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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| http://dx.doi.org/10.1097/MD.0000000000010706 | DOI Listing |
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