NR 3-4/2003

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Ciała obce w oczodole pierwotnie
zdiagnozowane jako złamanie bocznej ściany oczodołu
Orbital foreign body misdiagnosed as orbital lateral
wall fracture
Edward Wylęgała, Bogusława Orzechowska-Wylęgała
Z Oddziału Okulistycznego Okręgowego Szpitala Kolejowego w Katowicach
Ordynator: dr n. med. Edward Wylęgała |
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| Summary: |
54 years old male presented with an injury to the face. As a
result of this incident, some pieces of glass were penetrating into the left orbit. Total
ophthalmoplegia and hematoma with exophthalmus in the left orbit were observed. The
difficulties of radiology and clinical diagnosis was described. The circumstances of
accident were wrong reported by the patient. Radiograms and computed tomography (CT) were
misdiagnosed. As a result of theses, it was necessary to perform two times operation. The
best useful but not ideally in diagnostic was NMR. Consultation and collaboration with
oculist, radiologist, neurologist and maxillofacial surgeon is often useful. |
| Słowa kluczowe: |
ciała obce wenątrzoczodołowe, diagnostyka urazów oczodołu. |
| Key words: |
intraorbital foreign body, orbital trauma diagnosis. |
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