Missed diagnosis of a wooden intra-orbital foreign body

Abstract

Intraorbital foreign bodies often present a confusing clinical picture. Wooden foreign bodies are notorious for remaining quiescent for a long time, before presenting with a variety of complications. The wound of entry may often be small and self-sealing. Wooden foreign bodies also show a propensity to break during attempted removal. Intraorbital wood is often not detected by standard diagnostic tests like the computed tomography scan, adding to the diagnostic dilemma. The presence of an intraorbital mass with a discharging sinus should evoke suspicion of a retained organic foreign body, regardless of the time interval between the trauma and current presentation. It is imperative to maintain a high index of suspicion in such cases to avoid misdiagnosis. We report an unusual case of a missed wooden intraorbital foreign body, which spontaneously extruded after five years.

Foreign Body in Sacral Region: Remaining Part of Knife After Stabbing

“…Gunshot pellets could remain at torax, abdomen and extremities. 3,4,5 Remaining foreign body after stabbing is a very rare condition. Our case has an sacral operation history after stabbing but a part of knife remained at sacrum.…”

An Interesting Case of Penetrating Craniofacial Trauma Involving a Wooden Stick

“…Precise and timely exploration is required to avoid postoperative complications like facial nerve injury, sialocele formation, otitis media and meningitis [5]. Complete removal of foreign body is of utmost importance as retained wooden pieces can lead to life threatening disastrous outcomes [6][7][8].…”

Unexpected Finding in Ocular Surface Trauma: A Large Intraorbital Foreign Body (Bullet)

“…once an intraorbital foreign body is discovered, the decision to remove it or observe it may depend on a variety of factors, such as its position (clinically silent objects located into the deeper orbit or orbital apex may be left alone, since their removal per se might put vital structures at risk), chemical composition (many metals, plastic material and stones may be inert in the orbit whereas organic material, such as wood, has a higher incidence of complications), potentially infectious nature or clinical effects (such as displacement or damage to vital anatomical structures) (1)(2)(3)(4). in the case presented in this report, the large size, associated clinical changes (such as the involvement with ocular motility), unknown chemical composition or infectious potential and the fear of erosion through the sclera (since the object was in contact with the ocular wall) were the reasons to decide its surgical removal.…”

“…introduction intraorbital foreign bodies are frequently encountered in clinical practice (1)(2)(3)(4). although the consequences from the presence of a foreign body within the orbit may be serious, sometimes their effects in the orbital and ocular tissues are much less severe than expected and depend on the location, size, chemical composition and associated damage to surrounding structures (1)(2)(3)(4).…”

“…although the consequences from the presence of a foreign body within the orbit may be serious, sometimes their effects in the orbital and ocular tissues are much less severe than expected and depend on the location, size, chemical composition and associated damage to surrounding structures (1)(2)(3)(4). often history referring to the nature and mechanism of injury may be enough to suggest the presence of a foreign body in the periocular tissues (2,3).…”