Juxtapontine abscess around a retained wooden fragment following a penetrating eye injury: surgical management via a transtentorial approach

2012 ◽  
Vol 9 (1) ◽  
pp. 103-107 ◽  
Author(s):  
Sunil K. Gupta ◽  
Alok A. Umredkar
Keyword(s):  
Foreign Body ◽  
Brain Abscess ◽  
Surgical Management ◽  
Penetrating Injury ◽  
Eye Injury ◽  
Retained Foreign Body ◽  
Penetrating Eye Injury ◽  
Wooden Foreign Body ◽  
Transtentorial Approach

Penetrating injury through the orbit with a retained intracranial wooden foreign body is rare. The authors report the case of a child with a juxtapontine brain abscess secondary to a retained foreign body. The pitfalls in diagnosis and the surgical management for removal of the wooden fragment and drainage of the abscess are discussed.

Delayed brain abscess related to a retained foreign body with culture of Clostridium bifermentans

1986 ◽  
Vol 64 (5) ◽  
pp. 813-815 ◽  
Author(s):  
Terrence L. Pencek ◽  
Kim J. Burchiel
Keyword(s):  
Foreign Body ◽  
Brain Abscess ◽  
Surgical Management ◽  
Foreign Bodies ◽  
Intracranial Abscess ◽  
Content Type ◽  
Retained Foreign Body ◽  
Organism Growth ◽  
Clostridium Bifermentans ◽  
Fine Print

✓ Although it is well documented that retained foreign bodies are associated with delayed intracranial abscess, there are few reports of anaerobic organism growth. A case is presented in which a left parieto-occipital abscess surrounded a metallic fragment implanted when a mortar shell exploded in Vietnam 15 years before. The diagnostic evaluation and surgical management of this case are presented.

scholarly journals 25-Gauge Vitrectomy in Open Eye Injury with Retained Foreign Body

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
G. Sborgia ◽  
N. Recchimurzo ◽  
A. Niro ◽  
L. Sborgia ◽  
A. Sborgia ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Foreign Body ◽  
Clinical Status ◽  
Case Series ◽  
Eye Injury ◽  
Retained Foreign Body ◽  
Open Globe ◽  
Open Globe Injuries ◽  
25 Gauge Vitrectomy

Purpose. Ocular trauma with retained foreign body is an important cause of visual impairment in working-age population. Clinical status impacts on the timing and planning of surgery. In the last year small gauge vitrectomy has become safer and more efficient, extending the range of pathologies successfully treated.Aims. To evaluate the safety and outcomes in patients with open eye injury with retained foreign body that underwent early 25-gauge vitrectomy.Methods. In this retrospective, noncomparative, interventional case series, we performed 25-gauge vitrectomy on 10 patients affected by open globe injuries with retained foreign body, over 3 years. We analyzed age, wound site, foreign body characteristics, ocular lesions correlated, relative afferent pupillary defect, visual acuity, and intraocular pressure. Follow-up evaluations were performed at 1, 3, and 6 months. According to the clinical status we performed other procedures to manage ocular correlated lesions.Results. The median age of patients was 37 years. The foreign body median size was 3.5 mm (size range, 1 to 10 mm). 25-gauge vitrectomy was performed within 12 hours of trauma. Foreign body removal occurred via a clear corneal or scleral tunnel incision or linear pars plana scleral access. Visual acuity improved in all patients. Endophthalmitis was never reported. Only two cases reported postoperative ocular hypertension resolved within the follow-up. Retinal detachment recurred in one case only.Conclusions. 25-gauge vitrectomy could be considered as early approach to manage open globe injuries with a retained posterior segment foreign body in selected cases with good outcomes and low complication rate.

scholarly journals NON MISSILE PENETRATING INJURY OF SPINE WITH RETAINED FOREIGN BODY

1999 ◽  
Vol 55 (4) ◽  
pp. 348-350 ◽  
Author(s):  
PRAKASH SINGH ◽  
SARV SARUP ◽  
AP SINGH ◽  
AK SHARMA
Keyword(s):  
Foreign Body ◽  
Penetrating Injury ◽  
Retained Foreign Body

scholarly journals Intracerebellar Penetrating Injury and Abscess Due to a Wooden Foreign Body. Case Report.

2000 ◽  
Vol 40 (9) ◽  
pp. 458-462 ◽  
Author(s):  
Eiichi ISHIKAWA ◽  
Kotoo MEGURO ◽  
Kiyoyuki YANAKA ◽  
Takashi MURAKAMI ◽  
Kiyoshi NARUSHIMA ◽  
...  
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Penetrating Injury ◽  
Wooden Foreign Body ◽  
Body Case

Ocular siderosis resulting from a retained intralenticular metallic foreign body

2020 ◽  
Vol 13 (6) ◽  
pp. e235228
Author(s):  
Rafal Nowak
Keyword(s):  
Foreign Body ◽  
Cataract Surgery ◽  
Foreign Bodies ◽  
Ferrous Metal ◽  
Intraocular Foreign Body ◽  
Eye Injury ◽  
Metallic Foreign Body ◽  
X Ray ◽  
Penetrating Eye Injury ◽  
Potential Factor

Intraocular foreign bodies are a potential factor threatening with loss of vision. The development of cataract and symptoms of ocular siderosis are the most common signs of ferrous metal entering the eye. We present a case of a 45-year-old man who reported to the hospital for planned cataract surgery. He denied the possibility of any past eye injury. Despite this, apart from the cataract, X-ray and CT scans confirmed the presence of an intralenticular foreign body and symptoms of ocular siderosis. Cataract surgery was successfully performed using phacoemulsification, and the metallic foreign body was removed. Intraocular foreign body symptoms may be overlooked by patients and even physicians and may occur with considerable delay. Hence, in patients with indirect symptoms of penetrating eye injury, the presence of an intraocular foreign body should not be ruled out, even if the patient denies this possibility.

Orbital tumour or a retained foreign body? An uncommon case of missed diagnosis

2021 ◽  
pp. 004947552098125
Author(s):  
Anju Rastogi ◽  
Tanvi Gaonker ◽  
Shweta Dhiman ◽  
Ketaki Rajurkar
Keyword(s):  
Foreign Body ◽  
Delayed Presentation ◽  
Inflammatory Infiltration ◽  
Orbital Tumour ◽  
Retained Foreign Body ◽  
Oral Steroids ◽  
Wooden Foreign Body ◽  
Missed Diagnosis ◽  
Uncommon Case ◽  
One Year

We report a case who presented with decreased vision, significant hypotropia, proptosis and gross limitation of extraocular motility for one year. Suspecting an orbital tumour, we asked for a computed tomography of the orbit which revealed a mass lesion in the inferior orbit. However, incisional biopsy reported inflammatory infiltration. Diagnosing it as orbital inflammatory disease, a course of oral steroids was given for four weeks. It was only after the reduction in inflammation that a foreign body was palpable in the inferior fornix. Surgical exploration revealed a large wooden foreign body measuring 3.3 × 1 × 0.3 cm. Though intraorbital foreign bodies are not rare, ambiguous history, delayed presentation and nonspecific CT findings made this case diagnostically challenging.

Bamboo in the brain: Impalement injury over orbito-cranial region via superior orbital fissure

2021 ◽  
Vol 18 (2) ◽  
pp. 71-75
Author(s):  
Bibesh Pokhrel ◽  
Amit Thapa
Keyword(s):  
Foreign Body ◽  
Penetrating Injury ◽  
Temporal Region ◽  
Temporal Fossa ◽  
Contrast Enhanced Ct ◽  
Contrast Enhanced ◽  
Multiple Imaging ◽  
Enhanced Ct ◽  
History Of ◽  
Wooden Foreign Body

Intracranial wooden foreign bodies due to transorbital penetrating injury sparing orbital globe are relatively rare with no reported cases till date. A multidisciplinary approach with multiple imaging modalities is needed for preoperative surgical planning. In this case report, we report a case of 3-year-old male who presented to our emergency department with history of fall from 5 feet with no vision over right eye. ~2cm cut injury with sutures in situ was present over nasal ridge with pus discharge. CT scan head showed foreign body over temporal region. Right fronto-temporo-orbito-zygomatic craniotomy with removal of foreign body was done. Deep seated abscess seen over temporal fossa was evacuated and post-operatively intravenous antibiotics was continued. Contrast enhanced CT repeated on 15th post-operative day showed no remaining abscess or foreign body. The patient was discharged on oral antibiotics. The wound healed completely with no improvement of vision in 1-week follow-up. Keywords: brain abscess, orbito-cranial penetrating injury, wooden foreign body

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