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Gunshot-like wound caused by sling shot injury - a case report
Naidu Vinuthinee1, Anuar Azreen-Redzal2, Jaafar Juanarita2
1Department of Ophthalmology, Hospital Sultanah Bahiyah, Alor Setar, Kedah, Malaysia ; Department of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Insights
A toddler sustained a rare gunshot-like forehead injury from a slingshot, resulting in a fractured orbital roof and brain contusion. Surgical removal of an embedded marble and antibiotics successfully treated the preseptal cellulitis.
Area of Science:
- Ophthalmology
- Pediatric Surgery
- Traumatology
Background:
- Slingshot injuries in children are uncommon but can cause severe trauma.
- Preseptal cellulitis is an infection of the eyelid and surrounding tissues, often seen in pediatric head injuries.
Abstract:
We report a rare case of sling shot injury that presented with a gunshot-like wound with preseptal cellulitis, in a toddler. An 11-month-old Malay child presented with a gunshot-like wound over the forehead following sling shot injury. On examination, he had a deep circular laceration wound over the forehead, measuring 2.0 cm in diameter, with minimal bleeding. There was no obvious foreign body seen inside the wound and no palpable foreign body surrounding the wound. The gunshot-like wound was associated with left preseptal cellulitis. A skull X-ray showed a white opaque foreign body in the left frontal bone. Computed tomography (CT) scan of orbit and brain revealed a left comminuted fracture of the left orbital roof, and left frontal brain contusion with prelesional edema. Wound exploration was performed and revealed a 0.5 cm unshattered marble embedded in the left frontal bone. The marble and bone fragments were removed. The left preseptal cellulitis responded well to intravenous antibiotic and topical antibiotic.
