title: Gunshot-like wound caused by sling shot injury - a case report.
abstract: We report a rare case of sling shot injury that presented with a gunshot-like wound with preseptal cellulitis, in a toddler. An 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 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.
authors.affiliation: Department of Ophthalmology, Hospital Sultanah Bahiyah, Alor Setar, Kedah, Malaysia ; Department of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
authors.forename: Naidu
authors.initials: N
authors.lastname: Vinuthinee
authors.affiliation: Department of Ophthalmology, Hospital Sultanah Bahiyah, Alor Setar, Kedah, Malaysia.
authors.forename: Anuar
authors.initials: A
authors.lastname: Azreen-Redzal
authors.affiliation: Department of Ophthalmology, Hospital Sultanah Bahiyah, Alor Setar, Kedah, Malaysia.
authors.forename: Jaafar
authors.initials: J
authors.lastname: Juanarita
authors.affiliation: Department of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
authors.forename: Embong
authors.initials: E
authors.lastname: Zunaina
keywords: orbital roof fracture; pediatric trauma; preseptal cellulitis