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眶内木质异物漏诊

Missed Intra-Orbital Wooden Foreign Body.

作者信息

Sahu Sandip K, Mishra Priyadarshini, Kharolia Anjali

机构信息

Ophthalmology, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND.

出版信息

Cureus. 2022 Feb 10;14(2):e22078. doi: 10.7759/cureus.22078. eCollection 2022 Feb.

DOI:10.7759/cureus.22078
PMID:35295350
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8917425/
Abstract

Intra-orbital wooden foreign bodies (IOFB) are always a diagnostic challenge. Those are entered by unmarked trivial injuries, as in our case, may become even more difficult, and maybe notorious and remain quiescent for a long time, before presenting with a variety of complications. It may lead to a more diagnostic dilemma, which can especially occur with wooden foreign bodies (FB) due to the variable nature of radio-imaging. The lack of clinical suspicion may lead to a series of errors both in diagnosis and management, subjecting the patient to unnecessary intervention. In this case report, we will describe a missed wooden foreign body that, after a long quiescent period, presented as an intra-orbital mass.

摘要

眶内木质异物(IOFB)始终是一个诊断难题。这些异物是由未标记的轻微损伤进入眼眶的,就像我们这个病例一样,诊断可能会变得更加困难,而且可能声名狼藉并长时间保持静止状态,之后才会出现各种并发症。这可能导致更难诊断的困境,尤其是对于木质异物(FB),因为放射影像学表现具有多变性。缺乏临床怀疑可能会在诊断和处理上导致一系列错误,使患者接受不必要的干预。在本病例报告中,我们将描述一个被漏诊的木质异物,它在长时间静止后,表现为眶内肿块。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae2e/8917425/0ad87a10946e/cureus-0014-00000022078-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae2e/8917425/62c567e76e4e/cureus-0014-00000022078-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae2e/8917425/3254c5924b41/cureus-0014-00000022078-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae2e/8917425/0ad87a10946e/cureus-0014-00000022078-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae2e/8917425/62c567e76e4e/cureus-0014-00000022078-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae2e/8917425/3254c5924b41/cureus-0014-00000022078-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae2e/8917425/0ad87a10946e/cureus-0014-00000022078-i03.jpg

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本文引用的文献

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Foreign Body in the Orbital Floor: A Case Report.眶底异物:一例报告
J Maxillofac Oral Surg. 2015 Sep;14(3):832-5. doi: 10.1007/s12663-014-0708-7. Epub 2014 Oct 9.
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Two cases of retention of wooden foreign bodies in orbit of eye.两例眼眶内木质异物存留病例。
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Diagnosis and management of a wooden orbital foreign body: case report.木质眼眶异物的诊断与处理:病例报告
非金属眶内异物的临床特征、影像学表现及治疗策略:一项回顾性分析
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