DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20203476

An intraorbital foreign body with paradoxical radiological interpretations to dive in or not? a surgeon’s dilemma

Arup Deuri, Bikram Dam, Naveen Kumar

Abstract


A 10-year-old girl presented to our O.P.D. with intra-orbital trauma. On radiological workup following admission, USG B Scan, MRI Brain and 3D reconstructed faciomaxillary imaging were indeterminate for presence of foreign body, whereas CT scan showed a hyperdense lesion suggestive of intra-orbital foreign body. In this condition of imaging dilemma, surgical exploration was decided since there was no improvement in clinical symptoms via lateral orbital approach. Two small wooden pieces were detected in orbital exploration. This case highlights the role of history taking, clinical judgement in all cases of intraorbital tumour more so in paediatric population than solely going by the investigative modalities.


Keywords


Intra-orbital trauma, Radiological workup, Wooden foreign body

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References


Fulcher TP, McNab AA, Sullivan T. Clinical features and management of infraorbital foreign bodies. Ophthalmology. 2002 Mar; 109(3):494-500.

Green BF, Kraft SP, Carter KD, Buncic JR, Nerad JA, Armstrong D. Intraorbital wood. Detection by magnetic resonance imaging. Ophthalmolology. 1990 May; 97(5):608-11.

Cartwright MJ, Kurumety UR, Frueh BR. Intraorbital wood foreign body. Ophthalmic plastic Reconstructive Surg. 1995 Mar;11(1):44-8.

Finkelstein M, Legmann A, Rubin PA. Projectile metallic foreign bodies in the orbit: a retrospective study of epidemiologic factors, management, and outcomes. Ophthalmology. 1997 Jan 1;104(1):96-103.

Ho VT, McGuckin JF, Smergel EM. Intraorbital wooden foreign body: CT and MR appearance. American J Neuroradiol. 1996 Jan 1;17(1):134-6.

Bartkowski SB, Kurek M, Stypulkowska J, Krzystkowa KM, Zapala J. Foreign bodies in the orbit: review of 20 cases. J Maxillofacial Surgery. 1984 Jan 1;12:97-102.

Sitaula S, Gautam V. Intraorbital wooden foreign body: a case report. J Kathmandu Med Coll. 2014;3:119-21.

Loporchio D, Mukkamala L, Gorukanti K, Zarbin M, Langer P, Bhagat N. Intraocular foreign bodies: a review. Survey Ophthalmol. 2016 Sep 1;61(5):582-96.

Orbitocranial wooden foreign body: a pre-, intra-, and postoperative chronicle: case report.Dunn IF, Kim DH, Rubin PA, Blinder R, Gates J, Golby AJNeurosurgery. 2009 Aug; 65(2):E383-4; discussion E384.

Adesanya OO, Dawkins DM. Intraorbital wooden foreign body (IOFB): mimicking air on CT. Emergency Radiol. 2007 May 1;14(1):45-9.

Yamashita K, Noguchi T, Mihara F, Yoshiura T, Togao O, Yoshikawa H, Honda H. An intraorbital wooden foreign body: description of a case and a variety of CT appearances. Emergency Radiol. 2007 May 1;14(1):41-3.

Michon J, Liu D. Intraorbital foreign bodies. In Seminars in Ophthalmol. 1994 Jan 1;9(3):193-9.