Occult Orbital Injury with Dagger Fragment with Resulting Pneumocephalus
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...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Ophthalmological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2018/5093417 |
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| author | Lucía Jáñez-García Enrique Mencía-Gutiérrez Esperanza Gutiérrez-Díaz Luis F. Moreno-García-Rubio Laura Zarratea-Herreros Álvaro Bengoa-González Silvia Pérez-Trigo |
| author_facet | Lucía Jáñez-García Enrique Mencía-Gutiérrez Esperanza Gutiérrez-Díaz Luis F. Moreno-García-Rubio Laura Zarratea-Herreros Álvaro Bengoa-González Silvia Pérez-Trigo |
| author_sort | Lucía Jáñez-García |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-55a1fadfa2a14d2caffbc91a4ff5a7b1 |
| institution | Kabale University |
| issn | 2090-6722 2090-6730 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Ophthalmological Medicine |
| spelling | doaj-art-55a1fadfa2a14d2caffbc91a4ff5a7b12025-02-03T01:01:49ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302018-01-01201810.1155/2018/50934175093417Occult Orbital Injury with Dagger Fragment with Resulting PneumocephalusLucía Jáñez-García0Enrique Mencía-Gutiérrez1Esperanza Gutiérrez-Díaz2Luis F. Moreno-García-Rubio3Laura Zarratea-Herreros4Álvaro Bengoa-González5Silvia Pérez-Trigo6Ophthalmology Department, 12 de Octubre Hospital, Complutense University, 28041 Madrid, SpainOphthalmology Department, 12 de Octubre Hospital, Complutense University, 28041 Madrid, SpainOphthalmology Department, 12 de Octubre Hospital, Complutense University, 28041 Madrid, SpainOphthalmology Department, 12 de Octubre Hospital, Complutense University, 28041 Madrid, SpainOphthalmology Department, 12 de Octubre Hospital, Complutense University, 28041 Madrid, SpainOphthalmology Department, 12 de Octubre Hospital, Complutense University, 28041 Madrid, SpainOphthalmology Department, 12 de Octubre Hospital, Complutense University, 28041 Madrid, SpainPenetrating 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.http://dx.doi.org/10.1155/2018/5093417 |
| spellingShingle | Lucía Jáñez-García Enrique Mencía-Gutiérrez Esperanza Gutiérrez-Díaz Luis F. Moreno-García-Rubio Laura Zarratea-Herreros Álvaro Bengoa-González Silvia Pérez-Trigo Occult Orbital Injury with Dagger Fragment with Resulting Pneumocephalus Case Reports in Ophthalmological Medicine |
| title | Occult Orbital Injury with Dagger Fragment with Resulting Pneumocephalus |
| title_full | Occult Orbital Injury with Dagger Fragment with Resulting Pneumocephalus |
| title_fullStr | Occult Orbital Injury with Dagger Fragment with Resulting Pneumocephalus |
| title_full_unstemmed | Occult Orbital Injury with Dagger Fragment with Resulting Pneumocephalus |
| title_short | Occult Orbital Injury with Dagger Fragment with Resulting Pneumocephalus |
| title_sort | occult orbital injury with dagger fragment with resulting pneumocephalus |
| url | http://dx.doi.org/10.1155/2018/5093417 |
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