Imaging and surgical approach to a pediatric penetrating intradural wooden splinter: case report

2018 ◽  
Vol 21 (4) ◽  
pp. 409-413
Author(s):  
Gabrielle Santangelo ◽  
Jonathan Stone ◽  
Tyler Schmidt ◽  
G. Edward Vates ◽  
Howard Silberstein ◽  
...  
Keyword(s):  
Foreign Body ◽  
Spinal Injury ◽  
Cauda Equina ◽  
Prophylactic Antibiotics ◽  
Csf Leak ◽  
Wood Floor ◽  
Penetrating Wound ◽  
Retained Foreign Body ◽  
Lower Back ◽  
Wooden Foreign Body

Penetrating spinal injuries by wood are infrequently reported. They are particularly rare in children. Only 6 cases of wooden fragments causing penetrating intradural spinal injury have been reported. The authors report a case of a 3-year-old girl who suffered a penetrating wound on her lower back after sliding on a wood floor. A portion of the extraspinal part of the wooden splinter was removed prior to presentation; however, a high suspicion for retained foreign body was maintained. Findings on CT were equivocal, but the diagnosis was confirmed on MRI. An incomplete cauda equina syndrome was noted on examination. She was taken to the operating room for removal of the wooden foreign body, repair of a durotomy, and repair of a CSF leak. At 8 months after surgery, the patient had fully recovered without sequelae. The roles of imaging modalities, prophylactic antibiotics, and surgery are discussed.

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.

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.

Nonmissile penetrating spinal injury

2006 ◽  
Vol 4 (5) ◽  
pp. 400-408 ◽  
Author(s):  
Kiarash Shahlaie ◽  
Dongwoo John Chang ◽  
John T. Anderson
Keyword(s):  
Foreign Body ◽  
English Language ◽  
Stab Wound ◽  
Spinal Injury ◽  
Medical Center ◽  
Case Reports ◽  
Case Series ◽  
Surgical Removal ◽  
Management Options ◽  
Retained Foreign Body

✓ Nonmissile penetrating spinal injuries (NMPSIs) are rare, even among the population of patients treated in large trauma centers. Patients who present with retained foreign body fragments due to stabbings represent an even smaller subset of NMPSI, and their optimal management is unclear. The authors report the case of a 42-year-old man who presented to the University of California at Davis Medical Center with a retained knife blade after suffering a stab wound to the lower thoracic spine. They discuss this case in the context of a literature review and propose management options for patients with NMPSIs in whom fragments are retained. A search of PubMed was undertaken for articles published between 1950 and 2006; the authors found 21 case reports and eight case series in the English-language literature but discovered no published guidelines on the management of cases of NMPSI with retained fragments. After clinicians undertake appropriate initial trauma evaluation and resuscitation, they should obtain plain x-ray films and computerized tomography scans to delineate the anatomical details of the retained foreign body in relation to the stab wound. Neurosurgical consultation should be undertaken in all patients with an NMPSI, whether or not foreign body fragments are present. Surgical removal of a retained foreign body is generally recommended in these patients because the fragments may lead to a worse neurological outcome. Perioperative antibiotic therapy may be beneficial, but the result depends on the nature of the penetrating agent. There is no documentation in the literature to support the use of steroid agents in patients with NMPSIs.

Intraorbital Wooden Foreign Body with Intracranial Extension : A Case Report

2018 ◽  
Vol 44 (1) ◽  
pp. 4
Author(s):  
Amanda N Shinta ◽  
Purjanto Tepo Utomo ◽  
Agus Supartoto
Keyword(s):  
Visual Acuity ◽  
Foreign Body ◽  
Frontal Lobe ◽  
Vital Sign ◽  
Intracranial Extension ◽  
Ocular Motility ◽  
Light Perception ◽  
Bone Segment ◽  
Wooden Foreign Body ◽  
Wooden Stick

Purpose : The aim of this study is to report a case of intraorbital wooden foreign body with intracranial extension to the frontal lobe and its management. Method : This is a descriptive study: A 53 year-old male referred due to wooden stick stucked in the orbital cavity causing protruding eyeball and vital sign instability. Result : Right eye examination revealed light perception visual acuity, with bad light projection and bad color perception, inwardly folded upper eyelid, proptosis, conjunctival chemosis, corneal erosion and edema, dilated pupil with sluggish pupillary light reflex and limited ocular movement in all direction. Vital sign was unstable with decreasing blood pressure, increasing temperature and heart rate. CT Scan showed complete fracture of the orbital roof due to penetration of the wooden stick, pneumoencephalus, cerebral edema and hematoma. Emergency craniotomy was performed to remove the penetrating wooden stick and bone segment in the frontal lobe and fracture repair. Ophthalmologist pulled the remaining stick, released the superior rectus muscle and repaired the lacerated eyelid. Outcome visual acuity was no light perception with lagophthalmos and limited ocular motility. Patient was admitted to Intensive Care Unit one day post-operatively and treated with systemic and topical antibiotic. Conclusion : Any case presenting with intraorbital foreign body must undergo immediate neuroimaging to exclude any intracranial extension, especially in patients with worsening general condition.

scholarly journals Intraorbital wooden foreign body detected by computed tomography and magnetic resonance imaging

2016 ◽  
Vol 30 (1) ◽  
pp. 88-91 ◽  
Author(s):  
Alfredo Di Gaeta ◽  
Francesco Giurazza ◽  
Eugenio Capobianco ◽  
Alvaro Diano ◽  
Mario Muto
Keyword(s):  
Computed Tomography ◽  
Foreign Body ◽  
Magnetic Resonance ◽  
Delayed Diagnosis ◽  
Clinical History ◽  
Definitive Diagnosis ◽  
Double Vision ◽  
Resonance Imaging ◽  
Wooden Foreign Body ◽  
The Right

To identify and localize an intraorbital wooden foreign body is often a challenging radiological issue; delayed diagnosis can lead to serious adverse complications. Preliminary radiographic interpretations are often integrated with computed tomography and magnetic resonance, which play a crucial role in reaching the correct definitive diagnosis. We report on a 40 years old male complaining of pain in the right orbit referred to our hospital for evaluation of eyeball pain and double vision with an unclear clinical history. Computed tomography and magnetic resonance scans supposed the presence of an abscess caused by a foreign intraorbital body, confirmed by surgical findings.

scholarly journals Managing a wooden foreign body in the neck

2009 ◽  
Vol 2 (3) ◽  
pp. 191 ◽  
Author(s):  
RakeshKumar Singh ◽  
Sangita Bhandary ◽  
Prahlad Karki
Keyword(s):  
Foreign Body ◽  
Wooden Foreign Body
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