A successfully-treated case of penetrating facial trauma

Abstract

International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations. Case Report: A 59-year-old male fell from a height of four feet onto upward-pointed metal bars and was transferred to our emergency department after suffering an accidental penetration of a metal bar through his face. Computed tomography (CT) scans were conducted; however, the image resolution was unsatisfactory and the amount of brain damage could not be evaluated due to serious artifacts associated with the metal bar. After removing the foreign body, follow-up CT scn revealed increased hemorrhage in the frontal lobe. Emergency craniotomy and removal of the hematoma followed. IJCRI publishes Review Conclusion:Artifacts from a penetrating metal bar on CT scan often hide actual brain damage along the trajectory of penetration. Emergent surgical intervention and early follow-up CT scan is necessary for any chance to save the patient's life. In these cases, proper examination, radiological tests, and early decision-making using a multidisciplinary strategy provide optimal outcomes.