We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Abdominal wall haematoma in the obese: a dangerous phenomenon.
- Authors
Hammond, D.; Grew, N.; Z. Khan
- Abstract
Inferior 'trapdoor' orbital floor fractures with muscle and soft tissue incarceration are the most common type of orbital fracture in children. Delays to treatment can lead to a significant morbidity. It has been recommended that children who present with a 'white-eyed blowout' fracture should have surgery performed within 48 h of diagnosis, otherwise prognosis is poor. A 14-year-old boy was initially misdiagnosed with a head injury due to the minor appearance of his orbital injury and his presenting complaint of nausea and vomiting. This resulted in a significant delay to surgery. The oculovagal reflex associated with orbital injuries is well documented (Wei and Durairaj in Pediatric orbital floor fractures. JAAPOS 2011;15:173-80). It should be considered by emergency department and paediatric staff when dealing with patients who have sustained a blow to the orbital region, despite not having a subconjunctival haemorrhage. The importance of examination to detect other features of orbital blow-out and entrapment are stressed.
- Subjects
EYE-socket fractures; BONE fractures in children; CHILDREN'S injuries; CONJUNCTIVA; WOUNDS &; injuries
- Publication
Journal of Surgical Case Reports, 2013, Vol 2013, Issue 7, p1
- ISSN
2042-8812
- Publication type
Case Study
- DOI
10.1093/jscr/rjt054