TJ: Clinical features and management of intraorbital foreign bodies. Ophthalmology. 2002, 109: 494-500. 10.1016/S0161-6420(01)00982-4.CrossRefPubMed
3.
go back to reference Green BF, Kraft SP, Carter KD, Buncic JR, Nerad JA, Armstrong D: Intraorbital wood: detection by magnetic resonance imaging. Ophthalmology. 1990, 97: 608-611.CrossRefPubMed Green BF, Kraft SP, Carter KD, Buncic JR, Nerad JA, Armstrong D: Intraorbital wood: detection by magnetic resonance imaging. Ophthalmology. 1990, 97: 608-611.CrossRefPubMed
4.
go back to reference Ho VT, McGuckin JF, Smergel EM: Intraorbital wooden foreign body: CT and MR appearance. AJNR Am J Neuroradiol. 1996, 17: 134-136.PubMed Ho VT, McGuckin JF, Smergel EM: Intraorbital wooden foreign body: CT and MR appearance. AJNR Am J Neuroradiol. 1996, 17: 134-136.PubMed
5.
go back to reference Erkutlu I, Alptekin M, Dokur M, Geyik M, Gök A: Unusual penetration of a construction nail through the orbit to the cranium: a case report. Ulus Travma Acil Cerrahi Derg. 2011, 17: 79-82. 10.5505/tjtes.2011.49092.CrossRefPubMed Erkutlu I, Alptekin M, Dokur M, Geyik M, Gök A: Unusual penetration of a construction nail through the orbit to the cranium: a case report. Ulus Travma Acil Cerrahi Derg. 2011, 17: 79-82. 10.5505/tjtes.2011.49092.CrossRefPubMed
6.
go back to reference de Santana Santos T, Rocha Melo A, Araújo de Moraes HHA, Almeida P, Dourado E: Impacted foreign in orbital region: review of nine cases. Arq Bras Oftalmol. 2010, 73: 438-442. 10.1590/S0004-27492010000500010.CrossRef de Santana Santos T, Rocha Melo A, Araújo de Moraes HHA, Almeida P, Dourado E: Impacted foreign in orbital region: review of nine cases. Arq Bras Oftalmol. 2010, 73: 438-442. 10.1590/S0004-27492010000500010.CrossRef
7.
go back to reference Hudson DA: Impacted knife injuries of the face. Br J Plast Surg. 1992, 45: 222-224. 10.1016/0007-1226(92)90082-9.CrossRefPubMed Hudson DA: Impacted knife injuries of the face. Br J Plast Surg. 1992, 45: 222-224. 10.1016/0007-1226(92)90082-9.CrossRefPubMed
8.
go back to reference Kreutz RW, Bear SH: Selective emergency arteriography in cases of penetrating maxillofacial trauma. Oral Surg Oral Med Oral Pathol. 1985, 60: 18-22. 10.1016/0030-4220(85)90207-5.CrossRefPubMed Kreutz RW, Bear SH: Selective emergency arteriography in cases of penetrating maxillofacial trauma. Oral Surg Oral Med Oral Pathol. 1985, 60: 18-22. 10.1016/0030-4220(85)90207-5.CrossRefPubMed
9.
go back to reference Harris AMP, Wood RE, Nortjè CJ, Grotepass F: Deliberately inflicted, penetrating injuries of the maxillofacial region (Jael's syndrome): report of 4 cases. J Craniomaxillofac Surg. 1988, 16: 60-63.CrossRefPubMed Harris AMP, Wood RE, Nortjè CJ, Grotepass F: Deliberately inflicted, penetrating injuries of the maxillofacial region (Jael's syndrome): report of 4 cases. J Craniomaxillofac Surg. 1988, 16: 60-63.CrossRefPubMed
10.
go back to reference Cohen MA, Boyes-Varley G: Penetrating injuries to the maxillofacial region. J Oral Maxillofac Surg. 1986, 44: 197-202. 10.1016/0278-2391(86)90108-4.CrossRefPubMed Cohen MA, Boyes-Varley G: Penetrating injuries to the maxillofacial region. J Oral Maxillofac Surg. 1986, 44: 197-202. 10.1016/0278-2391(86)90108-4.CrossRefPubMed
11.
go back to reference Bray LC, Griffiths PG: The value of plain radiography in suspected intraocular foreign body. Eye (Lond). 1991, 5: 751-754. 10.1038/eye.1991.138.CrossRef Bray LC, Griffiths PG: The value of plain radiography in suspected intraocular foreign body. Eye (Lond). 1991, 5: 751-754. 10.1038/eye.1991.138.CrossRef
12.
go back to reference Wilson WB, Dreisbach JN, Lattin DE, Stears JC: Magnetic resonance imaging of nonmetallic orbital foreign bodies. Am J Ophthalmol. 1988, 105: 612-617.CrossRefPubMed Wilson WB, Dreisbach JN, Lattin DE, Stears JC: Magnetic resonance imaging of nonmetallic orbital foreign bodies. Am J Ophthalmol. 1988, 105: 612-617.CrossRefPubMed
13.
go back to reference Ziode M, Mallek A, Delaval C, Goudot P, Yachouh J: [Vegetable foreign body of the infratemporal fossa: a case report] [in French]. Rev Stomatol Chir Maxillofac. 2009, 110: 236-238. 10.1016/j.stomax.2009.01.006.CrossRef Ziode M, Mallek A, Delaval C, Goudot P, Yachouh J: [Vegetable foreign body of the infratemporal fossa: a case report] [in French]. Rev Stomatol Chir Maxillofac. 2009, 110: 236-238. 10.1016/j.stomax.2009.01.006.CrossRef
14.
go back to reference Cooper WC, Haik BG, Brazzo BG: Management of orbital/foreign bodies. Smith's Ophthalmic Plastic and Reconstructive Surgery. Edited by: Nesi FA, Levine MR, Lisman RD. 1998, St Louis: Mosby, 260-269. 2 Cooper WC, Haik BG, Brazzo BG: Management of orbital/foreign bodies. Smith's Ophthalmic Plastic and Reconstructive Surgery. Edited by: Nesi FA, Levine MR, Lisman RD. 1998, St Louis: Mosby, 260-269. 2
15.
go back to reference Fulcher TP, McNab AA, Sullivan TJ: Clinical features and management of intraorbital foreign bodies. Ophthalmology. 2002, 109: 494-500. 10.1016/S0161-6420(01)00982-4.CrossRefPubMed Fulcher TP, McNab AA, Sullivan TJ: Clinical features and management of intraorbital foreign bodies. Ophthalmology. 2002, 109: 494-500. 10.1016/S0161-6420(01)00982-4.CrossRefPubMed
Metadata
Title
Peri-orbital foreign body: a case report
Authors
Antonio Moretti
Melissa Laus
Domenico Crescenzi
Adelchi Croce
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2012
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-6-91