Intraorbital wooden foreign body, legacy of a notorious scrap: a case report

2021 ◽  
Vol 14 (4) ◽  
pp. e242885
Author(s):  
Sujeeth Modaboyina ◽  
Sahil Agrawal ◽  
Ragib Khan ◽  
Anju Bhari

Wooden foreign bodies are notorious to be fragile and get retained as bits and bobs in the orbit. A 50-year-old woman presented to casualty with complaints of loss of vision and pain in the right eye associated with discharge from a wound in right eye upper lid. On imaging, a wooden foreign body was seen as continuous track of air. Meticulous dissection and search were done to remove bits and bobs of the wood. Patient, however, after 15 days of primary surgery reported with pus collection over wound site. Keeping suspicion of remnant wooden body piece(s), imaging and further exploration were carried out, removal of a 1 cm residual wooden piece was done. Retained wooden foreign body should always be suspected in postoperative cases of intraorbital wooden foreign body with infection. A close follow-up and knowledge of the same stay useful to remove any needless apprehension both of patient and surgeon.

2005 ◽  
Vol 62 (2) ◽  
pp. 155-159
Author(s):  
Mirjana Nagulic ◽  
Bozidar Ilic ◽  
Igor Nikolic

Aim. The case of the phlegmon of the left orbit associated with ophtalmoplegia and blindness in a 16-years old boy was presented. It was caused by the penetrafion of the wooden foreign body under unknown circumstances. Case report. Repeated CT scans did not reveal the presence of the foreign body before MR imaging and ultrasonography. The removal (43 ? 8 mm) was done one month after the injury by osteoplastic orbitotomy, using microsurgical technique. Three months later the signs of inflammation and eye protrusion withdrew. Motility of the left upper lid and eye were normal. Conclusion. MR imaging and ultrasonography were decisive in the diagnose of organic foreign body in the orbit.


PEDIATRICS ◽  
1977 ◽  
Vol 59 (2) ◽  
pp. 303-304
Author(s):  
Donald B. Hawkins ◽  
Emily J. Kahlstrom ◽  
Eithne F. MacLaughlin ◽  
Monique F. Margetis

Foreign bodies in the airway often present problems for physicians who treat children. The following case report illustrates some of these problems. CASE REPORT A 6-year-old boy was admitted to the Pediatric Respiratory Disease Service of the Los Angeles County-University of Southern California Medical Center with a complaint of persistent nonproductive cough since awakening the morning of the previous day. He also had a history of discharge from his right nostril for eight months, at times foul-smelling. During this time, he had seen doctors on three occasions; twice antibiotics had been prescribed for sinus infection. He was in no distress, and demonstrated no respiratory difficulty.


Author(s):  
Lucia Kottferová ◽  
Ladislav Molnár ◽  
Peter Major ◽  
Juraj Toporčák ◽  
Lýdia Mesárčová ◽  
...  

Abstract This paper presents a clinical case report of a golden eagle (Aquila chrysaetos) with foreign bodies (stones) in its proventriculus. The case deals with the identification, management and removal of foreign objects identified in the gastrointestinal tract. A surgical removal by proventriculotomy under general anaesthesia was attempted. The surgery and the recovery were uneventful, and the follow-up after six months revealed no complications. To the best of our knowledge, there are no other reports of successful foreign body removal by proventriculotomy in the golden eagle.


2015 ◽  
Vol 1 (1) ◽  
pp. 51-54 ◽  
Author(s):  
Gopendra Prasad Deo ◽  
Prakash Chandra Majhi

Proper airway management is an important skill for an Anaesthesiologist. This case report deals with airway management performed in a forty five years lady, with impacted tooth brush in the retromolar region on the right side. She was intubated and the foreign body was removed surgically without any peri-operative complications. This case report discusses the complications and management of oropharyngeal injuries by stick-like foreign bodies such as a toothbrush or a chopstick. The article also focuses on basic airway management and some tracheal intubation techniques that may be performed to solve a difficult airway.Journal of Society of Anesthesiologists 2014 1(1): 51-54


2018 ◽  
Vol 10 (2) ◽  
pp. 176-179
Author(s):  
Anupam Singh ◽  
Madhubari Vathulya ◽  
S. K. Mittal ◽  
Ajai Agrawal ◽  
Barun Kumar ◽  
...  

Background: Foreign bodies of the orbit can have a diverse range of clinical presentations, which may be perplexing to the most Ophthalmologists. Wooden foreign bodies can remain quiescent for a long time, before presenting with various complications. We report a case of Post-traumatic chronic non-healing discharging sinus in the left upper lid, which on exploration revealed the presence of the missed wooden foreign body. Case: A 48-year-old male, presented to Ophthalmic OPD with  a complaint of discharge from the left upper eyelid for 18 months. The patient had a history of minor trauma to the left upper eyelid while collecting wood in the forest, 18 months back. The patient was misdiagnosed on previous examinations elsewhere. The diagnosis of retained wooden foreign body was made at our center and surgical exploration was done to remove the same. Observation: On clinical examination, there was a 2-3mm long sinus in the left upper eyelid with purulent discharge and granulation tissue. Surrounding skin showed hyperpigmentation and excoriation. CT scan orbit was inconclusive. MRI orbit revealed a peripherally enhancing extraconal/conal collection in the left orbit with a central hypo intense structure suggestive of a foreign body. Surgical exploration of the wound was done and a small wooden foreign body measuring 9mm was removed with excision of the sinus tract. Conclusion: A history of trauma followed by chronic discharging sinus should evoke suspicion of a retained foreign body. Prompt imaging, followed by surgical exploration should be done to prevent misdiagnosis and inappropriate management.


2019 ◽  
Vol 6 (11) ◽  
pp. 4152
Author(s):  
Sanjay G. Vaghani ◽  
Mansi J. Juneja ◽  
Priyank K. Katwala

Injuries to hand are common at work. Most of them are noticeable and can be managed. Complete foreign body removal depends on location and mechanism of injury. There are few reports of accidental injury by foreign body followed by delayed retrival of foreign body. We report this case of delayed removal of foreign body after 6 months hoping to expand the literature and to provide insight to prevent septic complications by early prompt detection and removal of foreign bodies.


2013 ◽  
Vol 23 (2) ◽  
pp. 47-49
Author(s):  
Mohammed Monowar Ul Haque ◽  
- Md Nizamuddin

Foreign body in the urinary bladder is not very common. It may occur by self insertion or migration from neighboring organs. It represents a urologic challenge which requires prompt management and should be treated as emergencies. Most of the foreign bodies in the urinary bladder can be successfully removed endoscopically. Sometimes open surgical procedure may require in removing the foreign body. Removal of foreign body from urinary bladder may be quite challenging requiring imaginations & high level surgical skills. Here we reported a case of 29 years old mentally retarded man with an intravesical foreign body. We successfully removed the foreign body by endoscopic procedure under general anesthesia. In post operative follow up there was no voiding problem & patient was advised for psychiatric consultation. JCMCTA 2012 ; 23 (2): 47-49


2020 ◽  
Vol 1 (1) ◽  
pp. 4-6
Author(s):  
Abdelgalil Ragab ◽  
Tarek Al Salhani ◽  
Sallam Taha ◽  
Eyad Darraj ◽  
Kamal Moustafa

A case of spontaneous pneumopericardium occurred in the patient after the aspiration of no sharp foreign body. The patient was sent to Operation Theater (OT), bronchoscopic extraction of the foreign body was performed, and the patient was stable postoperatively. Serial follow up X-rayswere done and showed resolving of the pneumopericardium.


Author(s):  
Humsheer Singh Sethi ◽  
Kamal Kumar Sen ◽  
Sudhansu Sekhar Mohanty ◽  
Sangram Panda ◽  
Kolluru Radha Krishna ◽  
...  

Abstract Background There has been a rapid rise in the number of COVID-19-associated rhino-orbital mucormycosis (CAROM) cases especially in South Asian countries, to an extent that it has been considered an epidemic among the COVID-19 patients in India. As of May 13, 2021, 101 CAROM cases have been reported, of which 82 cases were from India and 19 from the rest of the world. On the other hand, pulmonary mucormycosis associated with COVID-19 has a much lesser reported incidence of only 7% of the total COVID-19-associated mucormycosis cases (Singh AK, Singh R, Joshi SR, Misra A, Diab Metab Syndr: Clin Res Rev, 2021). This case report attempts to familiarize the health care professionals and radiologists with the imaging findings that should alarm for follow-up and treatment in the lines of CAROM. Case presentation Rhino-orbital mucormycosis (ROM) is a manifestation of mucormycosis that is thought to be acquired by inhalation of fungal spores into the paranasal sinuses. Here, we describe a 55-year-old male, post COVID-19 status with long standing diabetes who received steroids and ventilator therapy for the management of the viral infection. Post discharge from the COVID-19 isolation ICU, the patient complained of grayish discharge from the right nostril and was readmitted to the hospital for the nasal discharge. After thorough radiological and pathological investigation, the patient was diagnosed with CAROM and managed. Conclusion Uncontrolled diabetes and imprudent use of steroids are both contributing factors in the increased number of CAROM cases. Our report emphasizes on the radiological aspect of CAROM and reinforces the importance of follow-up imaging in post COVID-19 infection cases with a strong suspicion of opportunistic infections.


2021 ◽  
pp. 659-663
Author(s):  
Shimon Kurtz ◽  
Maayan Fradkin

We describe a case of Urrets-Zavalia syndrome (UZS) in a healthy 56-year-old woman who underwent femtosecond-assisted phacoemulsification with intraocular lens implantation in both eyes. One month after an uneventful postoperative course in the left eye, the right eye was operated. Dilated pupil which was nonreactive to light appeared on day 21 postoperatively. This was discovered upon examination following anterior chamber inflammatory reaction which occurred 2 weeks following her surgery. Our case report emphasizes the importance and danger in developing UZS even if the reaction in the anterior chamber does not occur immediately after surgery. In addition, the importance of intraocular pressure follow-up in the period after UZS is acknowledged.


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