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Intraorbital wooden foreign body (IOFB): mimicking air on CT

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Abstract

We report the case of a 41-year-old man who presented to the ER following a fall in his back garden during which he sustained a left orbital injury. Computed tomography (CT) demonstrated an intraorbital linear lucency surrounded by haziness in the intraconal fat. An intraocular wooden twig was confirmed during subsequent surgery. The possibility of a wooden intraorbital foreign body should be strongly suspected following orbital trauma when there is intraorbital density below that of the surrounding intraorbital fat on CT, as this may mimic organic foreign bodies.

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References

  1. Boncoeur-Martel MP, Adenis JP, Rulfi JY, Robert PY, Dupuy JP, Maubon A (2001) CT appearances of chronically retained wooden intraorbital foreign bodies. Neuroradiology 43(2):165–168

    Article  PubMed  CAS  Google Scholar 

  2. Fulcher TP, McNab AA, Sullivan TJ (2002) Clinical features and management of intraorbital foreign bodies. Ophthalmology 109(3):494–500

    Article  PubMed  Google Scholar 

  3. Wessberg GA, Wolford LM, Zerdecki JW, Epker BN (1981) Ophthalmologic considerations in maxillofacial trauma. Anatomy and diagnostic evaluation. Int J Oral Surg 10(4):236–246

    Article  PubMed  CAS  Google Scholar 

  4. Cartwright MJ, Kurumety UR, Frueh BR (1995) Intraorbital wood foreign body. Ophthal Plast Reconstr Surg 11(1):44–48

    Article  PubMed  CAS  Google Scholar 

  5. Ho VT, McGuckin JF, Smergel EM (1996) Intraorbital wooden foreign body: CT and MR appearance. AJNR Am J Neuroradiol 17:134–136

    PubMed  CAS  Google Scholar 

  6. McGuckin JF, Akhtar N, Ho VT, Smergel EM, Kubacki EJ, Villafana T (1996) CT and MR evaluation of a wooden foreign body in an in vitro model of the orbit. AJNR Am J Neuroradiol 17:129F–133F

    Google Scholar 

  7. Green BF, Kraft SP, Carter KD, Buncic JR, Nerad JA, Armstrong D (1990) Intraorbital wood. Detection by magnetic resonance imaging. Ophthalmology 97(5):608–611

    PubMed  CAS  Google Scholar 

  8. Rubinstein A, Riddell CE, Kafil-Hussain N, Assaf A (2005) Self-inserted intra-orbital foreign bodies. Ophthalm Plast Reconstr Surg 21(2):156–157

    Article  Google Scholar 

  9. Howe L, Jones NS (2004) Guidelines for the management of periorbital cellulitis/abscess. Clin Otolaryngol 29(6):725–728

    Article  PubMed  CAS  Google Scholar 

  10. Michon J, Liu D (1994) Intraorbital foreign bodies. Semin Ophthalmol 9(3):193–199

    PubMed  CAS  Google Scholar 

  11. Prokesch R, Lakits A, Scholda C, Bankier A, Ba-Ssalamah A, Imhof H (1998) Spiral CT and conventional CT in the preoperative imaging of intraocular metal foreign bodies. Radiologe 38(8):667–673

    Article  PubMed  CAS  Google Scholar 

  12. Lakits A, Steiner E, Scholda C, Kontrus M (1998) Evaluation of intraocular foreign bodies by spiral computed tomography and multiplanar reconstruction. Ophthalmology 105(2):307–312

    Article  PubMed  CAS  Google Scholar 

  13. Lakits A, Prokesch R, Scholda C, Bankier A (1999) Orbital helical computed tomography in the diagnosis and management of eye trauma. Ophthalmology 106(12):2330–2335

    Article  PubMed  CAS  Google Scholar 

  14. Lagalla R, Manfre L, Caronia A, Bencivinni F, Duranti C, Ponte F (2000) Plain film, CT and MRI sensibility in the evaluation of intraorbital foreign bodies in an in vitro model of the orbit and in pig eyes. Eur Radiol 10(8):1338–1341

    Article  PubMed  CAS  Google Scholar 

  15. Papadopoulos A, Fotinos A, Maniatis V, Kavadias S, Michaelides A, Avouri M, Kalamara C, Stringaris K (2001) Assessment of intraocular foreign bodies by helical-CT multiplanar imaging. Eur Radiol 11(8):1502–1505

    Article  PubMed  CAS  Google Scholar 

  16. Otto PM, Otto RA, Virapongse C, Friedman SM, Emerson S, Li KC, Malot R, Kaude JV, Staab EV (1992) Screening test for detection of metallic foreign objects in the orbit before magnetic resonance imaging. Invest Radiol 27(4):308–311

    Article  PubMed  CAS  Google Scholar 

  17. Tate E, Cupples H (1981) Detection of orbital foreign bodies with computed tomography: current limits. AJR Am J Roentgenol 137:493–495

    PubMed  CAS  Google Scholar 

  18. Guckel C (1988) Possible computed tomographic and magnetic resonance tomographic detection of wood foreign bodies following perforating eye injuries. Radiologe 28(7):334–337

    PubMed  CAS  Google Scholar 

  19. Nabili S, Ferguson AW, Gamble P, Zealley IA, MacEwen CJ (2006) The ophthalmo-meningeal foramen masquerading as an intraocular foreign body. Emerg Med J 23(7):e41

    Article  PubMed  CAS  Google Scholar 

  20. Bhavsar AR, Fong DS, Kerman B, Yoshizumi MO (1997) Intraorbital air simulating an intraocular foreign body. Am J Ophthalmol 123(6):835–837

    PubMed  CAS  Google Scholar 

  21. LoBue TD, Deutsch TA, Lobick J, Turner DA (1988) Detection and localization of nonmetallic intraocular foreign bodies by magnetic resonance imaging. Arch Ophthalmol 106(2):260–261

    PubMed  CAS  Google Scholar 

  22. Karcioglu ZA, Nasr AM (1998) Diagnosis and management of orbital inflammation and infections secondary to foreign bodies: a clinical review. Orbit 17(4):247–269

    Article  PubMed  Google Scholar 

  23. Ho VH, Wilson MW, Fleming JC, Haik BG (2004) Retained intraorbital metallic foreign bodies. Ophthal Plast Reconstr Surg 20(3):232–236

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Imaging Department, City Hospital, Birmingham, UK

    O. O. Adesanya & Denise M. Dawkins

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  1. O. O. Adesanya
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  2. Denise M. Dawkins
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Correspondence to O. O. Adesanya.

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Adesanya, O.O., Dawkins, D.M. Intraorbital wooden foreign body (IOFB): mimicking air on CT. Emerg Radiol 14, 45–49 (2007). https://doi.org/10.1007/s10140-007-0576-2

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  • DOI: https://doi.org/10.1007/s10140-007-0576-2

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