title: [Needlefish jaw in the orbit].
abstract: We report a case of unsuspected penetrating trauma with intraorbital foreign body, namely a needlefish jaw. A 44-year-old fisherman presented with vertical diplopia and discrete swelling of the upper lid near the medial canthus after being hit by a fish. He was unaware of any penetrating lesion or foreign body. There was no entry wound. CT-scan showed a foreign body between the globe and the medial orbital wall. Surgical exploration found that it was a 4.5cm long needlefish jaw. Removal resulted in complete resolution of symptoms. Needlefish can be very dangerous. This is the first reported case of a needlefish jaw in the orbit with no associated lesion, infection or inflammation.
authors.affiliation: Service d'ophtalmologie, centre hospitalier universitaire de Fort de France, hôpital Pierre Zobda-Quitman, BP 632, 97261 Fort de France cedex, Martinique. rahimian1985@hotmail.com
authors.forename: O
authors.initials: O
authors.lastname: Rahimian
authors.forename: R
authors.initials: R
authors.lastname: Hage
authors.forename: A
authors.initials: A
authors.lastname: Donnio
authors.forename: H
authors.initials: H
authors.lastname: Merle
mesh_terms: D000328:Adult; D000818:Animals; D023761:Beloniformes; D003607:Dacryocystitis / Q000175:diagnosis; D003937:Diagnosis, Differential; D005129:Eye Foreign Bodies / Q000175:diagnosis* / Q000000981:diagnostic imaging; D005131:Eye Injuries / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology; D006801:Humans; D007568:Jaw; D008297:Male; D060051:Occupational Injuries / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology; D009915:Orbit / Q000000981:diagnostic imaging / Q000293:injuries; D011859:Radiography