Foreign body within sphenoid sinus: multidetector-row computed tomography (MDCT) demonstration.
Trans-nasal sphenoid sinus foreign body is a rare condition. We report a case of trans-nasal gun bullet within the sphenoid sinus with breach of the floor of the sella turcica. A 42-year-old soldier presented a few weeks after a gun battle with a history of headache. The skull x-ray demonstrated a foreign body in the region of sphenoid sinus and sella. Multidetector-row CT with multiplanar reformats demonstrated a bullet within the sphenoid sinus with its tip penetrating into the sella turcica. A few days later the patient coughed up the bullet as it came out spontaneously without any intervention. This is perhaps the unique occurrence of such a foreign body.
Sher-i-Kashmir Institute of Medical Sciences, Department of Radiology, Srinagar, J&K, India. nisar.wani@yahoo.com
Nisar Ahmad
NA
Wani
Abdul Qayum
AQ
Khan
D000328:Adult; D005547:Foreign Bodies / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D012075:Remission, Spontaneous; D012658:Sella Turcica / Q000000981:diagnostic imaging; D013101:Sphenoid Sinus / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed / Q000379:methods*; D014948:Wounds, Gunshot / Q000000981:diagnostic imaging*