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Unusual presentation of more common disease/injury: Unusual intraorbital foreign body

机译:不常见的常见疾病/伤害表现:不常见的眶内异物

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摘要

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.
机译:兹介绍了一名41岁患者,创伤后晚期无任何主要体征或症状。经放射学检查,在眶底发现了异物。令我们惊讶的是,异物的进入点与其大小不成比例。此外,异物的轨迹和最终位置与患者症状较少的表现不符。在进行了充分的检查后,对患者进行了全身麻醉,以发现额外的异物,这使大多数术前询问都没有问题。回顾该案例,强调不仅需要射线照相和CT扫描,还需要借助超声检查和MRI排除任何异物,以防眼眶穿透性损伤。

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