Gunshot-like wound caused by sling shot injury – a case report

Gunshot-like wound caused by sling shot injury – a case report

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Naidu Vinuthinee,1,2 Anuar Azreen-Redzal,1 Jaafar Juanarita,1 Embong Zunaina2 1Department of Ophthalmology, Hospital Sultanah Bahiyah, Alor Setar, Kedah, Malaysia; 2Department of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia Abstract: We report a rare case of sling shot injury that presented with a gunshot-like wound with preseptal cellulitis, in a toddler.An Shipping Protection 11-month-old Malay child presented with a gunshot-like wound over the forehead following sling shot injury.On examination, he had a deep circular laceration wound over the forehead, measuring 2.

0 cm in diameter, with minimal bleeding.There was no obvious foreign body seen inside the wound and no palpable foreign body surrounding the wound.The gunshot-like wound was associated with left preseptal cellulitis.

A skull X-ray showed a white opaque foreign body in the left frontal bone.Computed tomography (CT) scan of orbit and brain revealed a left comminuted fracture of the left orbital 5 Piece Twin Bedroom roof, and left frontal brain contusion with prelesional edema.Wound exploration was performed and revealed a 0.

5 cm unshattered marble embedded in the left frontal bone.The marble and bone fragments were removed.The left preseptal cellulitis responded well to intravenous antibiotic and topical antibiotic.

Keywords: preseptal cellulitis, orbital roof fracture, pediatric trauma.