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Case Reports in Surgery
Volume 2012 (2012), Article ID 716791, 4 pages
Case Report

Occult Orbitocranial Penetrating Pencil Injury in a Child

1Division of Neurological Surgery, Neurosciences Department, King Faisal Specialist Hospital and Research Center, Riyadh 11211, Saudi Arabia
2Division of Neurological Surgery, Faculty of Medicine, King Abdulaziz University, P.O. Box 3354, Jeddah 21589, Saudi Arabia

Received 14 August 2012; Accepted 13 November 2012

Academic Editors: J. M. Bernal, H. Hirano, and T. Kaido

Copyright © 2012 Faisal Al-Otaibi and Saleh Baeesa. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Transorbital slow-penetrating injury is an uncommon type of head injury that is seen more often in the pediatric age group. This type of injury can be occult, which is often associated with serious complications. We report on a 4-year-old female who presented with orbital swelling after an unwitnessed right orbital injury following a fall on her face at her school. Three days after injury, the presence of a foreign body was discovered on imaging study when she presented with orbital swelling and purulent discharges. She recovered well after surgical and medical management. This paper sheds light on the importance of high suspicion for the presence and early surgical management of a penetrating foreign body.