An unusual penetrating transorbital craniocerebral injury

Abstract

Penetrating injury of skull and brain are relatively uncommon injuries representing about 0.4% of all head injuries. We are reporting a case of penetrating transorbital craniocerebral injury due to domestic appliance. A 47 year middle aged female sustained penetrating orbitocerebral injury when malfunctioned pressure cooker exploded during cooking. The CT scan shows the metallic foreign body inside the left orbit resembling pressure regulator valve of pressure cooker with fracture of orbital wall and basifrontal contusion. Patient was operated. Removal of the foreign body with evisceration of left eye was done. Postoperative complication dealt successfully and patient recovers fully.

In literature transorbital craniocerebral injury with variety of unusual object are reported like bicycle brakes, chop stick, metal bar, hunting arrow, ceramic stone but due to pressure regulator valve of malfunctioned domestic appliance is not reported so far and this may be first case of such a rare type of mode of injury.

Keywords

Penetrating - Transorbital - Craniocerebral injury - Pressure regulator valve injury

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