Intraorbital wood foreign bodies on CT: use of wide bone window settings to distinguish wood from air.

Intraorbital wooden foreign body: clinical analysis of 32 cases, a 10-year experience

“…[13] However, bone window with parameters of 4000 HU width/400 HU level and simultaneous axial and coronal imaging is certainly more effective for detecting IOWFB (Fig. 3).…”

“…3). [13,14] Thus, CT is currently the gold standard for detecting IOWFB with its additional advances over the other imaging modalities (i.e., cheaper, more available, fast result, suitable in children). However, it is important that radiologists be informed regarding the width and level settings when there is a suspicion of IOWFB.…”

Impalement Injury by a Wooden Branch

“…A typical history and the patients presenting with pain and general instability normally lead directly to the diagnosis of a perforating injury and subsequent search for foreign bodies. While diagnostic difficulties are mainly reported in ophthalmologic and neurosurgical pediatric cases [3,[6][7][8], a misestimated injury as in the presented case has, to our knowledge, not been described in the literature yet. Here, the history of a fall was already suspicious, but the patient who was completely stable and cooperative and had presented himself walking into the emergency room denied an impalement and only reported an injury to his buttock caused by a wooden branch when sliding down a cherry tree.…”

“…These difficulties are also described in the literature with special reference to wooden branches, pencils, and splinters of wood [7,8]. Depending on the water content and the type of wood, the CT appearance varies and the structures could be mistaken for muscle, water, fat, or air.…”

“…Though various case studies of penetrating trauma to the head, chest or abdomen are present in the literature [3][4][5][6][7][8], reports on a combined pelvio-abdomino-thoracic penetration are rare, especially in respect to secondary diagnosis.…”