scholarly journals Unusual intrathoracic foreign body: tree branch

2016 ◽  
Vol 49 (5) ◽  
pp. 345-346
Author(s):  
Diogo Goulart Corrêa ◽  
Tiago Medina Salata ◽  
Luiz Sérgio Carvalho Teixeira ◽  
Rafael Silveira Borges ◽  
Edson Marchiori
Keyword(s):  
2019 ◽  
Vol 11 (2) ◽  
pp. 85
Author(s):  
Marthinson A. Tombeng ◽  
Eko Prasetyo ◽  
Nico A. Lumintang ◽  
Maximillian Ch. Oley

Abstrak: Cedera tembus wajah dapat berbahaya karena adanya struktur-struktur penting pada wajah yang membutuhkan penanganan dengan cepat dan tepat. Benda asing organik dapat menyebabkan risiko tinggi infeksi luka. Kami memresentasikan suatu kasus yang jarang ditemukan yaitu seorang laki-laki berusia 19 tahun dengan luka tembus wajah oleh patahan cabang pohon akibat kecelakaan sepeda motor. Panjang cabang pohon 25 cm dengan diameter sekitar 4 cm, menembus melalui sisi depan kanan wajah, tepat di samping hidung, dan menjorok keluar melalui sudut kanan mandibula. Evaluasi dan penatalaksanaan cedera tembus wajah dilakukan mengikuti protokol ATLS. Tujuan penatalaksanaan cedera tembus wajah ialah mengeluarkan benda asing dengan trauma minimal pada struktur berdekatan dan mempertahankan fungsi dan penampilan yang normal. Pasien ini menjalani operasi darurat untuk pengangkatan benda asing dan eksplorasi luka dengan anestesi umum. Evaluasi pasca operasi tidak mendapatkan adanya perdarahan maupun tanda-tanda infeksi. Defisit neurologik pada wajah kanan diterapi secara konservatif dengan terapi fisik dan pulih sepenuhnya satu tahun pasca kecelakaan.Kata kunci: luka tembus, trauma wajah, cabang pohonAbstract: Penetrating facial injury can be dangerous because of the presence of important structures in the face which requires immediate and proper management. Organic foreign bodies may cause a high risk of wound infection. We present a case of a 19-year-old male with an unusual penetrating facial injury by a broken tree branch due to a motorcycle accident. The length of the tree branch was 25 cm with a diameter of approximately 4 cm, penetrating through the right anterior side of his face, just lateral to the nose, and protruding through the right angle of the mandible. The evaluation and management of the penetrating facial injury were performed in accordance with the ATLS protocol. The aim of the penetrating facial injuries management is to remove foreign body with minimal trauma to adjacent structures and to maintain the normal function and appearance. The patient underwent emergency surgery for removal of the foreign body and wound exploration under general anesthesia. In postoperative evaluation, there was not any bleeding or signs of infection. The neurological deficit in the right face was managed conservatively with physical therapy and was fully recovered in 1 year after the accident.Keywords: penetrating wound, facial trauma, tree branch


2021 ◽  
Author(s):  
Rupen Desai ◽  
Anja I Srienc ◽  
Robi N Maamari ◽  
Philip L Custer ◽  
David K Warren ◽  
...  

Abstract BACKGROUND AND IMPORTANCE Orbitocranial penetrating injury (OPI) is associated with neurological, infectious, and vascular sequalae. This report describes unique application of an orbitofrontal craniotomy through a supraciliary approach to remove a wooden stick penetrating through the orbit and frontal lobe, postoperative management, and antimicrobial therapy. CLINICAL PRESENTATION A 51-yr-old male presented after a tree branch penetrated beneath his eye. He had no loss of consciousness and was neurologically intact with preserved vision and ocular motility. Computed tomography (CT) and CT angiogram revealed an isodense hollow cylindrical object penetrating though the left orbit and left frontal lobe. The object extended into the right lateral ventricle, abutting the left anterior cerebral artery. There was minimal intraventricular hemorrhage without arterial injury. The patient was treated with broad-spectrum antimicrobial coverage. The foreign body was removed and the dural defect repaired via an orbitofrontal craniotomy through a supraciliary eyebrow incision. He was treated with an extended course of antimicrobial therapy, and after 18 mo remained neurologically intact. CONCLUSION OPI are a subset of penetrating brain injuries with potential for immediate injury to neurovascular structures and delayed complications including cerebrospinal fluid leak and infection. Treatment includes attempted complete removal of the foreign body and antimicrobial therapy. An orbitofrontal craniotomy through a supraciliary eyebrow incision may be effective in selected patients.


2007 ◽  
Vol 31 (2) ◽  
pp. 309-310
Author(s):  
Flora H.F. Tsang ◽  
Alan D.L. Sihoe ◽  
Lik-Cheung Cheng

2020 ◽  
Vol 26 (1) ◽  
Author(s):  
Peter O. Afolayan ◽  
E. H. Abdel Goad ◽  
Avikar Singh ◽  
Shaun Pillay

Abstract Background Holmium laser has been used primarily for lithotripsy, and on soft tissue and tumor. Its effect on wood has never been described in the literature. Here-in case we were able to successfully laser intravesical wood particles in a young male. Case presentation A 12-year-old boy was referred to our urology center following a history of recurrent urinary tract infection to which an intravesical foreign body was picked up upon investigation. Imaging studies of an abdominal ultrasound had revealed an intravesical foreign body. He was found to have a piece of wood in the bladder that was too big to be extracted through the cystoscope and was lasered into fragments. Conclusion Our case showed a more versatile use of the holmium laser and concluded that it can be used successfully on wood.


2019 ◽  
Vol 3 (2) ◽  
pp. 44-47
Author(s):  
Widiastuti Widiastuti ◽  
Susianto Djoko

Intra orbital wooden foreign body (IOWFB) injuries are common cause of visual loss. The diagnosis is difficult, it may be missed from the imaging perspective. A case series is reviewed between 2013 and 2017. Of the 4 cases, 3 were caused by tree branch and 1 by bamboo. The postoperative vision was improved in 75%, but not in 25% subjects due to optic nerve damage. To be strongly suspected intra orbital wooden foreign body when the intra orbital density below of the surrounding intra orbital fat on CT. All the intra orbital wooden foreign body were removed successfully without any complications.


Anaesthesia ◽  
2000 ◽  
Vol 55 (10) ◽  
pp. 1036-1037 ◽  
Author(s):  
A. Dutta ◽  
K. Jain ◽  
P. Chari
Keyword(s):  

1982 ◽  
Vol 15 (3) ◽  
pp. 553-559 ◽  
Author(s):  
Richard C. Bryarly ◽  
Frederick J. Stucker
Keyword(s):  

Swiss Surgery ◽  
2001 ◽  
Vol 7 (3) ◽  
pp. 139-140 ◽  
Author(s):  
Halkic ◽  
Wisard ◽  
Abdelmoumene ◽  
Vuilleumier

All manner of foreign bodies have been extracted from the bladder. Introduction into the bladder may be through self-insertion, iatrogenic means or migration from adjacent organs. Extraction should be tailored according to the nature of the foreign body and should minimise bladder and urethral trauma. We report a case of a bullet injury to the bladder, which finally presented as a gross hematuria after remaining asymptomatic for four years. We present here an alternative to suprapubic cystostomy with a large bladder foreign body treated via a combined transurethral unroofing followed by removal using a grasper passed through a suprapubic laparoscopic port.


2019 ◽  
Author(s):  
P Desai ◽  
M Kabrawala ◽  
R Mehta ◽  
P Kalra ◽  
C Patel ◽  
...  

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