Reckless formalin injection in the eyelid instead of local anesthetic: case report.
Accidental injection of formalin is certainly rare, but it has serious consequences in terms of morbidity and mortality. We report a case of severe ophthalmic damage due to an accidental formalin's injection in the eyelid of a three-year-old child presenting with congenital ptosis's surgical repair of her left eye. This accident has damaged the orbital region and led to upper left eyelid's necrosis, eyeball's deformation and ipsilateral cataract. In terms of our observation, we discussed consequences of this rare type of accident, and its systematic and loco-regional effects. We tried also to explain these manifestations by analyzing the metabolism process of formalin in the human body. Finally, a medico-legal implication of such accident has been illustrated according to the Tunisian law (Penal Code of the Tunisian republic 'PCT').
Department of Legal Medicine, University Hospital Center Farhat Hached, Sousse, Tunisia.
Tasnim
T
Masmoudi
Department of Hospital Hygiene, University Hospital Center Farhat Hached, Sousse, Tunisia.
Mohamed
M
Mahjoub
Department of Legal Medicine, University Hospital Center Farhat Hached, Sousse, Tunisia.
Youssef
Y
Chkirbene
Department of Legal Medicine, University Hospital Center Farhat Hached, Sousse, Tunisia.
Maher
M
Jedidi
D000779:Anesthetics, Local / Q000008:administration & dosage*; D001763:Blepharoptosis / Q000601:surgery; D002675:Child, Preschool; D005143:Eyelids / Q000473:pathology*; D005260:Female; D005557:Formaldehyde / Q000008:administration & dosage* / Q000009:adverse effects; D006801:Humans; D007267:Injections; D008508:Medication Errors; D014416:Tunisia
D000779:Anesthetics, Local; D005557:Formaldehyde
Reckless injection; anesthetic; damage; formalin; legal; reparation