Challenging intraorbital foreign body: a case report

MedPharmRes ◽  
2021 ◽  
Vol 5 (4) ◽  
pp. 1-4
Author(s):  
Nam Thanh Nguyen ◽  
Bao Hong Tran

Purpose: To report a case of large intraorbital foreign body after a trauma. Case report: A 38-year-old male patient admitted to hospital because of blurry vision and pain in left eye after being hit by a windscreen wiper on left eye (OS). Lid laceration was treated in a tertiary center before the patient was admitted to Ho Chi Minh City Eye Hospital with diagnosis orbital cellulitis and intraorbital foreign body of OS. High dose of antibiotics had been indicated before he underwent surgery to remove the foreign body. The foreign body was made of plastic, 7×10×35mm in size with many edges and adjacent to the orbital apex. Conclusion: Taking history and trauma mechanism carefully may aid to early diagnosis and appropriate treatment to a patient with intraorbital foreign body. CT-scan images of the orbit, the globe, the sinuses and the cranial bones not only help locate the foreign body, but also aid to find out injuries of adjacent structures.

Author(s):  
Khairullah Anuar

<p class="abstract">Durian is known as the king of fruits. Its seed is an uncommon foreign body impaction on the larynx. A 23-year-old male alleged that durian seed stuck in the throat while eating. He was having difficulty breathing with bouts of coughing. He had a failed Heimlich manoeuvre and rushed to emergency department and subsequently the seed expelled after bouts of violent coughing. Flexible nasopharyngolaryngoscopy was done and showed the arytenoids was swollen, erythematous laryngeal surface of the epiglottis, inflamed inner surface of right anterior and left true chords, ventricles and the false chords. Close observation with intravenous dexamethasone and intravenous antibiotic is paramount in managing the patient. Durian seed impaction on the larynx is rare. This case report showed the function of the larynx as the protective or the watch dog for any foreign body. The endoscopic findings highly suggestive the lodgement of the foreign body on the laryngeal inlet and the appropriate treatment is important in managing such cases.</p>


2017 ◽  
Vol 68 (3) ◽  
pp. 240-244
Author(s):  
Sumiyo Saburi ◽  
Yoichiro Sugiyama ◽  
Hideki Bando ◽  
Ryuichi Hirota ◽  
Yasuo Hisa ◽  
...  

ORL ro ◽  
2016 ◽  
Vol 1 (1) ◽  
pp. 48-50
Author(s):  
Adina A. Zamfir-Chiru-Anton ◽  
D.C. Gheorghe

The authors present the case of a 4-year-old child admitted to the ENT Department with possible pulmonary foreign body aspiration. A detailed history revealed a clinical picture that seemed to depict an absence episode (with partial loss of conscience and cianosis) occured when eating, less the symptomes of a respiratory foreign body. Diagnosis needed full respiratory endoscopy and neurologic evaluation for correct assesment and effective therapy approach.


Neurographics ◽  
2017 ◽  
Vol 7 (6) ◽  
pp. 486-488
Author(s):  
S.I. Kamel ◽  
P.A. McCue ◽  
S. Pelosi ◽  
M. Wolf ◽  
K.S. Talekar

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.


2021 ◽  
pp. 112067212110065
Author(s):  
Satria Audi Hutama ◽  
Firas Farisi Alkaff ◽  
Ryan Enast Intan ◽  
Citra Dewi Maharani ◽  
Luki Indriaswati ◽  
...  

Introduction: Ocular symptoms are uncommon manifestations of coronavirus disease 2019 (COVID-19) infection. Earlier study reported that dry eye, blurred vision, foreign body sensation, tearing, itching, conjunctival secretion, conjunctival congestion, ocular pain, and photophobia are among the ocular symptoms that could be found in COVID-19 patients. However, there are only a few reports available regarding corneal involvement in this disease. Here we report a case of keratoconjunctivitis as the only symptom of COVID-19 infection. Case description: A 27-year-old man who worked as an obstetrics and gynecology resident came to the outpatient clinic with the chief complaints of eye discomfort, foreign body sensation, conjunctival hyperemia, lacrimation, and photophobia in his right eye for the past 3 weeks. Fluorescence test showed a small corneal lesion. The patient was then diagnosed with keratoconjunctivitis. A week after the treatment, all symptoms were resolved. A month later, the patient came to the emergency room with the same eye complaints but with a more severe pain. The fluorescence test showed wider corneal lesion compared to last month. The result from the corneal swab is negative for bacterial or fungal infection, indicating a viral infection. Afterwards, reverse transcriptase polymerase chain reaction test from nasopharyngeal swab was performed and revealed that the patient was positive for COVID-19. Conclusions: This case report showed that keratoconjunctivitis may occur as the only manifestation of COVID-19 infection. Thus, patient presented with unexplainable eye symptoms should be evaluated for COVID-19 infection.


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