Retained plastic foreign body in the orbit after blunt trauma: A case report
Intraorbital foreign bodies (IOFBs) are rare but potentially vision-threatening complications of orbital trauma, often presenting with subtle clinical signs despite significant underlying injury. We report the case of a 22-year-old male who sustained periorbital trauma after facial impact with a hig...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-09-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043325004893 |
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| author | Youssef Azouaghe Abdelmonim Belkacemi Saad Bouchlarhem Achraf Amine Sbai Drissia Benfadil Azeddine Lachkar Fahd El Ayoubi El Idrissi |
| author_facet | Youssef Azouaghe Abdelmonim Belkacemi Saad Bouchlarhem Achraf Amine Sbai Drissia Benfadil Azeddine Lachkar Fahd El Ayoubi El Idrissi |
| author_sort | Youssef Azouaghe |
| collection | DOAJ |
| description | Intraorbital foreign bodies (IOFBs) are rare but potentially vision-threatening complications of orbital trauma, often presenting with subtle clinical signs despite significant underlying injury. We report the case of a 22-year-old male who sustained periorbital trauma after facial impact with a high-velocity plastic projectile. Clinical examination revealed a penetrating wound at the medial canthus of the left orbit, with preserved visual acuity and normal intraocular pressure. Computed tomography identified a radiopaque foreign body embedded in the inferomedial orbital floor. Surgical removal via a transconjunctival approach led to complete extraction of a spherical plastic object, with uneventful recovery and no postoperative complications. This case underscores the diagnostic challenges posed by nonmetallic IOFBs and the critical role of CT imaging in orbital trauma. Management strategies depend on the nature, size, and location of the foreign body, as well as associated complications such as globe perforation, infection, or oculomotor dysfunction. Prompt surgical intervention is essential to prevent long-term ocular and functional sequelae. |
| format | Article |
| id | doaj-art-9de555a14f1742cca09e7cbb992fbe5c |
| institution | OA Journals |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-9de555a14f1742cca09e7cbb992fbe5c2025-08-20T02:36:45ZengElsevierRadiology Case Reports1930-04332025-09-012094395439910.1016/j.radcr.2025.05.056Retained plastic foreign body in the orbit after blunt trauma: A case reportYoussef Azouaghe0Abdelmonim Belkacemi1Saad Bouchlarhem2Achraf Amine Sbai3Drissia Benfadil4Azeddine Lachkar5Fahd El Ayoubi El Idrissi6Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco; Department of Otorhinolaryngology, Mohammed VI University Hospital Mohammed I University Oujda Oujda, Morocco; Corresponding author.Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco; Department of Otorhinolaryngology, Mohammed VI University Hospital Mohammed I University Oujda Oujda, MoroccoFaculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco; Department of Otorhinolaryngology, Mohammed VI University Hospital Mohammed I University Oujda Oujda, MoroccoFaculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco; Department of Otorhinolaryngology, Mohammed VI University Hospital Mohammed I University Oujda Oujda, Morocco; Laboratory of Oto-Neuro-Ophthalmology (LORNO), Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, MoroccoFaculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco; Department of Otorhinolaryngology, Mohammed VI University Hospital Mohammed I University Oujda Oujda, Morocco; Laboratory of Oto-Neuro-Ophthalmology (LORNO), Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, MoroccoFaculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco; Department of Otorhinolaryngology, Mohammed VI University Hospital Mohammed I University Oujda Oujda, Morocco; Laboratory of Oto-Neuro-Ophthalmology (LORNO), Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, MoroccoFaculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco; Department of Otorhinolaryngology, Mohammed VI University Hospital Mohammed I University Oujda Oujda, Morocco; Laboratory of Oto-Neuro-Ophthalmology (LORNO), Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, MoroccoIntraorbital foreign bodies (IOFBs) are rare but potentially vision-threatening complications of orbital trauma, often presenting with subtle clinical signs despite significant underlying injury. We report the case of a 22-year-old male who sustained periorbital trauma after facial impact with a high-velocity plastic projectile. Clinical examination revealed a penetrating wound at the medial canthus of the left orbit, with preserved visual acuity and normal intraocular pressure. Computed tomography identified a radiopaque foreign body embedded in the inferomedial orbital floor. Surgical removal via a transconjunctival approach led to complete extraction of a spherical plastic object, with uneventful recovery and no postoperative complications. This case underscores the diagnostic challenges posed by nonmetallic IOFBs and the critical role of CT imaging in orbital trauma. Management strategies depend on the nature, size, and location of the foreign body, as well as associated complications such as globe perforation, infection, or oculomotor dysfunction. Prompt surgical intervention is essential to prevent long-term ocular and functional sequelae.http://www.sciencedirect.com/science/article/pii/S1930043325004893Intraorbital foreign bodyOrbital traumaPlastic projectileComputed tomographySurgical extraction |
| spellingShingle | Youssef Azouaghe Abdelmonim Belkacemi Saad Bouchlarhem Achraf Amine Sbai Drissia Benfadil Azeddine Lachkar Fahd El Ayoubi El Idrissi Retained plastic foreign body in the orbit after blunt trauma: A case report Radiology Case Reports Intraorbital foreign body Orbital trauma Plastic projectile Computed tomography Surgical extraction |
| title | Retained plastic foreign body in the orbit after blunt trauma: A case report |
| title_full | Retained plastic foreign body in the orbit after blunt trauma: A case report |
| title_fullStr | Retained plastic foreign body in the orbit after blunt trauma: A case report |
| title_full_unstemmed | Retained plastic foreign body in the orbit after blunt trauma: A case report |
| title_short | Retained plastic foreign body in the orbit after blunt trauma: A case report |
| title_sort | retained plastic foreign body in the orbit after blunt trauma a case report |
| topic | Intraorbital foreign body Orbital trauma Plastic projectile Computed tomography Surgical extraction |
| url | http://www.sciencedirect.com/science/article/pii/S1930043325004893 |
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