A Case Report of Penetrating Extremity Trauma: A Near Miss Encounter

Introduction: In penetrating injuries, neurovascular structures are the main concern as they can be damaged either at the point of injury or are at risk of iatrogenic damage during exploration. Lapse in planning and a hasty attempt at retrieval in the emergency, often results in retention of a part of the foreign body. In this case report, we emphasize the need for exploration in the operating room to prevent potential complications from missed foreign body. Case Report: A 24-year-old motorcyclist involved in a road traffic collision was received at our trauma center, with a foreign object sticking out from his lower third right arm. On clinical exam, there were no distal neurovascular deficits. A radiograph was taken and the patient was shifted to the theater. On exploration, the foreign body was removed with gentle manipulation after careful debridement, along its path of insertion. Only localized muscle injury was noted. All the surrounding neurovascular structures were intact. At 3 weeks, wound had healed with no residual symptoms. Conclusion: Penetrating trauma is notorious for neurovascular injuries and therefore a meticulous history taking, clinical exam, and planning is vital. Exploration in the operating room is a must for complete and safe retrieval of the foreign body. Keywords: Penetrating trauma, foreign body, surgical exploration, retrieval.

Download Full-text

An unusual case of foreign body pulmonary embolus: case report and review of penetrating trauma at a pediatric trauma center

Pediatric Surgery International ◽

10.1007/s00383-015-3659-2 ◽

2015 ◽

Vol 31 (3) ◽

pp. 241-247 ◽

Cited By ~ 3

Author(s):

Laura A. Boomer ◽

Daniel J. Watkins ◽

Julie O’Donovan ◽

Brian D. Kenney ◽

Andrew R. Yates ◽

...

Keyword(s):

Case Report ◽

Foreign Body ◽

Trauma Center ◽

Pulmonary Embolus ◽

Unusual Case ◽

Pediatric Trauma ◽

Penetrating Trauma ◽

Pediatric Trauma Center

Download Full-text

Siderosis bulbi resulting from an intraocular metalic foreign body: case report

Revista de Medicina da UFC ◽

10.20513/2447-6595.2017v57n1p63-65 ◽

2017 ◽

Vol 57 (1) ◽

pp. 63

Author(s):

Ricardo Evangelista Marrocos de Aragao ◽

Ieda Maria Alexandre Barreira ◽

Gustavo Jose Arruda Mendes Carneiro ◽

Nayara Queiroz Cardoso Pinto ◽

Talles Peterson Cavalcante Oria ◽

...

Keyword(s):

Case Report ◽

Foreign Body ◽

Degenerative Change ◽

Penetrating Trauma ◽

Eye Protection ◽

Threatening Condition ◽

Ocular Retention ◽

Siderosis Bulbi ◽

Body Case

Siderosis bulbi is a sight-threatening condition characterized by a pigmentary and degenerative change in the eye that follows the intra-ocular retention of a foreign body containing iron. The main cause of ocular siderosis is penetrating trauma mostly by hammering a steel object without or with poor eye protection. Herein, we report a case of siderosis bulbi after penetrating trauma that was lately treated with vitrectomy to remove the foreign body, and despite treatment resulted in ocular globe atrophy.

Download Full-text

A nearly missed foreign body in frontal sinus: case report

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20200164 ◽

2020 ◽

Vol 6 (2) ◽

pp. 425

Author(s):

Nurul Alya Binti Azwan ◽

Ram Kumar Sharma Shanmugam ◽

Kong Yin Teng

Keyword(s):

Case Report ◽

Foreign Body ◽

Maxillary Sinus ◽

Paranasal Sinuses ◽

Frontal Sinus ◽

Road Traffic Accident ◽

Traffic Accident ◽

Foreign Bodies ◽

Road Traffic ◽

Dental Procedures

<p class="abstract">Foreign body in paranasal sinus is rare. Very few cases have been reported of lodgement of foreign body in paranasal sinuses. Garces and Norris reported that 70% of these foreign bodies usually appeared after maxillofacial traumas and 30% appeared during or after dental procedures of maxilla. Foreign bodies are less common in the frontal sinus as compared to maxillary sinus. This is a case of foreign body in frontal sinus in an eighteen-year-old gentleman after a road traffic accident.</p>

Download Full-text

An unusual case of penetrating head injury following road traffic accident

Asian Journal of Medical Sciences ◽

10.3126/ajms.v6i5.12329 ◽

2015 ◽

Vol 6 (5) ◽

pp. 75-77

Author(s):

Mithilesh Kumar Pandey ◽

Kaushik Roy ◽

Gaurab Chaudhuri ◽

Suniti Kumar Saha

Keyword(s):

Foreign Body ◽

Road Traffic Accident ◽

Traffic Accident ◽

Road Traffic ◽

Past History ◽

Infratemporal Fossa ◽

Penetrating Trauma ◽

Neck Region ◽

History Of ◽

Radiolucent Foreign Body

A 35 year old male was presented with discharging sinus at left frontozygomatic region with trismus for last 1 month. The patient had a past history of penetrating trauma in the vicinity of the left frontozygomatic area following road traffic accident 6 months back. 3D-CT skull was showed a linear dense radiolucent foreign body obliquely placed in the left temporal and infratemporal fossa. Trismus due to trauma usually follows road accidents leading to massive faciomaxillary injury. But in this case an initial minor penetrating injury was presented trismus in delayed fashion. The aero digestive tract is the commonest site involved in foreign body lodgement in head and neck region. However the lodgement of foreign-body in an area of infratemporal fossa with unusual symptoms of trismus is quite rare and only few cases have been reported in the literature so far following a road traffic accident.DOI: http://dx.doi.org/10.3126/ajms.v6i5.12329 Asian Journal of Medical Sciences Vol.6(5) 2015 75-77

Download Full-text

A Near Brush with Death: A Case Report on Oral Foreign Body Impalement

Case Reports in Acute Medicine ◽

10.1159/000499078 ◽

2019 ◽

Vol 2 (1) ◽

pp. 13-17 ◽

Cited By ~ 1

Author(s):

Rachel Christner ◽

Marisa Homer ◽

Oliver Atar ◽

Brian Hynes

Keyword(s):

Emergency Department ◽

Case Report ◽

Foreign Body ◽

Emergency Room ◽

Operating Room ◽

Pediatric Patient ◽

Pediatric Patients ◽

Conscious Sedation ◽

Upper Airway

We describe a case of an 11-month-old baby presenting to the emergency room with a foreign body in the upper airway. After unsuccessfully attempting to remove the foreign body in the emergency department, the otolaryngologist was consulted. The patient was taken to the operating room, and a comb was successfully removed under conscious sedation. This case illustrates the need of a well-considered strategy for managing the airway of a pediatric patient with a foreign body, while also demonstrating the unique challenges of treating pediatric patients.

Download Full-text

Neuroimaging of a Wooden Foreign Body Retained for 5 Months in the Temporalis Muscle Following Penetrating Trauma with a Chopstick —Case Report—

Neurologia medico-chirurgica ◽

10.2176/nmc.39.744 ◽

1999 ◽

Vol 39 (11) ◽

pp. 744-747 ◽

Cited By ~ 16

Author(s):

Hidenobu OCHIAI ◽

Yuzo YAMAKAWA ◽

Tsuyoshi FUKUSHIMA ◽

Hiroki YAMADA

Keyword(s):

Case Report ◽

Foreign Body ◽

Penetrating Trauma ◽

Temporalis Muscle ◽

Wooden Foreign Body

Download Full-text

Penetrating craniofacial trauma from a vice clamp: case report and discussion

CJEM ◽

10.2310/8000.2011.100221 ◽

2011 ◽

Vol 13 (01) ◽

pp. 57-61 ◽

Cited By ~ 2

Author(s):

Colleen Kjelland ◽

Warren Thirsk

Keyword(s):

Case Report ◽

Foreign Body ◽

Intracranial Pressure ◽

Airway Management ◽

Facial Trauma ◽

Increased Intracranial Pressure ◽

Local Structures ◽

Craniofacial Trauma ◽

Neurovascular Structures

ABSTRACTPenetrating craniofacial trauma, although uncommon, has a high potential for death or serious morbidity from injury to vital neurovascular structures. An in situ facial foreign body, particularly if large, presents significant challenges beyond safe and timely removal. Airway management, stabilization of the object, management of increased intracranial pressure, and identification of injuries to local structures are all issues that may require addressing. We present a case of penetrating facial trauma from a vice clamp, with an in situ foreign body, that illustrates several of these challenges and provides a forum for their discussion.

Download Full-text

Penetrating trauma to the facial skeleton by pickaxe – case report

Polish Journal of Surgery ◽

10.1515/pjs-2016-0027 ◽

2016 ◽

Vol 88 (1) ◽

Author(s):

Aneta Neskoromna-Jędrzejczak ◽

Katarzyna Bogusiak ◽

Aleksander Przygoński ◽

Dariusz Timler

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Foreign Body ◽

Penetrating Trauma ◽

Treatment Method ◽

Common Reason ◽

Facial Skeleton ◽

Orbital Cavity ◽

The World ◽

The Right

AbstractNumber of deaths related with injuries suffered as a result of experienced traumas is increasing. Penetrating traumas of the facial skeleton occur relatively rarely and much more often concern rather children than adults. Epidemiology relating this kind of trauma differs depending on the region of the world. In Poland, gunshot injuries as well as traumas caused by explosions of firecrackers or fireworks amount only to a slight percentage among all facial skeleton traumas, and the most common reason for penetrating traumas lies in accidents or assault with the use of sharp, narrow and long objects that easily enter bones of the facial skeleton.The present study reported the case of 50-year-old man who suffered from trauma of the facial skeleton, which resulted from foreign body (pickaxe) penetration into the subtemporal area, zygomatic arch and the right orbital cavity. The surgical treatment method and final outcome was presented and discussed.

Download Full-text