Abstract
In March 2016, an 18-year-old left-handed male presented to our emergency department with a metal pipe penetrating intracranially through his right orbit (figure 1). The patient had been making an improvised firearm at home, when it backfired and dislodged the cylindrical barrel into his right eye socket. The patient was localizing only with the right upper extremity on arrival but did not follow commands. A CT scan demonstrated that 13.3 cm of the 23 cm metallic pipe extended through his right orbit though his anterior cranial fossa, into the middle cranial fossa (figure 2). Figure 1 Intraoperative demonstration of metallic pipe penetrating the right orbit. Permission to publish patient's imaging was obtained . Figure 2 (A) Skull X-ray demonstrating a 23 cm metallic pipe. (B) Three-dimensional view rendering with the removal of the top of the skull demonstrates penetration of the right orbit into the middle cranial fossa. 1. Removal of metal pipe followed by decompressive craniectomy. 2. Decompressive craniectomy followed by removal of the metal pipe. 3. Removal …
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.