Post-traumatic chronic discharging orbital sinus: An interesting case report

Abstract

We report a rare case of a chronic discharging orbital sinus with retained multiple pieces of wooden stem. A 50-year-old male presented with swelling and discharge of 8 months duration on the medial aspect of right upper lid following a fall. Magnetic resonance imaging (MRI) showed presence of a foreign body granuloma. Orbital exploration revealed presence of multiple fragments of plant stems. Removal of these stem pieces along with granulation tissue resulted in resolution of his symptoms. The patient, on retrospective enquiry, gave the history of presence of Parthenium plants in the area where he fell. This case report highlights the need to suspect a retained foreign body in the presence of a non-healing wound.