Srirangam Ramesh, Gokhale Suvarna K, Kulkarni Adwait Uday, Gadre Kiran S
Department of Maxillofacial Surgery, Bharati Vidyapeeth Dental University, Pune, Maharashtra, India.
BMJ Case Rep. 2012 Aug 13;2012:bcr1220115377. doi: 10.1136/bcr-12-2011-5377.
A case of a 41-year-old patient presenting late post-trauma with out any major signs or symptoms is presented herewith. On radiological investigation, a peculiar foreign body was identified in the orbital floor. To our surprise the point of entry of the foreign body was not proportionate with the size of it. Moreover, the trajectory and final location of foreign body did not concur with the symptom less presentation of patient. After what was thought to be adequate investigation, the patient was taken under general anaesthesia to reveal an additional foreign body that put most of the preoperative queries to rest. This case in retrospect emphasises the need for ruling out foreign body in the case of any penetrating injury of orbit with the help of not just radiographs and CT scans but also ultrasonography and MRI.
本文介绍了一例41岁患者，创伤后出现较晚且无任何主要体征或症状。经影像学检查，在眶底发现一个奇特的异物。令我们惊讶的是，异物的入口点与异物大小不成比例。此外，异物的轨迹和最终位置与患者无症状表现不一致。在进行了认为足够的检查后，患者接受全身麻醉，结果发现了另一个异物，这消除了大多数术前疑问。回顾该病例强调，对于眼眶任何穿透伤，不仅需要借助X光片和CT扫描，还需要超声检查和MRI来排除异物。
