Complications in transorbital penetrating injury by bamboo branch: A case report

RATIONALE: Wooden transorbital penetrating injury is an uncommon and serious trauma that may cause multiply complications. PATIENT CONCERNS: Here we describe a 62-year-old Chinese woman with a transorbital penetrating injury caused by a long bamboo branch. DIAGNOSIS: Computed tomography scan and magnetic resonance imaging showed the presence of a wooden foreign body. INTERVENTIONS: Cerebrovascular digital subtraction angiography and temporary balloon occlusion were performed with general anesthesia. Anti-inflammatory therapy was subsequently administered. OUTCOMES: Retention of wooden foreign body, orbital cellulitis, and traumatic aneurysm at the right internal carotid artery were diagnosed 1 month later. Coil embolization of the right internal carotid artery aneurysm and endoscopic sinus surgery were then performed, and postoperative condition was monitored and recorded. LESSONS: Penetrating transorbital injury complications may occur because of retained wooden foreign bodies near the intracranial arteries. Reasonable surgical intervention and special attention should be performed in this kind of trauma.