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Complications in transorbital penetrating injury by bamboo branch: A case report
Lei Feng1, Xiaojun He, Jie Chen
1Eye Center, the Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou Editorial Department of Chinese Journal of Emergency Medicine, The Second Hospital of Zhejiang University Medical College Department of Ophthalmology, The First Hospital of Jiaxing City Department of Radiology, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, PR China.
Rationale:
Wooden transorbital penetrating injury is an uncommon and serious trauma that may cause multiply complications.
Patient Concerns:
Here we describe a 62-year-old Chinese woman with a transorbital penetrating injury caused by a long bamboo branch.
Diagnosis:
Computed tomography scan and magnetic resonance imaging showed the presence of a wooden foreign body.
Interventions:
Cerebrovascular digital subtraction angiography and temporary balloon occlusion were performed with general anesthesia. Anti-inflammatory therapy was subsequently administered.
Outcomes:
Retention of wooden foreign body, orbital cellulitis, and traumatic aneurysm at the right internal carotid artery were diagnosed 1 month later. Coil embolization of the right internal carotid artery aneurysm and endoscopic sinus surgery were then performed, and postoperative condition was monitored and recorded.
Lessons:
Penetrating transorbital injury complications may occur because of retained wooden foreign bodies near the intracranial arteries. Reasonable surgical intervention and special attention should be performed in this kind of trauma.
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