Emergent Needle Aspiration of an Orbital Subperiosteal Hematoma.
BACKGROUND
Delayed presentation of orbital trauma as an acute subperiosteal hematoma.


METHODS
A 12-year-boy developed sudden painful abaxial proptosis of the left eyeball 15 days after blunt trauma over the forehead. On contrast-enhanced computed tomography, a heterogeneous, hypodense, non-enhancing mass with biconvex contour was seen adjacent to the orbital roof. Direct needle drainage was performed and about 10 mL dark blood was aspirated. Proptosis reduced immediately and resolved completely at 2 weeks follow-up. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Sudden proptosis with no immediate history of trauma can be alarming for the emergency physician. Familiarity with this clinical entity and early drainage can decrease morbidity.
Oculoplastic and Pediatric Ophthalmology Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
Abdul
A
Shameer
Oculoplastic and Pediatric Ophthalmology Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
Neelam
N
Pushker
Oculoplastic and Pediatric Ophthalmology Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
Gautam
G
Lokdarshi
Oculoplastic and Pediatric Ophthalmology Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
Shabeer
S
Basheerz
Oculoplastic and Pediatric Ophthalmology Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
Mandeep S
MS
Bajaj
D002648:Child; D006259:Craniocerebral Trauma / Q000150:complications; D004636:Emergency Service, Hospital / Q000458:organization & administration; D005094:Exophthalmos / Q000209:etiology; D006406:Hematoma / Q000150:complications / Q000628:therapy*; D006801:Humans; D008297:Male; D009339:Needles; D019152:Paracentesis / Q000379:methods*; D017397:Prefrontal Cortex / Q000293:injuries*; D014463:Ultrasonography / Q000379:methods
aspiration; hematoma; orbital; subperiosteal; trauma