Complications in transorbital penetrating injury by bamboo branch: A case report.

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.