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CASE REPORT
Year : 2021  |  Volume : 59  |  Issue : 4  |  Page : 385-387

Intraorbital wooden foreign body mimicking traumatic emphysema: An intriguing case report


1 Department of Ophthalmology, IMS and SUM Hospital, Bhubaneswar, Odisha, India
2 Department of Ophthalmology, LBK Medical College and Hospital, Saharsa, Bihar, India

Correspondence Address:
Dr. Jasmita Satapathy
Department of Ophthalmology, IMS and SUM Hospital, Bhubaneswar - 751 003, Odisha
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/tjosr.tjosr_46_21

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We report the case of a 73-year-old woman who sustained left orbital injury following a fall over a bush, 2 days ago. Computed tomography (CT) of the orbit demonstrated preseptal soft tissue swelling along with a low-attenuation streak of air density focus abutting inferior rectus muscle, mimicking emphysema. The presence of a wooden foreign body was suspected, and magnetic resonance imaging (MRI) was advised. Subsequently, a wood splinter measuring 26 mm × 6 mm was removed on surgical exploration. Low-density signals relative to surrounding orbital fat on CT scan should evoke suspicion of a retained wooden foreign body. Early clinical suspicion and adjunctive MRI scan would help in recurrence-free treatment.


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