Occult Orbitocranial Penetrating Pencil Injury in a Child

Transorbital slow-penetrating injury is an uncommon type of head injury that is seen more often in the pediatric age group. This type of injury can be occult, which is often associated with serious complications. We report on a 4-year-old female who presented with orbital swelling after an unwitness...

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Main Authors: Faisal Al-Otaibi, Saleh Baeesa
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2012/716791
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author Faisal Al-Otaibi
Saleh Baeesa
author_facet Faisal Al-Otaibi
Saleh Baeesa
author_sort Faisal Al-Otaibi
collection DOAJ
description Transorbital slow-penetrating injury is an uncommon type of head injury that is seen more often in the pediatric age group. This type of injury can be occult, which is often associated with serious complications. We report on a 4-year-old female who presented with orbital swelling after an unwitnessed right orbital injury following a fall on her face at her school. Three days after injury, the presence of a foreign body was discovered on imaging study when she presented with orbital swelling and purulent discharges. She recovered well after surgical and medical management. This paper sheds light on the importance of high suspicion for the presence and early surgical management of a penetrating foreign body.
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publishDate 2012-01-01
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series Case Reports in Surgery
spelling doaj-art-0a32e02f3fc744c28138acd63a72e1382025-08-20T03:55:27ZengWileyCase Reports in Surgery2090-69002090-69192012-01-01201210.1155/2012/716791716791Occult Orbitocranial Penetrating Pencil Injury in a ChildFaisal Al-Otaibi0Saleh Baeesa1Division of Neurological Surgery, Neurosciences Department, King Faisal Specialist Hospital and Research Center, Riyadh 11211, Saudi ArabiaDivision of Neurological Surgery, Faculty of Medicine, King Abdulaziz University, P.O. Box 3354, Jeddah 21589, Saudi ArabiaTransorbital slow-penetrating injury is an uncommon type of head injury that is seen more often in the pediatric age group. This type of injury can be occult, which is often associated with serious complications. We report on a 4-year-old female who presented with orbital swelling after an unwitnessed right orbital injury following a fall on her face at her school. Three days after injury, the presence of a foreign body was discovered on imaging study when she presented with orbital swelling and purulent discharges. She recovered well after surgical and medical management. This paper sheds light on the importance of high suspicion for the presence and early surgical management of a penetrating foreign body.http://dx.doi.org/10.1155/2012/716791
spellingShingle Faisal Al-Otaibi
Saleh Baeesa
Occult Orbitocranial Penetrating Pencil Injury in a Child
Case Reports in Surgery
title Occult Orbitocranial Penetrating Pencil Injury in a Child
title_full Occult Orbitocranial Penetrating Pencil Injury in a Child
title_fullStr Occult Orbitocranial Penetrating Pencil Injury in a Child
title_full_unstemmed Occult Orbitocranial Penetrating Pencil Injury in a Child
title_short Occult Orbitocranial Penetrating Pencil Injury in a Child
title_sort occult orbitocranial penetrating pencil injury in a child
url http://dx.doi.org/10.1155/2012/716791
work_keys_str_mv AT faisalalotaibi occultorbitocranialpenetratingpencilinjuryinachild
AT salehbaeesa occultorbitocranialpenetratingpencilinjuryinachild